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F-1 CHANGE OF LEVEL REQUEST FORM

A. To be completed by student:

Student Name: ___________________________,                        ___________________________                   ________
                                    Last                                            First                       Middle Initial

SEVIS #: N __ __ __ __ __ __ __ __ __ __               Banner #: V __ __ __ - __ __ - __ __ __

Current Address: _____________________________________________________________________
                         Number, street apt.                                 City                    State          ZIP Code

Birthdate: ______________            Email: _________________@vcu.edu                       Phone: __________________
                mm/dd/yyyy

Change of level from _________________________ to _________________________
(e.g., from VCU English Language Program to Bachelor’s of Arts)


Are you changing departments?                    Yes                No

If yes, what is the name of your new department? ______________________________

What is the name of your new field of study? ______________________________

What is the current expiration date of your I-20 or DS-2019? ______/______/________
                                                                            mm         dd        yyyy


B. To be completed by current ELP and/ or Academic Advisor:

1. Is the student taking ELP classes?                     Yes                 No    (if No, skip to number 4)


2. If so, when will the student exit the English Language Program? ______/______/________
                                                                                    mm          dd           yyyy

3. ELP advisor name: _____________________________                           _________________________________
                                               Print                                Signature                             Date


4. If the student is in an academic program or is taking ELP AND academic classes concurrently, what
   are the current academic program and degree level:

    ________________________________________________________________________________

When will this student complete his/ her current academic program? ______/______/________
                                                                                       mm            dd      yyyy

Academic advisor name: _____________________________________________

Email: _______________________________                     Phone: ___________________________

Signature: ______________________________________                          Date: __________________




Updated 2010
Office of International Education - Immigration Services
817 W. Franklin Street, P.O. Box 843043, Richmond, VA 23284              Tel: (804) 828-0595         Fax: (804) 828-2552
Statement of Financial Ability

C. To be completed by Student:

Indicate the sources used to support you and your dependents (check all that apply):

   Personal/family funds. Provide the name and address of the person providing support:
   ____________________________________________________________
   ____________________________________________________________
   ____________________________________________________________

   Departmental funding (e.g., Research Assistant or Teaching assistantship). Please attach
   your official letter of funding. If additional funding is required (including dependents), you
   must submit additional financial documentation.

   Governmental funding. Attach an official letter which details the source, amount and
   duration of this funding.

I affirm that I will be responsible for the total costs associated of each year of study at Virginia
Commonwealth University, including costs associated with relevant dependents.

____________________________________________                    ________________________
                   Student signature                                           Date


Estimated Expenses* for the 2008-2009 academic year (including tuition for a nine-month
term, living expenses, books, and health insurance):
Undergraduate                          $31,724
Graduate (Masters)                     $30,211
Graduate (Doctoral)                    $29,893
Add an additional $5,000 to total cost per F-2 dependent.

* Students are strongly advised to use the VCU tuition calculator for differences that may
 occur in programmatic costs:
 http://www.enrollment.vcu.edu/accounting/tuition_fees/calculator.html

Please submit this form completed in its entirety with:
•     original bank statements and/or letters of support from your sponsors,
•     a copy of your academic acceptance letter

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Change of level

  • 1. F-1 CHANGE OF LEVEL REQUEST FORM A. To be completed by student: Student Name: ___________________________, ___________________________ ________ Last First Middle Initial SEVIS #: N __ __ __ __ __ __ __ __ __ __ Banner #: V __ __ __ - __ __ - __ __ __ Current Address: _____________________________________________________________________ Number, street apt. City State ZIP Code Birthdate: ______________ Email: _________________@vcu.edu Phone: __________________ mm/dd/yyyy Change of level from _________________________ to _________________________ (e.g., from VCU English Language Program to Bachelor’s of Arts) Are you changing departments? Yes No If yes, what is the name of your new department? ______________________________ What is the name of your new field of study? ______________________________ What is the current expiration date of your I-20 or DS-2019? ______/______/________ mm dd yyyy B. To be completed by current ELP and/ or Academic Advisor: 1. Is the student taking ELP classes? Yes No (if No, skip to number 4) 2. If so, when will the student exit the English Language Program? ______/______/________ mm dd yyyy 3. ELP advisor name: _____________________________ _________________________________ Print Signature Date 4. If the student is in an academic program or is taking ELP AND academic classes concurrently, what are the current academic program and degree level: ________________________________________________________________________________ When will this student complete his/ her current academic program? ______/______/________ mm dd yyyy Academic advisor name: _____________________________________________ Email: _______________________________ Phone: ___________________________ Signature: ______________________________________ Date: __________________ Updated 2010 Office of International Education - Immigration Services 817 W. Franklin Street, P.O. Box 843043, Richmond, VA 23284 Tel: (804) 828-0595 Fax: (804) 828-2552
  • 2. Statement of Financial Ability C. To be completed by Student: Indicate the sources used to support you and your dependents (check all that apply): Personal/family funds. Provide the name and address of the person providing support: ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ Departmental funding (e.g., Research Assistant or Teaching assistantship). Please attach your official letter of funding. If additional funding is required (including dependents), you must submit additional financial documentation. Governmental funding. Attach an official letter which details the source, amount and duration of this funding. I affirm that I will be responsible for the total costs associated of each year of study at Virginia Commonwealth University, including costs associated with relevant dependents. ____________________________________________ ________________________ Student signature Date Estimated Expenses* for the 2008-2009 academic year (including tuition for a nine-month term, living expenses, books, and health insurance): Undergraduate $31,724 Graduate (Masters) $30,211 Graduate (Doctoral) $29,893 Add an additional $5,000 to total cost per F-2 dependent. * Students are strongly advised to use the VCU tuition calculator for differences that may occur in programmatic costs: http://www.enrollment.vcu.edu/accounting/tuition_fees/calculator.html Please submit this form completed in its entirety with: • original bank statements and/or letters of support from your sponsors, • a copy of your academic acceptance letter