I-20 Student Information

Please fill out this form very accurately - as it is the basis for your I-20 and some Consular Offices are very particular!

First Name                        *Required Field

Middle Name                   

Family Name                     *Required Field

Date of Birth                      Month-2 digits    /    Day-2 digits   /     Year-4 digits
Ex.: January 3, 1972      "01"  /  "03"  /  "1972"            *Required Field

Gender                              "M"-Male or "F"-Female  *Required Field

Country of Birth                *Required Field

Country of Citizenship      *Required Field

I-20 Issue Reason *Required Field

Visa Admission Number        If you are in the country

Driver's License Number      If you have a valid US driver's license

Driver's License State           If you have a valid US driver's license

Social Security Number         If you have one

Taxpayer ID Number            If you have one

E-mail Address                     If you have one - it really helps with our communication

Foreign Address
*Required Field
 

U.S. Address (Local-while attending Virginia Western)
*Required Field

When do you want to begin study?            *Required Field   (Fall or Spring)             *Required Field   (2008, etc.)

Do you want to transfer to a 4-year college to continue your study after Virginia Western?      *Required Field   (Yes or No)

Local phone # where we can reach you or sponsor phone #?            *Required Field  

Do you give permission to share your I-20 with your sponsor?   *Required Field   (Yes or No)     *If yes - Required Field  

Your Major
"Program of Study"             
While Attending                    *Required Field
Virginia Western
(Please See College Catalog - for us to issue you an I-20 to get an F-1 student visa - the program you choose must be a transfer degree program)