You must have JavaScript enabled to use this form. I am... - Select -requesting an initial I-20 to attend Doane Universitytransferring my current I-20 from another institution Information About You Name Passport Name Preferred Name Date of Birth Country of Birth Country of Citizenship Gender - Select -MaleFemaleOther Foreign Address Please include address, city, state, postal code and country. Physical US Address (if known) Please include address, city, state and postal code. Email Address Foreign Phone Number US Phone Number (if known) Information About Your Dependents Your spouse and unmarried children under the age of 21 are eligible for F2 status, and may join you in the US as long as you maintain your F1 SEVIS status. How many dependents will require F2 status? Dependent Information Please list each of your dependents along with their corresponding information here. Information to include: Primary Name (Surname) Given Name Passport Name Preferred Name DOB Country of Birth Country of Citizenship Gender (Female/Male or Other) Relationship to student Additional Details I understand I must submit the following information Application materials required by program Proof of English Proficiency Financial Verification Information A copy of my photo and personal information page from my passport I certify that all information provided on this form refers specifically to me and is true and correct to the best of my knowledge. Signature
