International Student Assistance Request Form - F-1 Student Change Of Major Page 2

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International Programs
International Student Advising and Services
Oregon State University
Oregon State University, University Plaza, 1600 SW Western Blvd Suite 130, 97333
T 541-737-6310 | F 541-737-6226 | | isas.advisor@oregonstate.edu
F-1 STUDENT PROGRAM EXTENSION DUE TO CHANGE OF MAJOR
If your change of major means that you will not be able to graduate by the program end date indicated on your I-20, you will need to
request a program extension. An extension requires that your academic advisor completes the information below and that you
provide sufficient proof of financial documentation for one academic year (12 months) or the length of the extension, whichever is
less.
Please allow seven (7) business days to process your request once all required documentation has been received. Please attach the
financial documentation to this form if your change of major will result in a program extension.
To be completed by academic advisor if requesting I-20 program extension
The student is requesting an extension of program in accordance with the regulations of the U.S. Citizenship and Immigration
Services (USCIS). These regulations allow for an extension for a change of major or degree.
Please confirm the following information for the student listed above:
Changed their major or degree to___________________________________
Expected completion date is ____ /____ /____
Please comment if there is anything specific our office should be aware of: _______________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Academic advisor’s signature __________________________________________________________
Date ____ /____ /____
Name and title (please print) ___________________________________________________________________________________
Department ______________________________ Phone _________________ E-mail __________________________________
Financial Documentation
F-1 student financial documentation (no older than 12 months) must show your ability to pay for all educational and living expenses
for one academic year (12 months).
See the
“International Student Financial
Documentation” handout to determine the proof of funding amount you will need to
provide. Please meet with an International Student Advisor if you want more guidance on this process.
The handout can be found on the International Students Forms & Documents web page:
The URL is as follows:
/atosu/students/forms
International Student Advising and Services use only
I-20 or DS-2019 Program Extension:
Approved
Denied
ISAS initials ________
Date entered into SEVIS ______________
S:\ISFS\Forms & Handouts\F-1\Program Extension.doc
Revised 08/07/2012

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