UCI International Center
New Graduate Student Request—Student 2015-2016
Welcome, newly admitted international graduate student. This packet is the first step toward requesting your new visa
document (I-20/DS-2019) from UC Irvine. To complete this step, you must follow the directions in each section very
carefully and include any additional documents indicated. There are eight sections total.
Once your packet is complete, you will turn it in to your admitting academic department. Your academic department
will then include additional information and deliver the entire packet to the International Center (IC). Once the IC
receives your packet, and verifies that it is complete, the processing time for your document will then be 3 weeks.
Your UCInetID must be activated before mailing these documents to your department. Please visit this website:
https://ucinetid2.nacs.uci.edu/activate/menu.html and follow the directions to activate your UCInetID. The start date of
your academic program will determine when you are able to activate your UCI email address. Please note that the IC
will utilize email as the primary form of communication. In compliance with student privacy protection, the IC will only
provide information regarding your visa document request to you directly.
Turning in an incomplete packet, requesting changes to a submitted packet, or failing to provide requested
documentation, will further delay the processing of your request. Failing to pay for mailing, or making adjustments to
your delivery method, will further delay the processing of your request. Please also take into consideration any public
holidays (in the U.S. and in your home country) which may affect your processing time. Due to high volume of requests,
the IC is unable to expedite individual requests.
As you complete each section, please check the corresponding box in the checklist.
If applicable, please ensure you include all requested additional documents with the packet.
CHECK LIST
 PERSONAL
 COPY OF PASSPORT BIOGRAPHICAL PAGE
 ADDRESS
 DEPENDENT REQUEST [IF APPLICABLE]
 ADDITIONAL FUNDING DOCUMENTS
 COPY OF DEPENDENT(S) PASSPORT BIOGRAPHICAL PAGE
 FUNDING
 NECESSARY FINANCIAL DOCUMENTS
 VISA
 SEVIS RECORD RELEASE [IF APPLICABLE]
 OBTAIN SEVIS RECORD RELEASE SIGNATURE FROM CURRENT INSTITUTION
 MAILING
 PAY FOR ESHIPGLOBAL
 SIGNATURE
UCI International Center  Irvine, CA 92697-5255  P: 949.824.7249  F: 949.824.3090  newstudent@ic.uci.edu  www.ic.uci.edu
IC Office Use Only: Date Received: __________ Advisor’s Initials: ___________ | Revised On 2.19.2015 | Page 1 of 5
UCI International Center
New Graduate Student Request—Student 2015-2016
SECTION 1: PERSONAL
Information in this section must be reported exactly as it appears in your passport—this includes symbols, spacing, and name
bifurcation. You must submit a copy of your passport biographical page with this packet. Please ensure your passport will be valid
more than 6 months after your intended UCI start date. For more information about the F-1 and J-1 visas, please visit our website:
http://www.ic.uci.edu/Students/New/F-1orJ-1.php .
PERSONAL INFORMATION
LAST NAME:
FIRST NAME:
MIDDLE NAME [IF APPLICABLE]:
DATE OF BIRTH [MM/DD/YYYY]:
UCINetID:
UCI STUDENT ID #:
VISA TYPE:
 F-1 STUDENT
 J-1 STUDENT
CITY OF BIRTH:
COUNTRY OF BIRTH:
COUNTRY OF CITIZENSHIP:
COUNTRY OF PERMANENT RESIDENCE:
GENDER:  MALE
 FEMALE
SECTION 2: ADDRESS
All addresses must reflect a physical street address. The IC will not accept a P.O. Box address.
PERMANENT ADDRESS
ADDRESS LINE 1:
ADDRESS LINE 2:
CITY:
PROVINCE:
POSTAL CODE:
COUNTRY:
 CELL  WORK
 HOME
PHONE 1:
EMAIL:
 CELL  WORK
 HOME
PHONE 2:
CURRENT ADDRESS:
 YES
 NO
LOCAL ADDRESS [IN THE U.S.—IF APPLICABLE]
ADDRESS LINE 1:
ADDRESS LINE 2:
CITY:
STATE:
ZIP CODE:
COUNTRY:
 CELL  WORK
 HOME
PHONE 1:
UCI EMAIL:
 UNITED STATES
 CELL  WORK
 HOME
PHONE 2:
CURRENT ADDRESS:
 YES
 NO
SECTION 3: DEPENDENT REQUEST [IF APPLICABLE]
Complete this section if you will be requesting a visa document for either a spouse or child. All information must be reported exactly
as it appears in their passport. Additionally, you must submit the following items per each dependent you are requesting: (a) a copy
of their passport biographical page, and (b) financial support demonstrating a minimum of $4,500 per dependent. All dependent
passports must be valid a minimum of 6 months beyond your intended start date at UCI. If you are requesting visa documents for
multiple dependents, please complete the Dependent Request Form available on our website and include with your packet:
http://www.ic.uci.edu/Forms/DependentRequestForm.pdf .
DEPENDENT INFORMATION
LAST NAME:
FIRST NAME:
MIDDLE NAME [IF APPLICABLE]:
GENDER:  MALE
DATE OF BIRTH [MM/DD/YYYY]:
RELATIONSHIP:
EMAIL:
IMMIGRATION STATUS:
CITY OF BIRTH:
COUNTRY OF BIRTH:
COUNTRY OF CITIZENSHIP:
COUNTRY OF PERMANENT RESIDENCE:
 FEMALE
 SPOUSE
 CHILD
 F-2
 J-2
UCI International Center  Irvine, CA 92697-5255  P: 949.824.7249  F: 949.824.3090  newstudent@ic.uci.edu  www.ic.uci.edu
IC Office Use Only: Date Received: __________ Advisor’s Initials: ___________ | Revised On 2.19.2015 | Page 2 of 5
UCI International Center
New Graduate Student Request—Student 2015-2016
SECTION 4: FUNDING
UCI must verify that you have sufficient financial support to meet your educational and living expenses for at least one academic
year. Providing insufficient funds will further delay your processing time. The IC will accept a scan/copy of your financial document;
however, if the document provided is damaged, illegible, or difficult to decipher, the IC will request a replacement document which
will delay processing time. Please note that the U.S. consulate will require an original financial document.
If you will begin your program during Summer Session, you must enroll in a minimum of 6 units and provide the following amount of
additional funding: $8,200. This amount accounts for the cost of enrolling in 6 Summer Session units and your summer living
expenses—this amount is subject to change.
The amounts listed below are a reflection of the 2014-2015 academic calendar year and are subject to change. For more
information, please visit the website for the Office of the Registrar: http://www.reg.uci.edu/navigation/fees.html .
All Financial documents must meet the following criteria:
• Less than 3 Months old (from date IC receives packet)
• Must be in English or have an official notarized English translation
• Must be in U.S. Dollars (USD) or provide currency conversion for total amount shown
• Total funding amount must be written in the designated field below
• Name on bank document must match listed sponsor(s)
• Financial documents must show liquid assets that can be easily converted to cash
• DO NOT MAIL DEEDS, TRUSTS, TAX DOCUMENTS, SALARY STATEMENTS, ETC.
2015-2016 FUNDING INFORMATION
ENG.
GENETIC
PROGRAM: GRADUATE
LAW
MBA
MPAC
MPH
MPP
MGMT
COUNSEL.
TUITION:
$31,318
$40,461
$37,461
$54,285
$47,751
$42,180
$34,074
$34,413
LIVING:
$17,000 REQUIRED FOR 9 MONTH ACADEMIC YEAR (APPROX. $5,666 PER QUARTER)
TOTAL:
$48,318
$57,461
$54,461
$71,285
$64,751
$59,180
$51,074
$51,413
ADDT’L PER
DEPENDENT
N/A
$4,500
$4,500
In the fields below, please indicate all funding sources for the 2015-2016 academic year by selecting the appropriate categories. You
may select multiple funding sources. For each source you select, please write in the Funding Amount in the column to the right.
Please provide the additional requested items with your complete packet.
FUNDING SOURCE(S) [SELECT ALL THAT APPLY]
 PERSONAL/FAMILY FUNDS
• Attach bank statement/letter
• Include an Affidavit of Financial Support from the sponsoring family member (if applicable)
Sample Text:
“To Whom It May Concern, I (fill in name), (relationship to student), am willing and able
to provide the educational and living expenses in the amount of ($$$$$) for (name of
student), during their studies at UCI.” (Signature) (Print Name) (Date)
 UNIVERSITY OF CALIFORNIA, IRVINE
• No additional documents needed—department will provide verification
 GOVERNMENT FOUNDATION, AGENCY, HOME UNIVERSITY, OR CORPORATE FELLOWSHIP
• Attach official award letter (must clearly state terms and conditions of your award
including: duration of award, visa conditions, types of expenses covered, etc.)
FUNDING AMOUNT:
NAME OF AGENCY:_______________________________________________________________
 PRIVATE SPONSOR
• Include a signed and dated sponsorship letter outlining the amount and duration of your
sponsorship.
• Attach bank statement/letter
$: ______________________
$: ______________________
$: ______________________
$: ______________________
UCI International Center  Irvine, CA 92697-5255  P: 949.824.7249  F: 949.824.3090  newstudent@ic.uci.edu  www.ic.uci.edu
IC Office Use Only: Date Received: __________ Advisor’s Initials: ___________ | Revised On 2.19.2015 | Page 3 of 5
UCI International Center
New Graduate Student Request—Student 2015-2016
SECTION 5: VISA
This section will provide the IC with further information about your specific visa issuing needs. Please select whether you are
currently outside or inside the U.S., then continue based on the information provided in the brackets [ ].
VISA INFORMATION
 I AM CURRENTLY OUTSIDE THE U.S. AND WILL APPLY FOR AN F-1/J-1 VISA IN MY HOME COUNTRY [continue to section 7]
 I AM CURRENTLY INSIDE THE U.S. [select one of the following options]
 I currently attend another institution in the U.S. and will release my F-1/J-1 SEVIS record to UCI [continue to section 6]
 I currently attend UCI as an F-1/J-1 student [continue to section 7]
 I need to change my current visa type to F-1 or J-1 student [complete section 5-A: Change of Visa Status]
5-A: CHANGE OF VISA STATUS [IF APPLICABLE]
CURRENT VISA TYPE:
HOW DO YOU PLAN TO CHANGE YOUR VISA TYPE:
 Stay in the US and apply through USCIS
 Apply for visa in home country
SECTION 6: SEVIS RECORD RELEASE [IF APPLICABLE]
This section is to be completed by students who are currently attending school in the U.S. in F-1/J-1 student status. This information
will be used to release your current SEVIS record to UCI. Fill out the “Student Completes” information; then, have an international
student advisor at your current institution complete the “DSO/ARO at Current School Completes” portion. You must arrange the
appropriate release date with your current school. The IC cannot begin processing your new student request until your SEVIS record
has been released to UCI. Processing time is approximately 3 weeks from your SEVIS record release date.
* TRANSFER CODES: UC IRVINE F-1 PROGRAM: LOS214F01962000  UC IRVINE J-1 PROGRAM: P-1-04818 *
SEVIS RECORD RELEASE: STUDENT COMPLETES
I WILL BE TRANSFERRING MY SEVIS RECORD TO UCI:  YES
CURRENT STUDENT VISA STATUS:
 F-1
 J-1
TRAVEL PLANS:
 No, I will not travel outside of the U.S. before the start of my program
 Yes, I plan to travel outside the U.S. before the start of my program: Departure date:__________
Return date: ___________
I AM CURRENTLY:
 A student, my program end date is/was: ______________
 On OPT, my end date is/was: ______________
STUDENT SIGNATURE
I VERIFY THAT MY INFORMATION PROVIDED IS ACCURATE. I AUTHORIZE THE DSO/ARO AT MY CURRENT SCHOOL TO RELEASE MY
SEVIS RECORD TO UC IRVINE.
STUDENT SIGNATURE:
DATE [MM/DD/YYYY]:
SEVIS RECORD RELEASE: DSO/ARO AT CURRENT SCHOOL COMPLETES
SEVIS RELEASE DATE:
IS STUDENT IN VALID F-1/J-1 STATUS:  YES
IS STUDENT ON OPT:  YES  NO
STUDENT SEVIS ID: N
 NO
IF NO, EXPLAIN WHY NOT:
IF YES, DATES OF OPT:
DSO/ARO SIGNATURE
NAME:
TITLE:
SCHOOL NAME:
SCHOOL TYPE:  HIGH SCHOOL  COLLEGE/UNIVERSITY
TELEPHONE:
EMAIL:
SIGNATURE:
DATE [MM/DD/YYYY]:
UCI International Center  Irvine, CA 92697-5255  P: 949.824.7249  F: 949.824.3090  newstudent@ic.uci.edu  www.ic.uci.edu
IC Office Use Only: Date Received: __________ Advisor’s Initials: ___________ | Revised On 2.19.2015 | Page 4 of 5
UCI International Center
New Graduate Student Request—Student 2015-2016
SECTION 7: MAILING
Students have two options for receiving their new student visa document: (a) pay for mailing through eShipGlobal, or (b) pick-up the
document in-person from the UCI International Center. The IC strongly encourages all students to pay for mailing. Failing to select
an option, or changing a selection, will further delay the release of the student’s documents. The IC is unable to modify document
processing times to accommodate individual travel plans.
How to pay for eShipGlobal:
1. Go to the eShipGlobal website: https://study.eshipglobal.com (use Internet Explorer or Mozilla Firefox)
2. Under the Student section, click “Sign up”
3. Create your account by completing the form. You will need: UCI Student ID number, mailing address, e-mail address, phone
number, and credit card information
4. If you experience difficulty, click the “Help” link in eShipGlobal. The UCI International Center is unable to resolve technical
problems associated with eShipGlobal
5. Please select sender: “University of California – Irvine, UCI Student Center, Suite G302, International Center”
For more information, please visit our website: http://www.ic.uci.edu/Students/New/Mailing%20Information.php
MAILING INFORMATION [SELECT ONE]
 SECURE EXPRESS MAIL
I have paid for eShipGlobal—my order number is:
 IN-PERSON PICK-UP
I understand that I must personally pick up my visa document
from the IC. I am aware of the IC’s hours of operation and am
aware of all public holidays that may influence my ability to
pick-up my document.
SECTION 8: SIGNATURE
SIGNATURE
I VERIFY THAT ALL INFORMATION PROVIDED IS TRUE TO THE BEST OF MY KNOWLEDGE. I VERIFY THAT I CAN MEET EXPENSES WHILE
ATTENDING UC IRVINE. I UNDERSTAND THAT THE INTERNATIONAL CENTER WILL ONLY PROCESS COMPLETE APPLICATIONS FOR AN I20/DS-2019. I AM AWARE THAT THE PROCESSING TIME FOR A NEW VISA DOCUMENT IS 3 WEEKS FROM THE DATE THE IC RECEIVES
MY COMPLETED APPLICATION. IT IS MY RESPONSIBILITY TO NOTIFY BOTH MY ADMITTING ACADEMIC DEPARTMENT AND THE IC OF
ANY CHANGES TO MY ACADEMIC PLANS AT UCI.
STUDENT SIGNATURE: _________________________________________________
TODAY’S DATE: ________________________
UCI International Center  Irvine, CA 92697-5255  P: 949.824.7249  F: 949.824.3090  newstudent@ic.uci.edu  www.ic.uci.edu
IC Office Use Only: Date Received: __________ Advisor’s Initials: ___________ | Revised On 2.19.2015 | Page 5 of 5