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I-20 Application Form Fillable

Please sign below to confirm the information provided is accurate and complete. I understand that any false or misleading information may result in denial of admission or cancellation of enrollment. Signature: _________________________________________________________ Date: _________________________

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Matt
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105 views2 pages

I-20 Application Form Fillable

Please sign below to confirm the information provided is accurate and complete. I understand that any false or misleading information may result in denial of admission or cancellation of enrollment. Signature: _________________________________________________________ Date: _________________________

Uploaded by

Matt
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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UCEDA SCHOOL

I-20 Application Form

Learn English. Speak to the World.

I-20 APPLICATION FORM

Authorized under Federal Law to enroll Non-immigrant students


Please fill out the information below to better help you in your I-20 process. Please be as accurate as possible

I-20 REQUESTED: YES NO DATE: ______________

Status: Initial _____ Change of Status______ School Transfer ______ Reinstatement_______

UCEDA SCHOOL Location: Miami ____ Orlando OBT___ Weston____ Elizabeth NJ____ Boca Raton_____
Kirkman /Orlando ____

DESIRED STARTING DATE: ______________ LENGTH OF STUDY__________# WEEKS (1-50)

Family Name: _________________________ First Name:_________________________ Middle __________________

Date of Birth: ___________________ Gender: Male _____ Female ____


Native Language_______________________
Country of Birth: _______________________
Country of Citizenship: _____________________

Permanent Home Country Address: ________________________________________________________

City: State/Province: Country: Postal Code: _____________

Home Phone (include country code): _________________________

E-mail: __________________________________________________

US Residential Address:______________________________________________________ Apt#: ___________


City: State: Zip Code: ____________
US Telephone:________________________ Additional Telephone: _______________________________

How did you hear of UCEDA SCHOOL? Agent____ Website______ Friend______ Social Media______

PASSPORT INFORMATION:

Passport Name: ___________________________


Passport Number:_________________________________________________
Passport, Country of Issuance:___________________________ Passport Expiration Date: _______________________
Date of (last) arrival in United States: ______________________ Port of Entry: ____________________________
If you have ever been in US, fill out below.
Driver License Number (if any): __________________________ Driver License State of Issuance:_________________
I-20 Application Form
Do you have a sponsor? Yes No

SPONSOR: This person will be financially responsible for you during your stay in the United States. You can be your own sponsor;
or anyone else can be sponsoring you as long they can proof financial solvency with minimum account balance of $11,440.00 to
$17,000.00 depending on where the school is located. Your sponsor must provide an Affidavit of support (Notarized Preferably)

Education: Primary school _____ High School______ College University______ Graduate School_____

Emergency contact:

Name: _____________________________________ Phone: __________________________________

Email: __________________________________________ Relationship: _________________________

Address: ___________________________________________________________________________

___________________________________________________________________________

DEPENDENT INFORMATION:

Will you include any of your legal dependents in your F-1 Application? Yes No If yes, answer the questions below:

Spouse’s Family Name: ______________________First Name: ______________Middle__________


Date of Birth:____________
Gender: ______Male _______ Female
Country of Birth: Country of Citizenship: _____________________
(A translated and notarized marriage certificate is required and needs to be submitted before enrollment)

Child’s Family Name: _______________________________First Name: _________Middle Name__________


Date of Birth: ____________Gender: Male ______ Female______
Country of Birth: ___________________ Country of Citizenship: _________________________

Child’s Family Name: _______________________________First Name: _________Middle Name__________


Date of Birth: ____________Gender: Male ______ Female______
Country of Birth: ___________________ Country of Citizenship: _________________________

Child’s Family Name: _______________________________First Name: _________Middle Name__________


Date of Birth: ____________Gender: Male ______ Female______
Country of Birth: ___________________ Country of Citizenship: _________________________
Child’s Family Name: _______________________________First Name: _________Middle Name__________
Date of Birth: ____________Gender: Male ______ Female______
Country of Birth: ___________________ Country of Citizenship: _________________________

Airport Transportation: YES _______NO _______

Accommodation: YES ______NO _______ If you answered yes please fill in housing application

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