Forms

This form is for all CURRENT F-1 or J-1 visa holders at Old Dominion
who are requesting a new I-20 or DS-2019 and any J scholars requesting an extension of their DS-2019.

Family Name*

First Name*

UIN*

Gender*

Male

Female

SEVIS ID # (NOTE: For CHANGE OF STATUS applications, enter 0s. Current F/Js **must** enter their number for processing to begin. *

REQUESTING A CHANGE OF STATUS? If you are on a NATO/A-2 visa, you must also update your home country address.

If requesting an I-20/DS-2019 for a change of status, will you apply to change in the U.S. or at a U.S. consulate overseas?

I will apply without leaving the U.S.

I will apply at a U.S. consulate overseas.

Current I-20/DS-2019 Expiration Date (NOTE: If applying for a CHANGE OF STATUS, enter "N/A".)*

Current U.S. Address*

City, State & ZIP Code*

Does your SEVIS U.S. address match this address above?*

Yes

Phone Number (XXX.XXX.XXXX)*

ODU Student E-Mail (e.g. msmit001@odu.edu)*

Current Visa Status*

F-1

J-1

Other

If "Other," what is your current visa status?

Do you have dependents on your visa document?*

Yes

Do you have graduate assistantship (Administrative, Teaching, Research)?*

Yes

If "yes," who pays you?

Old Dominion University

ODU Research Foundation

Both

What is the purpose of this request?*

extension of current form

add a graduate assistantship (please submit a copy of your GA Offer Letter)

remove a graduate assistantship

reinstatement

no remaining spaces for travel signatures

replace lost document

remove dependents who have returned to home country permanently @

change of major (this option is for undergraduates only; graduates must contact International Admissions (intladm@odu.edu) to do this) @

other @

For items above with the "@" symbol next to them, please provide the necessary additional information.

IF YOU ARE A STUDENT REQUESTING AN EXTENSION OF YOUR CURRENT FORM: Extensions may not be processed until 30 days before your document expires. If you have a special circumstance where you may need your paperwork earlier than that, please contact VISA. Your document can be extended for a maximum of two semesters for Master's students and three for Bachelors and PhD students. Your electronic request must be followed up with two items:

1) financial documentation (assistantship letter, bank statement, etc.);

2) Recommendation for Extension of Visa Document ; the student portion is must be filled out online

For J scholars requesting an extension: Your supervisor or Primary Investigator must submit a letter on letterhead explaining the reason for the extension, the length of the extension and if any funding will be provided by ODU or ODURF.

Please select the option that describes your CURRENT academic program.

Bachelors ($43,900)
Masters without assistantship ($38,100)
Masters with assistantship ($21,700)
Doctoral without assistantship ($38,100)
Doctoral with assistantship ($12,300)
J Scholar ($1975 per month)

Old Dominion University

Idea Fusion

Request for New I-20/DS-2019