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Status Update Form

This document is an international student status update form for students to notify their university's Office of International Services of changes to their immigration status or departure from the U.S. The form requests information such as the student's name, UIN, date of birth, contact details, immigration status, degree completion status, reason for status update, and signature. By completing the form, the student authorizes the university to share immigration documents with government agencies and acknowledges their responsibility to maintain legal immigration status.

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Kunal Deore
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0% found this document useful (0 votes)
31 views1 page

Status Update Form

This document is an international student status update form for students to notify their university's Office of International Services of changes to their immigration status or departure from the U.S. The form requests information such as the student's name, UIN, date of birth, contact details, immigration status, degree completion status, reason for status update, and signature. By completing the form, the student authorizes the university to share immigration documents with government agencies and acknowledges their responsibility to maintain legal immigration status.

Uploaded by

Kunal Deore
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Status Update

UIC
Office of
International Services International Student Status Update Form

This form is to be completed by international students to update the Office of International Services of changes in their
immigration status or departure from the U.S.

Family Name: ____________________________________ First/Given Name: __________________________________

UIN: ____________________________________________ Date of Birth (mm/dd/yyyy): _________________________

Phone #: ________________________________________ Non-UIC E-mail: ____________________________________

Int’l Phone #: ____________________________________ Major: ___________________________________________

Address in Home Country:

__________ _______________________ ________ __________________ __________ _____________________ ___________


Number Street Apt # City State Country Zip Code

Current Status: □ F-1 □ J-1 □ F-1 OPT with EAD or J-1 with Academic Training □ Other (specify): ___________

Degree Program Completed: □ Yes □ No □ Non-Degree

Please specify the reason for your status update:

□ I have completed my UIC program or work authorization and will permanently depart the U.S.

□ I will change my current status to another status, please specify: ________________________

 Attach evidence of new status with this application (i.e. copy of I-94, I-797, etc.)

□ I have not completed my program but will leave UIC due to (check all that apply):

□ financial difficulties □ lack of opportunities to be involved on campus


□ academic difficulties □ military service
□ family obligations □ trouble adjusting to U.S. or Chicago
□ illness □ other: ________________________________

As of __________________ (mm/dd/yyyy) I will no longer need the benefits associated with my nonimmigrant
status that is currently sponsored by UIC. If your immigration status is not sponsored by UIC, please indicate the
date in which you will no longer be a student at UIC.

As the undersigned, I understand the need to maintain my F-1 or J-1 lawful immigration status. I also understand
that immigration regulations are subject to change, and ultimately it is my responsibility to be aware of such
changes. Further, I hereby authorize the University to disclose copies of documents related to my immigration
status to federal agencies if requested to maintain compliance.
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Signature of Student: _______________________________________________ Date: _______________________


Page

Office of International Services University of Illinois at Chicago www.ois.uic.edu


1200 West Harrison Street Phone (312) 996-3121 ois@uic.edu
Chicago, IL 60607-7164 Fax (312) 996-9432 Revised 6/2015

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