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
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