Vcu I-20/ds-2019 Request Form (Page 2 of 3) in pdf

International Admissions

Immigration information

What type of immigration document are you requesting from VCU?

❑ I-20 (F-1 status) ❑ DS-2019 (J-1 status)

Please attach a copy of your passport identification page or if your passport is unavailable, a copy of your birth certificate.

Are you currently in the United States? ❑ Yes* ❑ No

*Please attach a copy of your current immigration document (Form I-20, DS-2019 or other) and I-94 card.

If yes:

1. What is your current immigration status? ❑ F-1 ❑ J-1 Other:___________________________________________

2. If currently in F-1 or J-1 status, please list school or university you are attending.

________________________________________________________________________________________________

3. Are you planning to leave the United States before coming to VCU? ❑ Yes ❑ No

4. If yes, when?_____________________________

Dependents

If your family will accompany you, you must show evidence of an additional U.S. $5,000 per year for your spouse and U.S. $5,000 for

each child. For each dependent, please attach a copy of passport identification page or birth certificate.

Please complete: ❑ I plan to come alone.

❑ I plan to bring the following dependents who will enter the United States with me. (Complete below.)

❑ The following dependents are currently with me in the United States and will remain with me.

Name__________________________________________________________________________________________

Last (family name)

First

Middle

Date of birth ____________________________________________________________________________________________________________

Country of citizenship _______________________________________________________________________________________

City and country of birth _____________________________________________________________________________________

Country of legal permanent residence __________________________________________________________________________

(Please continue on separate sheet if needed.) ❑ Spouse ❑ Child

• You must demonstrate that you have sufficient funds available for your academic and living expenses.

• You or your sponsor will be responsible for all payments according to scheduled VCU payment dates for each semester.

Funding

All students requesting a DS-2019 or I-20 from VCU must provide proof of sufficient funding for academic and living expenses as well as health in-

surance. You or your designated sponsor will be responsible for all scheduled payments to VCU. Note that official and original financial documenta-

tion is required prior to issuing the I-20 or DS-2019. Documents that show students are potential candidates for scholarships are not acceptable. If

your sponsor is paying your tuition, fees, room and/or board, your sponsor’s billing authorization for payment must be unconditionally guaranteed

and a copy of the billing authorization, which should include your student V number, must be provided by the student to the Student Accounting

Department each semester. Payment is due by the due date indicated on the bill from the Student Accounting Department. The student is ulti-

mately responsible for payment, should the sponsor default on their payment.

Vcu I-20/ds-2019 Request Form Page 2