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  • 1. F-1 CHANGE OF LEVEL REQUEST FORMA. To be completed by student:Student Name: ___________________________, ___________________________ ________ Last First Middle InitialSEVIS #: N __ __ __ __ __ __ __ __ __ __ Banner #: V __ __ __ - __ __ - __ __ __Current Address: _____________________________________________________________________ Number, street apt. City State ZIP CodeBirthdate: ______________ Email: Phone: __________________ mm/dd/yyyyChange of level from _________________________ to _________________________(e.g., from VCU English Language Program to Bachelor’s of Arts)Are you changing departments? Yes NoIf yes, what is the name of your new department? ______________________________What is the name of your new field of study? ______________________________What is the current expiration date of your I-20 or DS-2019? ______/______/________ mm dd yyyyB. To be completed by current ELP and/ or Academic Advisor:1. Is the student taking ELP classes? Yes No (if No, skip to number 4)2. If so, when will the student exit the English Language Program? ______/______/________ mm dd yyyy3. ELP advisor name: _____________________________ _________________________________ Print Signature Date4. If the student is in an academic program or is taking ELP AND academic classes concurrently, what are the current academic program and degree level: ________________________________________________________________________________When will this student complete his/ her current academic program? ______/______/________ mm dd yyyyAcademic advisor name: _____________________________________________Email: _______________________________ Phone: ___________________________Signature: ______________________________________ Date: __________________Updated 2010Office of International Education - Immigration Services817 W. Franklin Street, P.O. Box 843043, Richmond, VA 23284 Tel: (804) 828-0595 Fax: (804) 828-2552
  • 2. Statement of Financial AbilityC. To be completed by Student:Indicate the sources used to support you and your dependents (check all that apply): Personal/family funds. Provide the name and address of the person providing support: ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ Departmental funding (e.g., Research Assistant or Teaching assistantship). Please attach your official letter of funding. If additional funding is required (including dependents), you must submit additional financial documentation. Governmental funding. Attach an official letter which details the source, amount and duration of this funding.I affirm that I will be responsible for the total costs associated of each year of study at VirginiaCommonwealth University, including costs associated with relevant dependents.____________________________________________ ________________________ Student signature DateEstimated Expenses* for the 2008-2009 academic year (including tuition for a nine-monthterm, living expenses, books, and health insurance):Undergraduate $31,724Graduate (Masters) $30,211Graduate (Doctoral) $29,893Add an additional $5,000 to total cost per F-2 dependent.* Students are strongly advised to use the VCU tuition calculator for differences that may occur in programmatic costs: submit this form completed in its entirety with:• original bank statements and/or letters of support from your sponsors,• a copy of your academic acceptance letter