‫ב "ה‬
MICHIGAN JEWISH INSTITUTE
Policy and Procedure Manual
Functional Area:
STUDENT REQUESTS
Policy No.
SR 2250
FOREIGN STUDENTS – SEVIS REGISTRATION AND REPORTING
Title:
Effective Date:
8/15/03
Page No.
1 of 4
GENERAL PURPOSE:
This policy is intended to provide a process and procedure that will insure the full
compliance with U.S. Bureau of Citizenship and Immigration Services (BCIS)
requirements for schools hosting nonimmigrant students under the Student and
Exchange Visitor Programs.
POLICY:
It is the policy of MJI that all accepted nonimmigrant foreign students will be enrolled in
the Student and Exchange Visitor Information System (SEVIS), and Michigan Jewish
Institute will comply with all nonimmigrant foreign student status reporting requirements
via this electronic database.
PROCESS:
In addition to meeting all admission and registration requirements displayed in the
Michigan Jewish Institute Academic Catalog (this includes a completed Application for
Admission and the completion of the appropriate registration form for each semester),
we require the following of nonimmigrant foreign students wishing to be considered for
acceptance and enrollment:



A completed Addendum to Application for Admission
Financial documentation to substantiate that there will be sufficient funds
available for educational and living expenses while attending MJI
If the applicant has already been admitted to the U.S, a copy of the I-94 entry
document
All MJI nonimmigrant foreign students will be enrolled in the Student and Exchange
Visitor Information System (SEVIS), and Michigan Jewish Institute will comply with all
nonimmigrant foreign student status reporting requirements via this electronic database.
Following receipt of all the above information, a decision to accept the student into an
Revised:
Printed February 12, 2013
‫ב "ה‬
MICHIGAN JEWISH INSTITUTE
Policy and Procedure Manual
Functional Area:
Title:
STUDENT REQUESTS
Policy No.
SR 2250
FOREIGN STUDENTS – SEVIS REGISTRATION AND REPORTING
Effective Date:
8/15/03
Page No.
2 of 4
MJI program will result in issuing an acceptance letter and the creation of a SEVIS I-20
form. A printed SEVIS I-20 form will be created for the student and signed by the
Designated School Official (and by the student). A signed paper copy of the I-20 will be
kept on file at MJI. (Please note: It is the student’s responsibility to retain their printed
and signed SEVIS I-20.
Any change in student status must be immediately reported to the Designated School
Official. This includes but is not limited to:
 Failure to register for at least 12 credit hours of classes
 Reduction of course-load below 12 credit hours of classes
 Planned departure from the U.S.
 A request for a leave of absence
 Three or more absences from any course of instruction
 Unsatisfactory progress
 Student request for employment authorization (after completing one full
academic year or due to documented economic hardship)
 School transfer request
 Request to Reinstate student status
 Final semester prior to graduation
 Student leaving our academic program
AUTHORIZATIONS: (at least one signature is necessary to enact this policy/procedure)
_______________________________
President
Revised:
______________________________
Dean Of Academic Administration
Printed February 12, 2013
Addendum to Application for Admission
Nonimmigrant requesting acceptance into an MJI program
Please complete both sides of this form, sign and date as indicated and return with your application form
APPLICANT NAME
_____________________________________________ Birth Date _____________ Birthplace ________________
LAST
FIRST
M. I.
DAY / MONTH / YEAR
PERMANENT FOREIGN ADDRESS
_____________________________________________________________________________________________
NUMBER
STREET
CITY
STATE
POSTAL CODE
COUNTRY
Please indicate your current status:
 Residing overseas and requesting a Form I-20 for visa issuance and initial
entry as a fully enrolled student through the INS Port of Entry.
 Transferring from another school and not applying for a change of status
in the U.S.
 A dependent of a nonimmigrant requesting a change of status in the U.S.
 Currently in the U.S. and requesting a change to F or M status from the INS
Service Center, rather than going back to Consular Affairs for a new visa.
(the change of status application must be approved prior to the student
starting the program)
 Other Explain:_______________________________________________
If you have already been admitted to the U.S., what is your INS Admission Number?
Your Current U.S. Address
_____________________________________________________________________________________________
NUMBER
STREET
CITY
STATE
POSTAL CODE
COUNTRY
Phone (1) _________________________ (2) ___________________________ (3) ______________@_________________
(Include Country Code if Applicable)
 CELLULAR  BUSINESS
E- MAIL ADDRESS
Are you proficient in English language?  Yes  No
Explain:______________________________________________
FINANCIAL INFORMATION: PLEASE ATTACH FINANCIAL DOCUMENTS TO ATTEST
THAT YOU HAVE SUFFICIENT FINANCIAL RESOURCES AVAILABLE TO PAY FOR ALL
EDUCATIONAL AND LIVING EXPENSES TO BE INCURRED AS A FULLY ENROLLED
STUDENT AT MICHIGAN JEWISH INSTITUTE.
Revised:
Printed February 12, 2013
Personal funds available for one academic term or year:
Funds from other sources (specify)
PLEASE COMPLETE FOR EACH DEPENDENT (SPOUSE OR CHILD):
A dependent child must be younger than 21 years of age.
 SPOUSE  DEPENDENT – Please indicate relationship to you ___________________________________
NAME ______________________________________________________
LAST
Birth Date ______________
FIRST
GENDER:
 MALE  FEMALE
M. I.
Birthplace _________________ Country of Residence _________________________
DAY / MONTH / YEAR
 SPOUSE  DEPENDENT – Please indicate relationship to you ___________________________________
NAME ______________________________________________________
LAST
Birth Date ______________
FIRST
GENDER:
 MALE  FEMALE
M. I.
Birthplace _________________ Country of Residence _________________________
DAY / MONTH / YEAR
 SPOUSE  DEPENDENT – Please indicate relationship to you ___________________________________
NAME ______________________________________________________
LAST
Birth Date ______________
FIRST
GENDER:
 MALE  FEMALE
M. I.
Birthplace _________________ Country of Residence _________________________
DAY / MONTH / YEAR
 SPOUSE  DEPENDENT – Please indicate relationship to you ___________________________________
NAME ______________________________________________________
LAST
Birth Date ______________
FIRST
GENDER:
 MALE  FEMALE
M. I.
Birthplace _________________ Country of Residence _________________________
DAY / MONTH / YEAR
Remarks: ___________________________________________________________________________________
___________________________________________________________________________________
I certify that all information on this application is complete and accurate to the best of my knowledge. I understand that inaccurate
or incomplete information on any of my enrollment materials may result in cancellation of admission and/or registration.
_____________________________________________________________________
SIGNATURE OF APPLICANT
Revised:
____________________
DATE
Printed February 12, 2013