Home / Student Services / International Education / I-20 Student Information Form
This form must be completed very accurately -- it is the basis for your I-20 and some Consular Offices are very particular.
Required Fields are bold.
Date of Birth: MM/DD/YYYY
Country of Birth:
Country of Citizenship:
I-20 Issue Reason:
Initial Attendance - Change of Status Requested
Other (Explain below)
If Other, Please Explain:
If Transferring, From Where?
Visa Admission Number:
Driver's License Number:
Driver's License State:
Social Security Number:
Taxpayer ID Number:
U.S. Address (while at VWCC):
When do you want to begin study? Fall
Do you want to transfer to a 4-year college after VWCC?
Local Phone Number or Sponsor Number:
Do you give permission to share your I-20 with your sponsor or other family members for mailing purposes?
Intended Program of Study:
Liberal Arts - Fine Arts
Science - Computer Science
Science - Health Sciences
Science - Integrated Environmental Studies
Science - Mathematics
Science - Medical Technology
Social Sciences - Education
Social Sciences - Fire Science
We use VW Alert to immediately contact you during a major crisis or emergency.
Get more info and register
Need help? Email firstname.lastname@example.org | Web team contact: email@example.com
Using a mobile device? View our mobile site.
Virginia Western Community College
3094 Colonial AvenueRoanoke, VA 24038
© 2015 Virginia Western Community College, All Rights Reserved
CONTACT | PRIVACY/DISCLAIMER
© 2013 Virginia Western Community College, All Rights Reserved