I-20 - Laney Graduate School

I-20 Processing Checklist for Graduate and Professional Students
Forms must be completed electronically by school official. Deliver a printed copy to:
 Attn: DSO | Laney Graduate School | 209 Administration Building | Mailstop: 1000-001-1AF
Preliminary Questions / Checklist
Date:
(mm/dd/yyyy)
Did the student defer admission in a previous semester?
Yes
No
When is the student scheduled to begin studies (mm/dd/yyyy)?
Does the student currently hold a valid US visa:
If yes, what is visa type?
Yes
No
Classification:
Expiration date:
(mm/dd/yyyy)
If F1, has student attended a US institution or completed Optional Practical Training (OPT) in the last
five months?
Yes
No
Is student planning to change visa status?
Yes
No
If so, is student planning to change status while here in the U.S. or will they return to their home country
to change status?
Will change while in U.S.
Will return to home country
Will the student be attending another US institution prior to enrolling at Emory?
(For example, English language training)
Yes
No
Upon completion, notify (check preferred method):
Dept. Contact
Phone
E-mail
Make sure you have included:
Preliminary questions/checklist, processing information form and dependent form(s) (if applicable)
Copy of passport photo identification page (preferable), national ID card, or current government
issued identification for student and dependent(s)
Copy of official admission letter (Graduate School admissions office will add to GS applicant file)
Current Financial Certificate and supporting documentation (e.g. bank statements or letter verifying
funds)
The student’s FOREIGN ADDRESS.
Direct questions or comments to:
Tamika Hairston-DSO
209 Administration Building
404-727-6033
[email protected]
Rev. 8/1/2017
Page 1 of 3
I-20 Processing Information Form for Graduate and Professional Students
Section 1: Type as appears on passport.
Family Name (Surname)
First (Given) Name
Country of Birth
Middle Name(s)
City of Birth
Date of Birth (mm/dd/yyyy)
Select One:
Gender
Country of Citizenship
Select One:
Marital Status
E-mail address
Passport No.
Section 2: School Information
Select One From Drop-Down Menu
School Name:
Empl. ID:
Select Term from Dropdown Menu: Enter Year (yyyy):
Enrollment Term:
Select One:
Level of Education Student is Pursuing at Emory:
Major:
Has the student fulfilled any
departmental requirements for
English Proficiency?
Months of Study:
(Years of study x 12 months)
Yes
No
Section 3: Financial Information
Estimated costs for academic term of:
months
Tuition and fees:
$
Living expenses:
$
Complete dependent page, if
applicable
Dependent expenses:
Spouse:
Yes
No
Number of dependents:
(children under 21)
Student’s estimated means of
support for academic term of:
Personal funds:
$
Funds from this school:
$
Specify type:
x $8400
$
x $4200
$0
Funds from another source:
$
Specify type:
Other
(Specify):
On-Campus employment:
Total:
GRADUATE SCHOOL USE ONLY 
Rev. 8/1/2017
$0
Date Received:
months
Total:
$
$
$0
Date Processed:
Page 2 of 3
I-20 Dependent Processing Form for Graduate and Professional Students
Section 5: Dependent(s) Information
1.
Family Name (Surname)
Country of Birth
First (Given) Name
City of Birth
Middle Name(s)
Date of Birth (mm/dd/yyyy)
Select One:
Gender
Country of Citizenship
Select One:
Relation to Student
2.
Family Name (Surname)
Country of Birth
First (Given) Name
City of Birth
Date of Birth (mm/dd/yyyy)
Select One:
Gender
Country of Citizenship
Family Name (Surname)
Middle Name(s)
First (Given) Name
Select One:
Relation to Student
Middle Name(s)
3.
Country of Birth
City of Birth
Select One:
Gender
Country of Citizenship
4.
Family Name (Surname)
Country of Birth
Country of Citizenship
Rev. 8/1/2017
Date of Birth (mm/dd/yyyy)
First (Given) Name
City of Birth
Select One:
Relation to Student
Middle Name(s)
Date of Birth (mm/dd/yyyy)
Select One:
Gender
Select One:
Relation to Student
Page 3 of 3