I-20 Extension Form

I-20 Extension Request Form

Complete this form to request an extension on the Program End Date on your El Camino College I-20.

Name*

First Name

Last Name

Date of Birth (MM/DD/YYYY)*

SEVIS ID Number*

You can find your SEVIS ID number on the top, left corner of your I-20

Student ID #*

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Phone Number*

Personal Email:*

Are you enrolled in at least 12 units or have permission to be underenrolled?*

Yes No I do not know

Have you paid your tuition and fees?

Yes No I have spoken with ISP about this

City you were born in your home country*

Reason For I-20 Extension*

Have you been approved by the academic counselor?*

Yes No Not sure

Today's Date*

Signature*

Use your mouse or finger to draw your signature above