INTERNATIONAL (f-1) STUDENTS
PERSONAL INFORMATION FOR I20
Family Name/Surname: ___________________________________________________________________________________________________
First and Middle Name/Given Name: ________________________________________________________________________________________
Preferred Name (what your sponsor calls you/what you like to be called): _________________________________________________________
Country of Birth: _________________________________________________ Date of Birth (mm/dd/yyyy): ______________________________
Citizenship: _____________________________________________________________________________________________________________
Foreign Address:
Address 1: ______________________________________________________________________________________________________________
Address 2: _____________________________________________________________________________________________________________
City: __________________________________________ Province/Territory: _________________________ Postal Code: ______________
Local Address (if you have one)
Address 1: ______________________________________________________________________________________________________________
City: __________________________________________ State: ____________________________________ Zip Code: ________________
Number of dependents you have who will need an I-20: ________________________________________________________________________
U.S. Social Security Number or Individual Taxpayer ID: _________________________________________________________________________
Primary Phone Number (include area code and/or country code): ________________________________________________________________
Secondary Phone Number (include area code and/or country code): ______________________________________________________________
Email address: __________________________________________________________________________________________________________
Do you plan to transfer to a four-year college or university?
o
Yes
o
No
Do you want a degree from this college so you can graduate and go to work?
o
Yes
o
No
Planned Program of Study at this College: ___________________________________________________________________________________
midlandstech.edu
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PO Box 2408
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Columbia, SC 29202
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803.738.3888
SD-17-3898A-11-17
