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Student Visa To United States

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					               International Student Visa Document Request Form
               Curry College Admission Office
               1071 Blue Hill Avenue
                Milton, MA 02186
                Ph (617) 333-2210; Fax (617) 333-2114; E-mail curryadm@curry.edu
               www.curry.edu



Congratulations on being admitted to Curry College! As an international student you will need to
              apply for a student visa in order to legally study in the United States.
  In order to obtain a student visa you will need to request an I-20 visa document from Curry.
                     You must have this document to obtain a student visa.


                                    F-1 Student Visa Information

  Requirements to obtain                     Student must be admitted to a full-time program of study leading to a specific
  F-1 Student status                         educational objective

                                             Student must be proficient in English

                                             Student must show evidence of sufficient financial support


  Types of Work Permitted
                                             On campus employment

                                             Curricular Practical Training (CPT)

                                             Up to 12 months of Optional Practical Training (OPT) per educational level which
                                             can be used before and/or after graduation



  Dependents
  (Spouse/Family)                        F-2 Visa holders
                                             Are not allowed to work

                                             May not attend school full-time. Part-time study must be recreational or
                                             vocational


  SEVIS Fee

                                         Beginning September 1, 2004, a new United States Department of Homeland Security
                                         (DHS) rule went into effect. This rule requires F-1 applicants to pay a one-time fee of
                                         $200 to supplement the administration and maintenance costs of the Student and
                                         Exchange Visitor Information System (SEVIS). Dependents do not have to pay a
                                         separate SEVIS fee. For more information please visit www.fmjfee.com or contact our
                                         office.
                                                                                     Part 1
                                                                            Biographical Information

Please fill out the information below completely. Be sure to answer all questions. Send the completed form to the admission office at Curry.
             Failure to complete any part of this document may delay issuance of your visa document. Please type or print legibly.


 1. Name*: ________________________________________________________________________________________
                 Last (family) Name                                                    First (given) Name                                                   Middle Name
 * Your name must be exactly how it appears on your passport.

 2. Gender:                  □ Male                       □ Female

 3. Date of Birth: (mm/dd/yyyy): ______________________________

 4. City & Country of Birth:____________________________________________________________________________

 5. Country of Residence*: ___________________________________________________________________________
 * This is the name of the country in which you hold legal permanent residence.

 6. Country of Citizenship*: ___________________________________________________________________________
 * If you hold dual citizenship list the country of the passport that you will use to enter the United States.

 7. Position in Home Country*: ________________________________________________________________________
 * Indicate what you are currently doing in your home country. If you are a student, write “student” and indicate your level of education (secondary school, undergraduate, graduate, etc.) If you are
 employed, indicate your job title and field in which you work.

 8. Marital Status:                                                                    □ Single                             □ Married

 9. Are you bringing dependents?                                                       □ Yes*                               □ No
 * If yes, complete the Dependent Information on Page 3.

 10. Are you currently in the United States?                                           □ Yes                                □ No

 10a. If yes, what is your current visa status (i.e. F-1, J-1, H1-B, etc.)? __________________________________________

 10b. When does your status expire? (mm/dd/yyyy): ______________________________

 10c. Are you transferring your student visa status?                                   □Yes*                                □ No
 * If yes, you must complete the Transfer Verification Form.

 11a. Mailing address for I-20                                                                                   11b. Permanent Residential Address in home country*
 Street Address                ________________________________________                                          _____________________________________________

 Address Line 2                ________________________________________                                          _____________________________________________

 City, State/Province          ________________________________________                                          _____________________________________________

 Postal Code                   ________________________________________                                          _____________________________________________

 Country                       ________________________________________                                          _____________________________________________

 E-mail                        ________________________________________                                          _____________________________________________

 Address Valid until (mm/dd/yyyy): ______________________________
 * Permanent addresses cannot be PO boxes. It must be the actual address of your home residence in your country of citizenship.

 I verify that the above information is correct. I hereby authorize the Curry College Designated School Official or
 Responsible/Alternate Responsible Official to release this information to the required United States Government agencies.
                  Complete one section for each dependent who will accompany you to the United States. If you bring more
                  than 4 dependents please use an extra sheet of paper. Note that you will need to show financial support for
               ______________________________
                  each dependent that you bring.                          _______________
               Student Signature                                                                                 Date




                                                       Curry College Admission Office ● 1071 Blue Hill Avenue ● Milton, MA 02186
                                                         Ph (617) 333-2210 ● Fax (617) 333-2114 ● E-mail curryadm@curry.edu
                                                                                    www.curry.edu
                                                             Part 2
                                                      Dependent Information

              Complete one section for each dependent who will accompany you to the United States. If you
              plan to bring more than 4 dependents please use an extra sheet of paper. Note that you will
              need to show financial support for each dependent that you bring. Financial support
              requirements are $6300 per year for a spouse and $4350 for each child.



Dependent I ______________________________________________________________________________________
                  Last (family) Name                                  First (given) Name                           Middle Name

City & Country of Birth: ___________________________                Country of Citizenship: _____________________________

Country of Permanent Residence: __________________                 Gender: _______ Date of Birth (mm/dd/yyyy): ___________

Relationship to student:                 □ Spouse           □ Child

Dependent 2 ______________________________________________________________________________________
                  Last (family) Name                                  First (given) Name                           Middle Name

City & Country of Birth: ___________________________                Country of Citizenship: _____________________________

Country of Permanent Residence: __________________                 Gender: _______ Date of Birth (mm/dd/yyyy): ___________

Relationship to student:                 □ Spouse           □ Child

Dependent 3 ______________________________________________________________________________________
                  Last (family) Name                                  First (given) Name                           Middle Name

City & Country of Birth: ___________________________                Country of Citizenship: _____________________________

Country of Permanent Residence: __________________                 Gender: _______ Date of Birth (mm/dd/yyyy): ___________

Relationship to student:                 □ Spouse           □ Child

Dependent 4 ______________________________________________________________________________________
                  Last (family) Name                                  First (given) Name                           Middle Name

City & Country of Birth: ___________________________                Country of Citizenship: _____________________________

Country of Permanent Residence: __________________                 Gender: _______ Date of Birth (mm/dd/yyyy): ___________

Relationship to student:                 □ Spouse           □ Child



                                                          Part 3
                                               For Admission Office Use Only
Student’s Major: ___________________________________ STUID#: _____________________________________

Degree Sought: ___________________________________ Length of Program in Months: ____________________

Reporting Date* (mm/dd/yyyy): __________________ * Take into account all necessary school/orientation activities.

Projected End Date (mm/dd/yyyy): ______________________

TOEFL Score: __________________________ Waived: __________________________________________________
                                                                            Reason

Date I-20 Sent (mm/dd/yyyy): ______________________________ DSO Signature: ____________________________




                                       Curry College Admission Office ● 1071 Blue Hill Avenue ● Milton, MA 02186
                                         Ph (617) 333-2210 ● Fax (617) 333-2114 ● E-mail curryadm@curry.edu
                                                                    www.curry.edu

				
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