Request for New Initial I-20 or DS-2019 v.2

Do you currently have an unexpired I-20 or active SEVIS record with another US school?

Yes

No

Have you studied within the US at an SEVP-certified school as an F-1 student within the last 5 months?

Yes

No

Initial I-20 Issue Reason:

Initial Attendance

Initial Attendance - Change of Status to F-1 Requested

MUID:

Surname (Last Name):

Given Name (First Name):

Date Of Birth:

Country of Birth:

City of Birth:

Country of Citizenship

Gender

Female

Male

Other

Current Foreign Address:

Street Address:

Apt, Suite, Bldg.(optional):

City:

State/Province/Region:

Postal / Zip Code:

Country:

Preferred Email:

Foreign Phone Number (+country code):

Dependent Information

Are you bringing dependents, such as a spouse or children, with you?

Yes

No