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 Family (Last) Name*

Given (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:

What is your current program end date on the I-20?*

What is the new requested program end date?*

Briefly explain why you need an 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

Financial Support:

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.

Financial Certification and Bank Statements*

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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