Oiss Application For I-20
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2OISS APPLICATION FOR I-20
REASON FOR NEW I-20 (Please check all that apply):
*
Part-time Commuting Canadian for the: (Semester) __________ (Year) ___________
Previous semester: ______________________ you were:
Full-time
Part-time
REMINDER: You are not eligible for on-campus employment on the part-time I-20
Will you be taking all your courses online this semester:
Yes
No
*
Part-time changing to Full-time Commuting Canadian for the: (Semester) ____________ (Year) _______
*
Entry to Regain Status
*
Reinstatement Within the U.S.
*
Change of Major
New Major: _________________________ Session Start Date: ______________________
Expected Graduation Date: _______________________________________
Change of Program Level
From: ________________________ To: ___________________________
*
Pursuing Second Degree Program
New Program Name: ___________________________ New Program Start Date: ________________________
Expected Graduation Date: __________________________ (Proof of Admission must be attached)
*
Program Extension
Reason for Extension: __________________________ New Program End Date: _________________________
Other: ______________________________________________________________________________
*
Dependents
(Please write dependents name below ONLY if you are requesting an I-20 for
your dependent(s), AND BRING PROOF OF RELATIONSHIP, SUCH AS MARRIAGE CERTIFICATE,
BIRTH CERTIFICATE, ETC.)
Last
First
Middle
Date of Birth
Country of Birth
Country of Citizenship
Relationship
Name
Name
Name
(*)
Asterisk indicates that new financial documentation is required if current financial documentation is more
than 6 months old.
PLEASE COMPLETE PAGE 2 OF THIS FORM
42 W. Warren, Suite 416 ◊ Detroit, MI 48202 ◊ (313) 577-3422 ◊ FAX (313) 577-2962
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