Change of Status Form This form should be completed by students who wish to attend our school and do not currently hold an F-1 visa. Students should apply for a change of status as soon as possible, in advance of the I-94 expiration date, in case the change of status is denied. Students in a status other than F-2 or B can enroll prior to the change of status approval. M-1 students wishing to change to F-1 status must depart the U.S and apply for an F-1 visa.Name: Student First Name Student Middle Name Student Last Name Birthdate01020304050607080910111213141516171819202122232425262728293031 / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / 201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940MonthDayYearSEVIS ID Phone: United States+1Afghanistan+93Albania+355Algeria+213American Samoa+1684Andorra+376Angola+244Anguilla+1264Antigua and Barbuda+1268Argentina+54Armenia+374Aruba+297Australia+61Austria+43Azerbaijan+994Bahamas+1242Bahrain+973Bangladesh+880Barbados+1246Belarus+375Belgium+32Belize+501Benin+229Bermuda+1441Bhutan+975Bolivia+591Bosnia and Herzegovina+387Botswana+267Brazil+55British Indian Ocean Territory+246British Virgin Islands+1284Brunei+673Bulgaria+359Burkina Faso+226Burundi+257Cambodia+855Cameroon+237Canada+1Cape Verde+238Caribbean Netherlands+599Cayman Islands+1345Central African Republic+236Chad+235Chile+56China+86Christmas Island+61Cocos (Keeling) Islands+61Colombia+57Comoros+269Congo (DRC) (Jamhuri ya Kidemokrasia ya Kongo)+243Congo (Republic) (Congo-Brazzaville)+242Cook Islands+682Costa Rica+506Cote d'Ivoire+225Croatia+385Cuba+53Curacao+599Cyprus+357Czech Republic+420Denmark+45Djibouti+253Dominica+1767Dominican Republic+1Ecuador+593Egypt+20El Salvador+503Equatorial Guinea+240Eritrea+291Estonia+372Ethiopia+251Falkland Islands+500Faroe Islands+298Fiji+679Finland+358France+33French Guiana+594French Polynesia+689Gabon+241Gambia+220Georgia+995Germany+49Ghana+233Gibraltar+350Greece+30Greenland+299Grenada+1473Guadeloupe+590Guam+1671Guatemala+502Guernsey+44Guinea+224Guinea-Bissau+245Guyana+592Haiti+509Honduras+504Hong Kong+852Hungary+36Iceland+354India+91Indonesia+62Iran+98Iraq+964Ireland+353Isle of Man+44Israel+972Italy+39Jamaica+1876Japan+81Jersey+44Jordan+962Kazakhstan+7Kenya+254Kiribati+686Kosovo+383Kuwait+965Kyrgyzstan+996Laos+856Latvia+371Lebanon+961Lesotho+266Liberia+231Libya+218Liechtenstein+423Lithuania+370Luxembourg+352Macau+853Macedonia+389Madagascar+261Malawi+265Malaysia+60Maldives+960Mali+223Malta+356Marshall Islands+692Martinique+596Mauritania+222Mauritius+230Mayotte+262Mexico+52Micronesia+691Moldova+373Monaco+377Mongolia+976Montenegro+382Montserrat+1664Morocco+212Mozambique+258Myanmar (Burma)+95Namibia+264Nauru+674Nepal+977Netherlands (Nederland)+31New Caledonia+687New Zealand+64Nicaragua+505Niger+227Nigeria+234Niue+683Norfolk Island+672North Korea+850Northern Mariana Islands+1670Norway (Norge)+47Oman+968Pakistan+92Palau+680Palestine+970Panama+507Papua New Guinea+675Paraguay+595Peru+51Philippines+63Poland+48Portugal+351Puerto Rico+1Qatar+974Reunion+262Romania+40Russia+7Rwanda+250Saint Barthelemy+590Saint Helena+290Saint Kitts and Nevis+1869Saint Lucia+1758Saint Martin+590Saint Pierre and Miquelon+508Saint Vincent and the Grenadines+1784Samoa+685San Marino+378Sao Tome and Principe+239Saudi Arabia+966Senegal+221Serbia+381Seychelles+248Sierra Leone+232Singapore+65Sint Maarten+1721Slovakia+421Slovenia+386Solomon Islands+677Somalia+252South Africa+27South Korea+82South Sudan+211Spain+34Sri Lanka+94Sudan+249Suriname+597Svalbard and Jan Mayen+47Swaziland+268Sweden (Sverige)+46Switzerland+41Syria+963Taiwan+886Tajikistan+992Tanzania+255Thailand+66Timor-Leste+670Togo+228Tokelau+690Tonga+676Trinidad and Tobago+1868Tunisia+216Turkey+90Turkmenistan+993Turks and Caicos Islands+1649Tuvalu+688U.S. Virgin Islands+1340Uganda+256Ukraine+380United Arab Emirates+971United Kingdom+44United States+1Uruguay+598Uzbekistan+998Vanuatu+678Vatican City+39Venezuela+58Vietnam+84Wallis and Futuna+681Western Sahara+212Yemen+967Zambia+260Zimbabwe+263Aland Islands+358 E-mail:Current visa typeIf you are a dependent, is your sponsor currently in status?YesNoWhen does your I-94 expire? Note: Your immigration status must be valid until at least 30 days before the I-20 start date.01020304050607080910111213141516171819202122232425262728293031 / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / 201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901daymonthyearAre you currently in lawful, non-immigration status?YesNoAre you currently enrolled full time in another school?YesNoDo you plan on travelling outside the U.S?YesNoAdditional InformationIf the information you have submitted proves you are eligible for a change of status, you may need to submit a request package with the following items to USCIS: I-539 Form, Original I-94 form, Financial documents, Copy of Form I-20 w/COS information, Application filing fee, Copy of passport information, Proof of current immigration status, Letter of intent to study, Copy of Acceptance letter/academic transcript if already a current student, SEVIS I-901 receipt.Students that are not eligible for a change of status, may have to leave the U.S and apply for an F-1 visa. In that case, students will need the following: Completed visa application (DS-160), Initial attendnace I-20, Financial documents, Proof of Academic status (admission letter), SEVIS I-901 receipt, Visa application fees, Valid passport, Student will also have to make an appointment at a U.S consular post.SignatureBy submitting this application, I affirm that the information provided is true and complete. I understand that if am accepted as a student, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. By providing the information below, I understand that I am providing an electronic version of my Signature.Signature SubmitReset