CERTIFICATE OF ELIGIBILITY (FORM I-20 OR DS-2019) REQUEST FORM

Last Name(s) *

As it appears on the student's passport

First Name(s) *

As it appears on the student's passport

Banner ID *

(Please include the first three zeros --Example: 000123456)

Date of Birth *

(MM/DD/YYYY)

Country of Birth *

Country of Citizenship *

Personal E-mail Address *

Class Standing *

• Undergraduate
• Graduate
• Intensive English Program (IEP)
• Exchange
• Other

Major/Program *

Starting Term * Select Spring 2012 Summer 2012 Fall 2012 Spring 2013 Summer 2013 Fall 2013 Spring 2014 Summer 2014 Fall 2014 Spring 2015

Please Indicate What Documentation Will You Be Uploading *

• Copy of Passport Page
• Copy of Acceptance Letter (Must contain the student’s name and address)
• Copy of Scholarship and/or Graduate Assistantship Award Letter (If Applicable)
• SEVIS Transfer Request Form (Only if the student is transferring from an institution in the U.S.)
• Sponsor Statement Form (Must be notarized if the sponsor is a U.S. resident or if the sponsor lives in the U.S.)
• Copy of Original Bank Statement (Please note that while you can upload this document, our office will not issue any immigration paperwork until we receive the original document)

Please upload the documents below.

Supporting Documentation - File Upload

PDF, DOC, DOCX, JPG and PNG Files Only

Comments

Your Name *

Your Department *

Your E-mail *

Your Mailbox Location (ML) *