International Student Information Request Form

Legal First Name (Passport) :
Legal Last Name/Family Name (Passport) :
Citizenship (name of country) :
Daytime Phone Number:	(example: xxx-xxx-xxxx)
Email:
Are you currently in the US? :	Yes No
If yes, current status type?:
What type of student are you planning to be? :	Out of Country - (Applying from out of U.S. who doesn't have an F-1 VISA) Transfer - (F-1 student applying from within the U.S.) Transfer - (High School or ESL/IEP - F-1 student applying from with the U.S. ) Visiting/Transient - (F-1 Student who just wants to take a class and transfer it to current school ) Change of Status - (Holding a status other than an F-1 visa and wants to apply for a change of status to F-1)
Comments or Questions? :
Security code:	Enter security code: