Personal Data Form
Please provide all of the requested information.
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First (Given) Name:
Last (Family) Name: *
If you have only one name, enter it here.
Email Address: *
Phone Number: *
If you have a personal cell phone number, please enter it here. We will only contact you in case of emergency or to provide you with time-sensitive immigration information.
KSU Student ID: *
This is the 9-digit student ID number beginning with "810."
Local Street Address: *
This address must be in the United States. Do not put your university department. Put the address where you are sleeping at night.
City: *
Example: Kent
State: *
Example: Ohio
ZIP Code: *
Example: 44240
Academic Level: *
This is listed on your admission letter.
Did you transfer from another U.S. institution? *
Name of previous institution
If you answered "No" to the previous question, you may leave this question blank.
How many of your family members did you bring with you to the United States? *
Visa type: *
If you selected "Other", please list your visa type:
Visa number: *
Passport number: *
Port of Entry: *
Where did you enter the United States?
Consular Post: *
Where did you apply for your student visa?
Country of Citizenship: *
SEVIS ID: *
This number appears in the top right corner of your I-20 or DS-2019 and begins with "N000."
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This form was created inside of Kent State University.