I-20 Program Extension Form

Last Name *

First Name *

Student ID *

SEVIS ID (N0...) *

Academic Level *

Undergraduate

Graduate

TSIE

Phone *

Email *

Current I-20 Program End Date *

This Program Extension request is my *

First

Second

Third (A third I-20 Program Extensions require authorization from the Department Chair)

F-1 Student I-20 Program Extension Form *

Academic Reason Supporting Documentation (Thesis/Dissertation students submit a Research Timeline)

Academic Reason Supporting Documentation (Non-Thesis/Dissertation students submit a Graduation Plan Course Schedule)

Academic Reason Supporting Documentation (Academic or Faculty Advisor Letter)

Medical Reason Supporting Documentation (Signed letter from a medical processional)

Reminder: Visit the Estimated Cost of Attendance site to calculate your financial requirements. Per DHS mandate, ISSS cannot create a Program Extension I-20 if the student does not provide sufficient financial documentation.

Download and sign: ISSS Financial Verification Form

Proof of Financial Support *

ISSS Financial Verification Form (see link below); Must be signed by you (and your sponsor, if you have a sponsor other than yourself) *

Acknowledgement *

Academic Reason - I understand that I must submit a Research Timeline or Graduation Plan course schedule.

Academic Reason - I understand that I must submit a letter from my academic or faculty advisor.

Medical Reason - I understand that I must submit a signed letter from a medical processions.

Signature *

If you happen to see this, do not fill this field.