Supplement for International Applicants
Office of International Student Admission University Hall #114, 2197 University Blvd., Denver, CO 80208-9401 | Ph: 303.871.2790 |
Fax: 303.871.3522 [email protected] | https://www.du.edu
Part I – Biographical Information
Please enter your name in English exactly as it appears in your passport. Do not change the spelling to represent special characters.
Last (Family) Name _____________________ First (Given) Name ________________ Middle Name___________________________
Part II – Application Information
Primary Major _________________________________
Academic Level
Bachelor’s
Master’s
Desired entry term
Month
Degree ________________________________________
Certificate
Doctorate
_____________
Year
_____________
Part III – Residency Status
Are you a U.S. citizen or U.S. permanent resident (resident alien)?
Yes
No
Are you a refugee or asylee of the United States in an immigration status other than F-1 or J-1?
Yes
No
 If you answered “Yes” to either question above, do not complete the rest of this form. Submit this form to the Office of
International Student Admission at the address listed in the header.
Part IV – Current Immigration Status
Are you requesting an I-20 or DS-2019 from DU?
Yes
No
Do you currently hold a non-immigrant status in the United States?
Yes
No
If yes, what is your current immigration status? _______
Please review your I-94 arrival/departure card and indicate when your current immigration status will expire:
____ /____ /____(mo/day/year)
OR
D/S (no expiration date)
Do you plan to remain in this immigration status during your program at DU?
Yes
No
Part V – Intended Immigration Status at DU
 If you are not requesting an I-20 or DS-2019 from DU, do not complete the rest of this form. If you currently hold another
immigration (visa) status, submit this form and a copy of your I-94 arrival/departure card and/or Notice of Action (Form I797C) to the Office of International Student Admission at the address listed at the top of this page.
Which immigration status do you intend to hold during your program at DU?
F-1
Degree seeking student who usually has personal or family financial support.
J-1
Degree-seeking student who receives substantial financial support from a source other than personal and family funds,
such as a scholarship from his/her government, embassy, or cultural mission and is required by the scholarship to hold
J-1 status.
Date of Birth ____ /____ /____ (mo/day/year)
Gender
Male
Female
City of Birth ___________________________________
Country of Birth ________________________________________
Country of Citizenship ___________________________
Country of Legal Residence _______________________________
Position in home country
undergraduate student
graduate student
Other _____________
Type of institution/employer in home country
University
Private Company
professional
Gov’t
academic
Other ______________________
Part VI – Address in home country
Enter your permanent residential address in your home country (must be a physical address/cannot be a post office box).
Street Address 1 __________________________________ Street Address 2 ______________________________________________
City ___________________________________ State/Province/Region __________________________________________________
Postal Code ______________________ Country _____________________________________________________________________
Next Steps …
Thank you for your interest in the University of Denver.
If you intend to study in F-1 or J-1 status, a certificate of eligibility (I-20 for F-1 category or DS-2019 for J-1 category) will be issued after
you have been admitted to the University of Denver and we have received the following documentation from you:
Supplement for International Applicants (this form)
Photocopy of biographical page from your passport and your dependents’ passports (if you will bring dependents)
Financial Verification Form and supporting financial documentation *
Transfer Eligibility Form (only F-1 and J-1 transfer students now studying in the US)*
If you plan to bring dependents with you, please complete the next page
* Additional information about the financial documentation requirements and the transfer eligibility form can be found on the Office of
International Student Admission website at http://admission.du.edu/admissions/SEVIS.asp
Part VII – Dependents
Will your dependents (spouse/unmarried children under the age of 21) come to the United States?
Yes
No
Will your dependents come in F-2 or J-2 immigration status?
Yes
No
If you answered “Yes”, please provide the following information, exactly as it appears in your spouse’s or child’s passport:
Spouse: (Last/Family Name)____________________________________________________________________________
First
Name______________________________________________________________________________________________
Middle Name________________________________________________________________________________________
Date of Birth___________________________________ City of Birth___________________________________________
Country of Birth_________________________________ Country of Citizenship___________________________________
Country of Permanent Residence_____________________________ Gender (Male/Female)_________________________
Child #1 (Last/Family Name)____________________________________________________________________________
First Name__________________________________________________________________________________________
Middle Name________________________________________________________________________________________
Date of Birth___________________________________ City of Birth____________________________________________
Country of Birth_________________________________ Country of Citizenship___________________________________
Country of Permanent Residence______________________________ Gender (Male/Female)________________________
Child #2 (Last/Family Name)____________________________________________________________________________
First Name__________________________________________________________________________________________
Middle Name________________________________________________________________________________________
Date of Birth____________________________________ City of Birth___________________________________________
Country of Birth_________________________________ Country of Citizenship___________________________________
Country of Permanent Residence______________________________ Gender (Male/Female)________________________
Child #3 (Last/Family Name)____________________________________________________________________________
First Name__________________________________________________________________________________________
Middle Name________________________________________________________________________________________
Date of Birth___________________________________ City of Birth____________________________________________
Country of Birth________________________________ Country of Citizenship____________________________________
Country of Permanent Residence______________________________ Gender (Male/Female)________________________
Child #4 (Last/Family Name)____________________________________________________________________________
First Name__________________________________________________________________________________________
Middle Name________________________________________________________________________________________
Date of Birth___________________________________ City of Birth____________________________________________
Country of Birth________________________________ Country of Citizenship____________________________________
Country of Permanent Residence______________________________ Gender (Male/Female)________________________
(Please use separate sheet if you have additional dependents)