International Students and Scholars
Dept. 3228, 1000 E. University Avenue  Laramie, WY 82071
(307) 766-5193  fax (307) 766-4053  e-mail: uwglobal@uwyo.edu
www.uwyo.edu/iss/
F-1/J-1 Student Extension of Program
International students are admitted to UW and are given an estimated length of time necessary to complete the degree for
which they have been admitted. There are often valid reasons that a student is unable to finish a degree by the
completion date noted on the I-20/DS-2019. If this is the case, the student is required to apply for a Program Extension
through the Student and Exchange Visitor Information System (SEVIS) administered by the International Students &
Scholars office.
ELIGIBILITY REQUIRMENTS FOR PROGRAM EXTENSION



Have “continually maintained status” per USCIS and UW regulations.
Submit proof that the delay in completion is “caused by compelling academic or medical reasons, such as
changes of major or research topics, unexpected research problems, or documented illnesses”.
Delays caused by academic probation or suspension, or retaking classes due to previous failure, are not
acceptable reasons for program extension.
HOW TO APPLY FOR AN EXTENSION


Submit completed extension request form, including academic adviser’s section, to ISS before the program end
date; preferably 30 days before.
Provide financial support for the period of the extension to ISS with the extension request form. Examples: bank
statement, graduate assistantship noted on extension form, scholarship letter, etc. If you have dependents on
your I-20, you need to provide funding proof for their continued support.
You will be notified when the new I-20/DS-2019 has been issued. You may then stop by ISS and sign it and have it for
your records. Please keep all of your I-20s or DS-2019s as you may need them in your future, especially if changing
status or applying for various work authorizations. Do not throw previous documents away!
APPLICATION FOR AN EXTENSION OF PROGRAM
Name:
UW ID# W
SEVIS # N
Email
Current program end date (on document)
Degree & Major
For the period of extension I will enroll – check one:
Full time – at least 12 credits undergraduate or 9 credits graduate
Less than full time – I will enroll for __________ credits
Continuous Registration – Graduate students only
Thesis or Research – 1 credit only – Graduate students only
If you currently have dependents listed on your I-20/DS-2019 you will need to provide financial support documentation for
them as well. We require $5,500 for a spouse and $3,250 for each child. If your dependents are no longer in the US, and
do not intend to return to the US, please notify ISS in writing and we will cancel their documents and remove them from
your record.
Student’s Signature:
Date:
.
ACADEMIC ADVISER’S RECOMMENDATION
The reason the student has not completed is: (please check all that apply)
***Failing courses or poor academic performance is not allowed by USCIS as a reason for extension.
Delay caused by a change of major field of study.
Delay caused by a change in research topic.
Delay caused by unexpected research problems.
Delay caused by lost credits upon transfer to UW.
No unusual delay. The original length of time given was not sufficient for completion of the program.
Other (please explain briefly)
I certify that the above information is correct and recommend that the student be granted a program extension until
(circle one): May
August
December of (year) _____________ (can only extend for one year at a time from
expiration date on student’s document).
Name of Academic Advisor:
Signature:
Date
TO BE COMPLETED BY DEPARTMENT PROVIDING ASSISTANTSHIP
Department Name
Assistantship covers:
Fall 20
; Spring 20
; Summer 20______; or 12 months starting_______________
Total amount of stipend $
NOTE: It is assumed that the assistantship also fully covers the tuition and fee costs, as well as health insurance. If it
does not, please note on this form or attach a letter explaining special funding situations.
Name of person verifying amount:
Signature
Please return to:
Date
Phone
International Students & Scholars
CIC Suite 5
Dept. 3228, 1000 E. University Avenue
Laramie, WY 82071
11/04/2015
UW ISS ESTIMATED PROGRAM EXTENSION COSTS
2016 ACADEMIC SEMESTERS
If you will not have a Graduate Assistantship you will need to provide proof of financial support for the
extension period (up to one year). Please see below for the amount needed.
Academic Year
Tuition & Fees
Living Expenses
Total
Graduate
Undergraduate
13,875.00
12,993.00
26,868.00
15,711.00
12,993.00
28,704.00
6,938.00
6,497.00
13,435.00
7,856.00
6,497.00
14,353.00
7,400.00
7,400.00
One Semester
Tuition & Fees
Living Expenses
Total
Summer
Graduate Students Only:
Continuous Registration – must meet all of the following requirements:
 Submitted the Part-Time Status form to ISS (first semester less than 9 credits only)
 Qualify for and complete the Optional Fee Package with your academic department (every semester that
you will register for less than 9.0 credits)

Registered for 1 credit of On-Campus Continuous Registration
Tuition & Fees
Living Expenses
Total
Per Semester
One Academic Yr
Summer - only
1,300.00
6,497.00
7,797.00
2,600.00
12,993.00
15,593.00
300.00
3,725.00
4,025.00
One (1) Credit Thesis or other less than full-time registration, etc:
If you will take less than 9 credits, but do not qualify for Continuous Registration as above, you must meet the
following requirements:
 Submitted the Part-Time Status form to ISS (first semester less than 9 credits only)
 Completed the Optional Fee Package with your academic department
 Registered for one or more credit hours that will complete your required coursework
Per Semester
Tuition & Fees
Living Expenses
Total
2,000.00*
6,497.00
8,497.00
One Academic Yr
Summer - only
4,000.00*
12,993.00
16,993.00
902.00
3,725.00
4,627.00
*Add $693/additional credit per semester
Dependents:
Spouse: $5,500 per academic year Each Child $3,250 per academic year
If you have any other situation, please come in to ISS and let us know. We will provide an alternate estimated
cost for your extension if possible or answer any questions.
11/04/2015