I20 Request Form
I20 Request Form
PURPOSE:
Initial I-20 (from Abroad) Transfer from U.S. School Change of Status (Current Status _______ )
Surname(s)/Last/Family Name(s):
E-mail Address:
Intended Program: ID EAP AAP PSE Graduate Direct Advanced MAP MAP Standard Graduate PSE
FOREIGN ADDRESS: Please complete with student or parent’s home country address.
Street Address:
Country:
MAILING ADDRESS FOR I-20: Please list the address you would like your I-20 mailed to. Please note that the address provided must belong to the student
or parent, per SEVP Guidance.
Street Address:
Page 1 of 2
Surname(s)/Last Name(s): First Name(s)/Given Name(s):
LOCAL U.S. ADDRESS: Mandatory for I-20 transfer students or individuals currently residing in the United States.
Street Address:
DEPENDENTS:
Do you have dependents you would like to add to your I-20? Yes No
If yes, please list all dependents who will be accompanying you to live in the United States during your studies. Only your legal spouse and dependent
unmarried children under the age of 21 can be claimed as dependents. If your spouse and/or child(ren) are accompanying you to the United States, you
must show an additional $7,200 for your spouse/child and $3,600 for each additional dependent. A copy of each passport and proof of relationship (marriage
license or birth certificate) must also be submitted to University of the Pacific for issuance of the dependent I-20.
Dependent 1 Dependent 2
Middle Name(s)
Country of Birth
Country of Citizenship
Dependent 3 Dependent 4
Middle Name(s)
Gender
Country of Birth
Country of Citizenship