SUPPLEMENTAL APPLICATION FOR INTERNATIONAL STUDENTS

Instructions: THIS MUST BE COMPLETED IN ORDER TO REQUEST AN I-20 AND TO RECEIVE VISA/IMMIGRATION DOCUMENTS.

Please submit as soon as possible in order for us to serve you in a timely manner. Type or click responses into shaded areas. SAVE this Word Document as “last name, first name,” and EMAIL it

to your international admissions counselor, Sep Dunham at sdunham@su.edu or international student advisor, Lora Steiner at lsteiner@su.edu.

Please check only submitted items (submit items with unchecked boxes): Online application submitted Official transcript/s mailed or electronically delivered Evaluation of transcript/s mailed or electronically delivered

(Evaluation done by one of these companies: www.naces.org) English proficiency requirement (TOEFL/IELTS/Credits) fulfilled – official test scores mailed Passport ID page copy mailed/emailed Financial support documents (bank statement, scholarship letter, etc.) mailed/emailed

Admissions Postal Address International Admissions Email AddressShenandoah UniversityOffice of Admissions 1460 University DriveWinchester, VA 22601 USA

Sep Dunham, sdunham@su.edu, +1(540)665-4766Lora Steiner, lsteiner@su.edu , +1(540)665-1293

Personal InformationLast (Family) Name:      First (Given) Name:     Telephone:      Email:     Status in the U.S.:

U.S. Green Card Holder U.S. Non-Green Card Holder U.S. Refugee/AsyleeProgram of Study at Shenandoah University:     Level of Study: Freshmen Transfer Graduate

Home Country Address (REQUIRED even if you are currently living in the US)Street Address:     City:      State/Province/Territory:      Zip/Postal Code:      Country:     

U.S. Address (if applicable)Street Address (No P.O. Box):     City:      State/Province/Territory:      Zip/Postal Code:      Country:     

I-20 Mailing Instructions Use “Home Country Address” (Above) Use “U.S. Address” (Above) I will pick it up in person. Use Following Mailing Address:

Street Address (No P.O. Box):     City:      State/Province/Territory:      Zip/Postal Code:      Country:     Telephone at Address:     

Current Visa InformationAre you currently enrolled in a U.S. school on an F-1 visa, or have you been within the last 5 months? Yes* NoIf yes, what is the name of the institution that issued your I-20?      If you are currently in the U.S., do you plan on leaving before obtaining your I-20? Yes NoIf yes, when will you depart and return? Departure Date:       Return Date:      

*If yes, you will need to have your I-20 transferred in SEVIS to Shenandoah University. Please contact us for instructions.

Dependent InformationDo you have a spouse or child(ren) who will accompany you to the U.S.? Yes NoComplete information below for each person. For additional dependents, attach a separate piece of paper. Send copies or scans of the ID pages of each dependent’s passport to the Shenandoah University. SpouseLast (Family) Name:      

ChildLast (Family) Name:      

First (Given) Name:       First (Given) Name:      Date of Birth:       Date of Birth:       City, Country of Birth:       City, Country of Birth:      Country of Citizenship:       Country of Citizenship:      

Financial Information*Source of Funding Amount Name of Source

Personal Funds      

University (scholarships, assistantships, etc.)      

Family Funds            

Government Scholarship            

Other (please specify)            

*Students requesting I-20 forms for dependents must show additional funds. *Submit bank statement or scholarship letter to verify above information.*Contact your counselor for any questions regarding tuition.

           Signature† Date†By typing your name here, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this application.

SAVE this Word Document as “last name, first name,” and email it to your international admissions counselor, Sep Dunham at sdunham@su.edu or international student advisor, Lora Steiner at lsteiner@su.edu.