STUDENT SEVIS DATA COLLECTION INFORMATION

International Students OfficeSTUDENT SEVIS DATA COLLECTION INFORMATION

When you turn in this completed form to the international students office in room 1109HE, bring the following items (COPIES) with you as well
1. I-20 2. Visa Stamp 3. I-94(front and back)
4. Passport page with biographical information, passport number

Name Name Title First Last Suffix
Email
U.S Phone # U.S Phone # - ### - ### ####
CUNYFirst ID#
Date of Birth Date of Birth / MM / DD YYYY
Country of Citizenship
Country of Birth
Country of Legal Permanent Residence
U.S Address : U.S Address :
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Foreign Address : Foreign Address :
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Date you will begin studies at Hunter College Date you will begin studies at Hunter College / MM / DD YYYY
Intended Major/Discipline
Degree Level
Do you have dependents here in the US?

Do you have dependents here in the US? No Yes

If yes fill out the back of this information sheet
ACADEMIC HISTORY
Have you attended school here in the US?

Have you attended school here in the US? No Yes
Have you received an I-20 form any of the schools in the United States?

Have you received an I-20 form any of the schools in the United States? No Yes
If yes, please indicate the name of the school and state the beginning and ending dates, starting with the latest:
School Name
Beginning Date Beginning Date / MM / DD YYYY
Ending Date Ending Date / MM / DD YYYY
School Name
Beginning Date Beginning Date / MM / DD YYYY
Ending Date Ending Date / MM / DD YYYY
PASSPORT AND VISA INFORMATION
Passport Expiration Date Passport Expiration Date / MM / DD YYYY
Passport Number
Passport Issue Country
I-94 Number
Visa Expiration Date Visa Expiration Date / MM / DD YYYY
Visa Number
Visa Issue Date Visa Issue Date / MM / DD YYYY
Visa Issuing Post
Driver's License Number
State
Date Issued Date Issued / MM / DD YYYY
Date Expires Date Expires / MM / DD YYYY
I (Type your Full Name Here), agree that if any information on these forms change, i will notify the International Students Office of the change in writing within 10 days of the change
Signature of Applicant
Date
Click here to print a copy of the completed form.

STUDENT SEVIS DATA COLLECTION INFORMATION

International Students OfficeSTUDENT SEVIS DATA COLLECTION INFORMATION

ACADEMIC HISTORY

If yes, please indicate the name of the school and state the beginning and ending dates, starting with the latest:

PASSPORT AND VISA INFORMATION

Click here to print a copy of the completed form.