Student Letters Request Form - University Center For International Education
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(UCIE STAMP)
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FIRST NAME:
LAST NAME:
UID#:
PHONE NUMBER:
WSU EMAIL:
Please allow up to five (5) business days for processing.
Type of Letter requesting:
(check box)
General Student Certification Letter
Bank Letter
if requested to open an
‐
‐
confirming active status as a WSU student
account
Tuition Student Certification Letter
Driver’s License Letter
‐
confirming active status and annual tuition costs
Social Security Letter –
LEAP STUDENTS
ONLY‐confirming NOT eligible for SSN
Transient Student Certification Letter
to attend
application
_____________________
(name of school):
________________________
Family Visit Invitation Letter
For (TERM):
[Transient Students MUST fill out RCL form IF you will be taking
Graduation Invitation Letter
less than full time classes at Wright State]
MUST attach receipt for commencement
Date of Birth: (M/D/Y)
Gender: (check)
VISA TYPE: (check)
Current Level of Study: (check)
Female
F‐1
LEAP (ESL)
Male
J‐1 student
UNDERGRAD
J‐1 scholar
MASTERS
other:____________
PhD
Major/Program of Study:
Expected term you will complete studies/program:
Start and End Date listed on WSU SEVIS I‐20: (line 5)
Are you on OPT?
OPT employment authorization dates:
(start date ‐ end date)
Yes
No
Number of credit hours
If you are pre‐registered for next term, indicate
registered for current term:
number of credit hours registered for future term:
ADDITIONAL INFORMATION/SPECIAL REQUESTS:
Notary Stamp
______________________________________________________________
(will add two days to
processing time)
_______________________________
__________________
Signature:
Date:
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