I-20/DS-2019 Extension Request

I-20/DS-2019 Extension Request

Purpose: For students who are nearing the end-date on their I-20/DS-2019 document and need to extend their program. To properly maintain status, students must extend their program prior to the expiration of their I-20/DS-2019. Complete this form to place a request for extension with the International office.

Student Information:

Student's Last Name*

Student's First Name*

Date of Birth (mm/dd/yyyy)*

Student ID*

UWG Email*

@westga.edu

SEVIS #*

Degree Level*

Bachelors

Masters

Doctorate

Major*

Details of Extension Request:

End Date*

How much additional time is required?*

Select or enter value

Reason for extension*

Is your Academic Advisor / Department aware*

If NO, ISAP cannot process your Extension. Please communicate your plans to them first

If YES, please indicate the email address of your academic advisor below

Yes

Advisor Email

Supporting Documents

An extension of status requires proof of funding to cover estimated costs of tuition, fees, food, lodging and insurance during the extension. Please upload a copy of your Financial Certification and Bank Statements below.

You must also show you have been making satisfactory progress towards your degree, and have been maintaining status. Please upload an unofficial copy of your transcript below.

Financial Certification, Bank Statement(s), and Transcripts*

Drag and drop files here or

Please acknowledge the Statements below:

I Understand…

• I am responsible for my immigration status and knowing when it ends.

• I cannot request an extension after the program end date.

• The extension is only for the duration approved by ISAP as recommended by your academic advisor.

Student’s Signature *

Initials or Name

Date*

Date of Signature

What's Next:

Submit this form to ISAP. You will receive email confirmation of your extension after review within 5 business days. Your status is only extended once we make changes in SEVIS based on the information above.

Send me a copy of my responses

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