International Student Information Form

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Tufts Summer Session 
International Student Information Form 
Please Print Clearly. All fields are required. 
You can use Adobe Acrobat to type responses in this form. 
 
Section A ‐ Personal Information 
 
1. Name: 
_____________________________ 
_________________________  __________________ 
Last name (family/surname) 
 
First name 
 
 
Middle name 
2. Gender: 
 
Male  Female 
3. Date of Birth: 
______ / ______ / ______ 
(MM)     (DD)          (Year) 
4. Place of Birth 
_____________________________________  ______________________________ 
(City)   
 
 
 
 
 
(Country) 
5. Marital Status: 
 
 
 
Single   
Married 
6. Number of Children  
 
 
__________ 
7. Is your spouse a U.S. citizen? 
 
Yes   
 
No 
8. Will you come to the U.S. alone? 
 
Yes 
 
No 
9. If no, who will you bring?   
 
Spouse   
Children 
10. How many children will you bring?   
__________ 
11. List all family members that will be joining you in the United States.  Include financial proof showing how you will 
pay for your family’s expenses while in the U.S.  Refer to the Estimate of Expenses to determine how much you must 
document for each family member.  Attach separate sheet if necessary. 
 
First name 
 
Last name 
     Date of Birth    Place of Birth     Citizenship 
Relationship to you 
a) ___________________________________________________________________________________________ 
 
b) ___________________________________________________________________________________________ 
 
12. Your permanent home address (outside of the U.S.): 
__________________________________________________________________________________________ 
 
Street   
 
 
 
City 
 
Country   
 
 
Postal Code 
1
13. Your current mailing address:
   
__________________________________________________________________________________________ 
 
Street   
 
 
 
City 
 
Country   
 
 
Postal Code 
2
14. Your email address:
  
______________________________________________ 
15. Your phone number: 
______________________________________________ 
16. Your country of citizenship  ______________________________________________ 
 
1
 The address to which immigration documents should be sent.  Do not provide a post office box for your mailing address.  We use DHL for 
international express mailing, which requires a street address. 
2
 Your email address will be used in all forms of communication, other than the mailing of immigration documents.  You will receive information 
about your summer tuition charges and payment options at this email address.   
1

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