I-20 Extension Request Form
Print this form, fill it out and deliver it to the OFSS office at the address below. It will take 7 days to process.
| Today's Date: | |
| Last Name: | |
| First Name: | |
| Date of Birth: | |
| Local Address: | |
| Foreign Address: | |
| E-mail Address: | |
| Daytime telephone: | |
| Status (check one): | ___Masters ___Ph.D. ___Undergraduate ___ELI |
| Department: | |
| Anticipated date of graduation: | |
| Funding ** (Personal, family funds, T.A., etc.): |
** If you are a graduate student on contract with the U of D (teaching assistant, research assistant, etc.), you must provide a letter from your Department stating the amount of funding you will receive for the coming academic year. As this amount appears on the I-20 form, the I-20 will not be prepared until the Office of Foreign Students & Scholars (OFSS) has received the information. If you are not funded, a personal bank statement is required. You need to show $3000 per dependent.
If you have family members here with you on F-2 visa/s, please list below:
Dependent 1| Last Name: | |
| First Name: | |
| Date of Birth (mm/dd/yyyy): | |
| Country of Birth: | |
| Relationship: |
Dependent 2
| Last Name: | |
| First Name: | |
| Date of Birth (mm/dd/yyyy): | |
| Country of Birth: | |
| Relationship: |
Dependent 3
| Last Name: | |
| First Name: | |
| Date of Birth (mm/dd/yyyy): | |
| Country of Birth: | |
| Relationship: |