Office of International Scholar and Student Services
SEVIS Enrollment Form for International Applicants to NC State University
 

F-1 & J-1 Student Applicants to NC State:

This Sevis Enrollment Form is only for international applicants who have been offered admission to a degree or nondegree program at NC State and to notify OIS of your intent and request to be entered into SEVIS. The information asked below is required for all F-1 and J-1 students at NC State - as well as any dependent family members in (or who wish to be in) F-2 or J-2 status - who are offered admission to or are enrolled at NC State. This information is also requested on the Certificate of Financial Responsibility (CFR) and if you have already submitted a complete CFR for your term of admission, this form is not necessary. Neither does this form replace the CFR. It is mainly used for applicants to update or correct the information submitted on an earlier CFR or by those students who may have received a Graduate Student TA or RA (and OIS accepted the Award Letter in lieu of a CFR).
 

If, after reviewing the information you submit with this on-line Sevis Enrollment Form, OIS can complete the immigration part of your admission process, we will notify the Admissions office of your admission clearance and will submit the information in SEVIS. After receiving the admission packet from the admissions office, we will combine the formal admission letter, the visa certificate (I-20 or DS-2019) and some very important pre-arrival information and mail it to you at the address we have on record (or you indicate). (The packet may be sent to your department or a sponsor if prior arrangements have been made.) Please note: we cannot express mail the packet to you at our expense and our express mail company will not permit us to bill the recipient. If you wish to have a local contact in Raleigh pick up your packet and express mail it to you, please complete the pick-up section below.


  Please see the Office of International Scholar and Student Services main website for general information about our office.


Contact and Personal Information
Please provide your biographical information below.
Last/Family Name:
First Name:
Middle Name:
Birth Date (MM-DD-YYYY):
Gender: Male Female
Student ID:
Email:
Profile (Visa) Subtype:
Department/major (full name):
Academic Level:
Marital Status:
Note: If your spouse and/or children are in or will come to the US, please complete the Dependents Section below.

 
Immigration Information for those already in the US (do not complete if you are overseas)
Country that issued the Passport you used to enter the US:
Country of Birth:
Country of Permanent Residence:
Country of Citizenship:
Passport Number:
Passport Expiration Date (MM-DD-YYYY):
Visa (Control) Number:
Visa IssuancePost (City/Country):
Visa Expiration Date:
Admission (I-94) Number:
Current Visa Status:
Current school or employer:
Contact Information
Permanent Residence in your Home Country (No Post Office Boxes)
Street Address:
City:
Province/Territory/State:
Country:
Postal Code:
Telephone (with country code):
US Residential Address if you are currently in the U.S. (not Post Office boxes)
Street Address:
City:
State:
Zipcode:
Financial Information (see OIS Admission webpages for more information)
Finances:
Emergency Contact Information (Optional and for OIS use only - Not for SEVIS)
Emergency Contact in U.S. (name & relationship):
U.S. Emergency Contact Phone (+area code):
Emergency Contact in Home Country (name & relationship):
Foreign Emergency Contact Phone (+country/city codes):
Dependent Information
Complete this section only if you will bring your spouse and/or children (under 21 years old) to (or they are already in) the US. If you are single or if your spouse and children will not enter the US, please do not complete this section. If you have more than 3 children, please enter the same information in the free text field below.

Spouse

Last/Family Name of Spouse:
First Name of Spouse:
Spouse's City of Birth:
Spouse's Country of Birth:
Spouse's Country of Permanent Residence:
Spouse's Country of Citizenship:
Birth Date (MM-DD-YYYY) of Spouse:
Gender of Spouse: Male Female

Child #1

Last/Family Name of Child #1:
First Name of Child #1:
Child #1 City of Birth:
Child #1 Country of Birth:
Child#1 Country of Permanent Residence:
Child #1 Country of Citizenship:
Birth Date (MM-DD-YYYY) of Child #1:
Gender of Child#1: Male Female

Child #2

Last/Family Name of Child #2:
First Name of Child #2
Child #2 City of Birth:
Child #2 Country of Birth:
Child#2 Country of Permanent Residence:
Child #2 Country of Citizenship:
Birth Date (MM-DD-YYYY) of Child #2:
Gender of Child#2: Male Female

Child #3
Last/Family Name of Child #3:
First Name of Child #3:
Child #3 City of Birth:
Child #3 Country of Birth:
Child#3 Country of Permanent Residence:
Child #3 Country of Citizenship:
Birth Date (MM-DD-YYYY) of Child #3:
Gender of Child #3: Male Female

Please complete this section only if you have a friend in the US whom you would like to be notified so that he or she can express mail your admission packet to you. Please leave this section blank if you want us to mail it to you or if your department or other sponsor has already made arrangements to express mail it to you. By completing this section, you are giving us permission to deliver your I-20 and Admission Packet to your contact.
Name of US contact/friend you would like to receive your Admission packet and I-20:
Email of US contact/friend you would like to pick-up (at OIS) your Admission packet and I-20:
OR
US address of contact/friend to whom you would like us to mail your Admission packet and I-20:
Additional Information

Please describe any other information we should know that you would like us to know.

Thank you for completing this information, which we will use in recording your program in SEVIS. By submitting this information you are certifying that the infomation is correct and are requesting, unless otherwise not appropriate or possible, a new Form I-20 or DS-2019 for yourself and any dependent family members, so that you can either apply for an F-1 or J-1 visa at a U.S. embassy overseas, re-enter the US with an NC State visa certificate, transfer to NC State in your current status, or apply for a change of status.

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Updated on October 1, 2004 by OIS