Two New York Locations

ROCKLAND: 845.358.1710
MANHATTAN: 212.625.0500

 

 

Future Undergrads

International Student Questionnaire

Which Campus?



Personal Information

This information is needed to complete the I-20 Application for F-1 Student Visa/Status. Provide all information as it appears in your passport and official records.
Family/Last Name:
First Name:
Middle Name:
Date of Birth (M/D/Y):
Gender:


Country of Birth:
Country of Citizenship:
Phone Number:
E-mail Address:

History

Check all answers that apply.
Was the last school you attended a SEVIS school?:


If yes, do you believe you are still in active SEVIS status?:


Level of study at previous school:




Previous SEVIS school:
School SEVIS code:
If you have dependents, how many will also apply for F-2 visas?

Intended Academic Program

Check all answers that apply.
Expected Start Term:



Expected Start Year:
Expected Degree:



Expected Major/Program:

Address in Home Country

Address:
City:
Province:
Zip:
Country:

Address to Send I-20

(If different from home country)
Address:
City:
Province:
Zip:
Country:
Contact phone number in home country:

Who do you plan to have as your financial support outside of any Nyack College aid?

Name 1:
Relationship 1:
Amount 1:
 
Name 2:
Relationship 2:
Amount 2:
Do you plan to live on campus?