Extension_F-1 or J-1 Program Request form


    This form is for students who need to request an extension to their document end date to complete their program of study. You will need to upload your most recent I-94, your valid passport ID page, financial documents showing funding for the period of the extension, and a medical letter if applicable. You must submit your new extended I-20 to the Human Resources department if I am working on-campus.

    Confirmation of Contact Information
    Please list your residential address. If you are in the dorms or the UP, list your dorm name and room number.
    Please list your residential address. If you are in the dorms or the UP, list your dorm name and room number.
    What's the best way to contact you?
    What's the best way to contact you?
    Check all that apply
    Check all that apply

    go to The Official I-94 Website (https://i94.cbp.dhs.gov/I94) to download the I-94 of your most recent entry into the U.S. Ensure you were assigned "F-1."

    Please check the applicable items below:
    Please check the applicable items below:

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    By typing my name below, I certify that the information provided in this form are known to be true and correct to the best of my knowledge.