COVID-19 Departure Form

Per the guideline issued on July 24, 2020 by ICE/SEVP, a new I-20 must be issued to students that departed the United States and will engage in a full course of study while abroad. Complete the fields below to request your new I-20.

Surname: *

Given Name: *

CWID: *

SEVIS Number: *

This number is located on your I-20

Date of Departure from the United States: *

Month

Day

Year

Major: *

Minor:

Anticipated Graduation Date:

Month

Day

Year

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

          _   _   _____   _____         _ 
  _   _  | | | | | ____| |__  /   ___  | |
 | | | | | | | | |  _|     / /   / __| | |
 | |_| | | |_| | | |___   / /_  | (__  | |
  \__,_|  \___/  |_____| /____|  \___| |_|

Enter the code above *

Enter the code depicted in ASCII art style.