F-1 Program Extension Request Form | International Programs and Services

Please complete all the required fields and click on the button "submit."

I would like to request a program extension for:*
- Academic Reasons
- Medical Reasons
Name*
First Last
Date of Birth*
Date Format: MM slash DD slash YYYY
G Number*
Email*
Enter Email Confirm Email
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please note that your current local address CANNOT be a P.O. Box. Use the address of your current residence. If you are currently registered, this address must match the local address in your Patriot Web record. If you are on OPT, this address must match the address in your SEVIS record. You must report any address change within ten days of moving.
Level of Study*
What is the program end date on your current I-20?*
Date Format: MM slash DD slash YYYY

Your program end date on your I-20 is listed in the box "Program of Study" on page 1 of your I-20.
Are you planning to leave the US and re-enter within the next six months?*
- Yes, I expect to re-enter the US from abroad within the next six months
- No, I do not expect to re-enter the US from abroad within the next six months
Attach the "Program Extension" form (completed by student)*
To download the form, go to http://oips.gmu.edu/oips-self-service-center/ and enter "Program Extension" in search box right above column
Attach the "Program Extension" form (completed academic advisor)*
To download the form, go to http://oips.gmu.edu/oips-self-service-center/ and enter "Program Extension" in search box right above column
Attach letter from Physician or Medical Provider*
Attach financial supporting documents (including coverage for dependents)*
Drop files here or
Certificate of Financial Responsibility if privately sponsored (by family or others)

Bank statements if you are self-funded or funded by a private sponsor

Scholarship letter if applicable

Assistantship letter for University funding

To download the Certificate of Financial Responsibility, go to http://admissions.gmu.edu/documents/internationalFinancialResponsibilityCertificate.pdf
If applicable, attach additional financial supporting documents
Drop files here or
If applicable, attach additional financial supporting documents
Drop files here or
Attach printout of electronic Form I-94*
Drop files here or
Attach copy passport pages showing your picture, biographical information, and expiration date*
Drop files here or
Attach copy of your current I-20, pages 1-2*
Drop files here or
Unofficial transcript printed from Patriotweb (NOT official transcript)*
Drop files here or
If applicable, attach any other supporting documents here
Drop files here or
If applicable, attach any other supporting documents here
Drop files here or
I understand that requests are processed in the order received. During the regular semester five to seven business days is normal turnaround time for routine requests. At peak periods (beginning and end of semester, two weeks prior to spring break, etc.) seven to ten days may be required. OIPS will email you when your document is ready.**
- Yes
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