DENTON ◊ DALLAS ◊ HOUSTON
TEXAS WOMAN’S UNIVERSITY
Jones Hall 2nd floor rm. 200
DENTON ◊ DALLAS ◊ HOUSTON
Office of International Education (OIE)
Tel: 940.898.3338
Fax: 940.898.2048
REQUEST FOR NEW I-20
Name:
First
TWU ID:
Phone:
Birth Date:
Educational Program:
Declared Major:
Middle
Last
Current Address:
Email:
__________________
Country of Citizenship:
__Bachelor’s
__Master’s
__Doctorate
Expected Completion Date:
_______
I certify that all information on this form both above and below is correct and accurate to the best of my knowledge.
Signature:
I am requesting a new I – 20 for:
NEW FORMAT I-20
Change of Major
Program Extension (used to extend I-20
end date)
Lost/Stolen I-20
Change of status
Re-entry to correct status
Need dependent I-20s for my spouse and/
or children
Travel
Change of Level
Change of Funding
Other
Date:
Document(s) Required:
 Current I-20 must be valid; must be enrolled full-time and be in
good academic and F-1 status.
 Current I-20
 New major must be listed in Colleague system
 Current I-20
 New Financial Documents. See Page 2 for required documents
 Section 2 – Academic Advisor Certification
 See page 2
 Brief explanation:
 New status request: changing from ________
to ____________
 New Financial Documents. See Page 2 for required documents
 Consultation with International Educ. Advisor required
 Next semester or term of intended enrollment:
 New Financial Documents. See Page 2 for required documents
 Consultation with International Educ. Advisor required
 Complete the Dependent Information on Page 2
 If applying for an Initial Dependent I-20, you also need:
 Marriage certificate for spouse and/or birth certificates for
children
 New Financial Documents. See below for required documents
 You must prove $4,000 for spouse and $3,000 per dependent
 Endorsement lines full
 Please complete Travel Endorsement Request
 New Financial Documents. See below for required documents
 New Financial Documents. See below for required documents
 Please Specify:
DENTON ◊ DALLAS ◊ HOUSTON
TEXAS WOMAN’S UNIVERSITY
Jones Hall 2nd floor rm. 200
DENTON ◊ DALLAS ◊ HOUSTON
Office of International Education (OIE)
Tel: 940.898.3338
Fax: 940.898.2048
Page 2 of 2 REQUEST FOR NEW I-20
Documents Required:
SECTION 1: Affidavit of Sponsor/Certification of Finances
Acceptable proof of funds: Current personal bank statement or bank letter on personal account, not older than 3 months,
with bank name and name of student indicating personal bank balance in U.S. dollars. TWU will NOT accept bank
statements from a business account or financial documents that are insurance policies, retirement accounts or personal or
real property appraisals.
Dependent Information (complete only if applying for dependent I-20s)
Spouse or child’s name
Gender
Birth Date
(mo/day/yr)
Country of Birth
Citizenship
------------------------------------------------------------------------------------------------------------
SECTION 2: To be completed by academic advisor or department chair FOR PROGRAM EXTENSION ONLY
The Department of Homeland Security requires that all F-1 students maintain valid F-1 status. This student is applying for an
extension of his/her I-20 to maintain valid status completing his/her degree program. Federal regulations allow only certain
compelling academic or medical reasons for a student to extend the F-1 status. Delays caused by academic probation and
suspension are not allowed by regulation. The SEVIS electronic system allows a maximum one year extension.
Compelling reason for extension:
Change of major from
to
Change in research topic or research problems.
Deficiency courses required for degree.
Transferred schools and lost credits.
Medical condition. Medical documentation attached.
Other compelling reason:
According to the degree plan on file with the department, the student is expected to complete his/her program by
Signature of Academic Advisor/Department Chair
Date