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?:
When did you last attend a U.S. school? (Month/Year)
Did you graduate/complete a degree at this school?:
If yes, check level of study:
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?