Vcu I-20/ds-2019 Request Form printable pdf download

International Admissions

VCU International Admissions

408 West Franklin Street, P.O. Box 843043

Richmond, Virginia 23284-3043

Tel: (804) 828-6016 Fax: (804) 828-1829

Email: vcuia@vcu.edu

I-20/DS-2019 Request Form

Personal information

Please print your full name exactly as it appears on your passport or birth certificate. We cannot issue your immigration document

(I-20 or DS-2019) until we receive this form from you. Please complete the form and attach all required documents. Return the

form with your admissions application.

Applicant’s name*____________________________________________________________________________________________

Last (family name)

First

Middle

Date of birth* _______________________________________________________________________________________________

Month/day/year

City of birth ________________________________________________________________________________________________

Country of birth* ____________________________________________________________________________________________

Country of citizenship* ________________________________________________________________________________________

Country of legal permanent residence* ___________________________________________________________________________

Email___________________________________________

Telephone____________________

Fax____________________

Foreign residence address* (NOTE: This is required information, even if you are currently living in the U.S.)

___________________________________________________________________________________________________________

U.S. Address (if applicable) _____________________________________________________________________________________

Current occupation (i.e., graduate student, researcher, etc.) __________________________________________________________

To which address would you like your I-20/DS-2019 mailed? Please circle one: U.S. or foreign address

Previous or current VCU identification number (if known) ____________________________________________________________

Student Type: ❑ freshman ❑ transfer ❑ graduate

Vcu I-20/ds-2019 Request Form