I-20 Request Form

Name

First

Last

Drury ID Number

Local Phone Number

Email Address

Academic Department

Degree Level

Reason for I-20 Request

Are you planning on traveling outside of the U.S. this month?

Current Address (P.O. Boxes are not acceptable)

Address Line 1

Address Line 2

City

State

Zip Code

Major (please indicate if double major)

Expected Graduation Date (Month/Year)

Degree Level (Please indicate if enrolled in two degree levels)