Please submit with your current I- 20 or DS- 2019
Today’s Date:
Name (Last Name, First Name) :
RU ID Number: Phone:
E - mail:
Have you registered for the next semester? Ye s No
Have you paid or made arrangements for paying your tuition and fees? Ye s No
When are you traveling?
Departure Date: Return Date:
Are your documents still valid?
Passport Expiration Date : Visa Expiration Date :
Do you intend to apply for a new visa while you are overseas? Ye s No
If yes, have you requested a good standing letter? Ye s No
Where will you apply for the visa?
Please allow 5 business days to process your request. You should request the travel signature at least 1-2
weeks before you will travel. If the travel signature request is not received in this timeframe, be prepared to
leave a credit card number, expiration date, and a foreign address to which OIP can send the original signed
I-20. Students do not need a signed I-20 to exit the United States, only for re-entry.
