Attachment To I-765 Why I Need Off-Campus Employment Authorization Page 2

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ATTACHMENT TO I-765
WHY I NEED OFF-CAMPUS EMPLOYMENT AUTHORIZATION
Dear USCIS Officer:
My name is _____________________________________. I am applying for off campus employment authorization
because I have serious financial problems which are unexpected and beyond my control and could force me to abandon
my education.
1) My current Form I-20 issued on ___/____/____(date), estimated my annual average costs in item #7 to be
____________________. In term #8 my means of support came from _________________________and totaled
$_______________.
2) Now, my annual average costs are:________________. My means of support (aside from your authorized
hardship employment, if you are re-applying) is from:
(Here, list sponsor, on-campus job, etc.)
and total USD$____________________________.
My current support is short by $_____________________.
3) The reason(s) my financial situation has changed is (if you are re-applying for Employment Hardship Authorization,
tell why you are still unable to support yourself):
4) I did not expect this to happen to me because:
5) Documents that I have attached to prove my financial difficulty are:
Sincerely,
______________________________________________
____________________
Signature of Student
Date
(VSP13) 2
Prepared by International Education Training Services (IETS). Used with permission. Edited by the Office of International Programs, Felician College.

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