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