University Of New Haven I-20/ds-2019 Extension Form printable pdf download

International Services Office

Echlin Hall 200

Ph: 203.932.7475 Fax: 203.931.6054

iso@newhaven.edu

I-20/DS-2019 Extension Form

Student Information:

Student Name _______________________________

Major ___________________________________

Email_______________________________________

Phone___________________________________

UNH Student ID #_____________________________

SEVIS ID# N _____________________________

Current I-20 End Date: ______________________

Note: An I-20 which has already passed the program end date cannot be extended.

Eligibility Criteria for I-20/DS-2019 Extension (please review this information before signing the form)



Extensions may only be granted to students who can demonstrate that they have compelling academic or medical

reasons



Delays caused by academic probation or suspension are not acceptable reasons for program extension

The following are not valid reasons for I-20 extensions:



To finish pending coursework for an incomplete grade



To enroll in extra courses or repeat the same course for personal interest or to improve one’s GPA



To engage in research on or off-campus



To engage in non-required Curricular Practical Training (CPT)



To enroll in course work delayed by participation in non-required CPT



To use the next available graduation date for OPT

If none of these apply, please contact the International Services Office at 203-932-7475

Academic/Faculty Advisor Recommendation Portion:

Required credit hours remaining: __________________________ (excluding current term enrollment)

Estimated completion date for degree: ___________________ (term and year)

Student needs more time due to the following reason(s):

________________________________________________________________________

*Note: acceptable and unacceptable criteria for I-20 extensions are listed above, however, it is at the discretion of the ISO to determine in the

end what reason falls into each category. The purpose of this form is so that the advisor is aware and approves of the student’s

academic plans even though they are taking longer than initially projected.

As the Academic/Faculty Advisor or Student Services staff member, I recommend that the student be allowed additional

time to complete degree requirements for the reason mentioned above.

Name _______________________________

Date_____________

Ext #: _________

Signature_____________________________

Department______________

University Of New Haven I-20/ds-2019 Extension Form

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