I-20 Letter of Consent

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CALIFORNIA STATE UNIVERSITY, EAST BAY

I-20/Letter of Consent for F-1 International Students*


*If you currently hold F-1 status or will be changing your visa status to F-1, please indicate if you need an I-20 from CSU, East Bay. If you are unsure, consult either with the Immigration Service or with your School International Student Advisor.

A. Please check one:

Yes, I need to be issued an I-20 when (or if) I am admitted to Cal-State East Bay. No, I do not need to be issued an I-20 from Cal-State East Bay.

B. If you answered yes above, check one below: I am currently residing outside the United States and will use the I-20 to enter the U.S. in F-1 status. I currently have an I-20 from ___________________________ (WRITE COMPLETE SCHOOL
NAME, AND INCLUDE COPY OF I-20 WITH THIS FORM).

My SEVIS number is: N ___________.

I am currently in the United States in a non-immigrant status other than F-1, and plan to change my status to F-1. My current non-immigrant status is ________, and will expire ___________. I have an I-20 from Cal-State East Bay for ___________________ (WRITE NAME OF PROGRAM,
AND INCLUDE COPY OF I-20 WITH THIS FORM).

My SEVIS number is: N ___________.

I am currently out of status, and must be reinstated. None of the above (explain): ________________________________________________

C. Written consent of the student must be received before releasing data about the student to other persons. If you wish to authorize someone to check your application status, please list the names below:

1.
Family , First Name , First Name Relationship to Applicant Relationship to Applicant

2.
Family

D. I certify that the information in this document is true, complete, and accurate.
Print Name:
FAMILY , FIRST

Date of Birth: Todays Date:

Applicants Signature:

Revised Jun-06

For Office Use Only Student ID Term

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