F-1 I-20 Application – Associate degree

Form 125-043. Rev. 6/18. Pg. 1 of 2. F-1 I-20 Application Associate degree This form, along with the other forms and documents required for the I-20, should be mailed or taken directly to: Office of International Student Services 7630 Little River Turnpike Suite 405. Annandale, VA 22003. Please complete both pages of the form. Name: Family Name First Name Middle Name Date of Birth: EMPLID #: Month / Day / Year Gender (male/female): Country of Birth: Are you currently in the United States?: Yes No Country of Citizenship: If yes, what is your current visa status?: When does your currentstatus expire?: In which semester do you want to begin your studies at NOVA? Spring (January) Fall (August). Program of study: See Provide Evidence of English proficiency: (Check one).

Form 125-043 Rev. 6/18 Pg. 1 of 2 F-1 I-20 Application – Associate degree . This form, along with the other forms and documents required for …

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