1-20 Application (Certificate Of Eligibility For F-1 Student Status) printable pdf download

1-20 Application (Certificate Of Eligibility For F-1 Student Status)

1-20 APPLICATION (Certificate of Eligibility for F-1 Student Status)

PART I: PERSONAL INFORMATION

Name:_______________________________________________________________________________

Family Name (Surname/Last)

First name (Given)

Gender: □ Male □ Female

Date of Birth: Month_________________ Day _______ Year_______

Country of Birth __________________________ Country of Citizenship__________________________

Marital Status: □ Unmarried

□ Married

Major: _________________________________ Degree: □ Associate’s

□ Bachelor’s

□ Master’s

E-Mail Address ________________________________________________________________________

Please complete the following information about any dependents (wife, husband or children) who will

require an F-2 visa to enter the United States:

_____________________________________________________________________________________

Name (Last, First, Middle Initial)

Date of Birth

Country of Birth

Relationship to you

_____________________________________________________________________________________

Name (Last, First, Middle Initial)

Date of Birth

Country of Birth

Relationship to you

PART II: Immigration Status

Are you applying from outside of the United States?

□ Yes

□

If you previously lived or currently live in the United States, please complete the following (If not, go

to Part III):

What is your United States Customs and Immigration Service (USCIS) Number?____________________

(This is found on your I-94 card )

If you are in the United States please indicate your current visa status/type? ___________________

If you are an F-1 student please indicate your SEVIS ID number and most recent College or University:

School _______________________________________________

SEVIS ID #__________________

Please select one of the following:

□ I plan to apply for a change of status from within the United States

□ I plan to travel to my home country to apply for an initial F-1 student visa

1-20 Application (Certificate Of Eligibility For F-1 Student Status)