Attachment To Form I-539 printable pdf download

Attachment To Form I-539

ATTACHMENT TO FORM I-539

TO:

Student/School Officer, ICE

FROM:

___________________________________________

Name (please print)

___________________________________________

Admission Number (from Form I-94)

RE:

Request for Consideration for Reinstatement to F-1 Student Status

I have been informed by International Programs and Services at SUNY Purchase that I have violated my F-1

student status as indicated below:

1. _____ I am not (or was not) eligible for the a.___ school transfer or b.___ change of education level

notification procedure to the Homeland Security because:

_____ Soon after my arrival to the U.S., I decided to attend Purchase College, SUNY instead of

my authorized school.

_____ I was not enrolled in a full course of study last term.

_____ I did not complete the procedure within the time schedule required by Homeland Security.

_____ Other: ____________________________________________________________

2. _____ I am not (or was not) enrolled in a full course of study in the ___________ semester.

3. _____ I did not complete my education program within the period of time specified by the Immigration

Service and am not eligible for an educational program extension because:

_____ I did not have a compelling academic or health reason which caused the completion delay.

_____ I did not apply for the program extension within the time schedule required by Homeland

Security.

_____ Other: _____________________________________________________________

4. _____ I am not making “normal progress towards completing a course of study” according to Homeland

Security regulations.

Attachment To Form I-539