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Office of International Student Services
Immigration Verification Form
For instructions, visit http://ualr.edu/international/ivinstructions/. Documents cannot be larger than 1MB. You can save and continue later.
Step 1 of 4 - Getting Started
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Name
*
First
Last
Middle Name (if any)
Preferred Name (Nick Name, English Name)
What do you prefer to be called?
What kind of student will you be?
*
Doctorate
Masters
Graduate Certificate
Undergraduate
Intensive English Language Program (IELP)
Exchange Student
Visiting or Concurrent Student
UALR ID Number
*
Example: T001234567.
Email
*
Enter Email
Confirm Email
Phone Number
*
In what semester will you join UA Little Rock?
*
Spring 2022
Summer 2022
Fall 2022
Spring 2023
Already a student, beginning a new education level
Already a student, applying for a Change of Status to F-1
Already a student, applying for reinstatement to F-1 status
Already a student, departed for COVID - outside US for 5 months
Which semesters will you study at UALR?
*
Summer only
Fall only
Spring only
Fall and Spring
Name of current institution
*
Current I-20 or DS-2019
*
Upload your most recent I-20 or DS-2019.
Drop files here or
Letter of good standing from home institution
*
Drop files here or
Accepted file types: jpg, gif, pdf.
Quick Questions
Are you currently within the United States?
*
Yes
No
What is your current immigration status?
*
F-1 Student
F-1 OPT
J-1 Student
J-1 Academic Training
Other
Select your immigration status.
Permanent Resident
Undocumented or DACA
Asylee
A-1
A-2
B-1 / B-2
E-1
E-2
F-2
H-1B
H-4
J-2
K-1
K-2
L-1
L-2
R-1
R-2
TN
U visa
Other
In what status did you originally enter the United States?
*
Entered without documentation
A-1
A-2
B-1 / B-2
E-1
E-2
F-1
F-2
H-1B
H-4
J-1
J-2
K-1
K-2
L-1
L-2
R-1
R-2
TN
When did you originally enter the United States?
*
If the exact date is unknown, select an approximate date.
Date Format: MM slash DD slash YYYY
Have you been issued an Employment Authorization Document (EAD)?
*
Yes
No
Copy of Employment Authorization Document (EAD).
Drop files here or
Do you plan to change your status to F-1 Student?
Yes
No
Request meeting with international student advisor
How will you change your status?
From within the US by application to USCIS
From outside the US by visa appointment
Copy of Legal Permanent Residency Card (Green Card)
*
If no documentation is submitted, your Immigration Verification will be incomplete. You may submit documentation at a later time to admissions@ualr.edu.
Drop files here or
Name of current institution
*
Name of former institution
*
Date of last attendance.
*
Current I-20 or DS-2019
*
Upload your most recent I-20 or DS-2019.
OPT end date
*
Check your EAD.
Date Format: MM slash DD slash YYYY
Academic Training end date
Check your DS-2019
Date Format: MM slash DD slash YYYY
Do you plan to end your OPT early to begin your program at UALR?
*
Yes
No
I will schedule my SEVIS release date to maximize my OPT authorization.
I need more information.
Based on your answers, we believe you will need a UALR I-20 or DS-2019. Is this correct?
*
Yes
No. My program is primary online, so I will pursue my studies from outside the United States.
Do you plan to bring a dependent?
Dependents are a spouse or child that will be dependent on your immigration status. They will join you as F-2 or J-2. A spouse or child who has their own immigration status (F-1, J-1, etc.) will not be considered your dependent for immigration purposes.
Yes
No
In the future
Financial Documentation
Students joining UALR as an F-1 or J-1 must demonstrate documentation of financial support for educational and living expenses. Learn more about the requirements and acceptable documentation at ualr.edu/international/financialguarantee/.
How do you plan to finance your education and living expenses?
*
Select all that apply.
Personal funds
Family or other sponsor funds
Government sponsorship
Graduate assistantship (GA, RA or TA)
UALR scholarship
Non-UALR scholarship
Other
Explain funding source.
Documentation of Financial Support
*
Files must be under 1MB. Red X does not signify an error. Multi document upload allowed.
Drop files here or
Accepted file types: jpg, gif, png, pdf, doc, excel, docx.
Name of Sponsor and Relationship to Applicant
*
Example: Jane Doe - Mother
Sponsor Affidavit or Statement of Support
Must be under 1MB. Red X does not signify an error.
Drop files here or
Accepted file types: jpg, gif, png, pdf, doc, excel, docx.
Dependent Information
How many dependents will you bring?
*
For each dependent, please provide the full name, relationship to student, date of birth, city of birth, county of birth, country of citizenship, and country of residence. For dependents over 14 also provide a personal email address.
*
Upload the biographical page of the passport for each dependent.
*
Files must be under 1MB. Red X does not signify an error. Multi document upload allowed.
Drop files here or
Accepted file types: jpg, gif, png, pdf, doc, excel, docx.
Additional Student Information
Passport Copy
*
Upload the biographical page of your passport. Files must be under 1MB. Red X does not signify an error.
Passport Copy
If you have a passport, upload the biographical page of your passport. This is not a required field.
I-94
Available from cbp.gov/i-94. This is not a required field.
Email of contact at home institution
*
Name of contact at home institution
*
First
Last
Copy of Visa or Approval Notice
*
Students outside the US will not need to submit their visa copy at this time. Files must be under 1MB. Red X does not signify an error.
Accepted file types: jpg, gif, pdf, doc, docx.
Copy of Receipt Notice for Asylum Application
*
After filing the I-589 to apply for asylum, you should have received a receipt notice from USCIS. Please attach.
Accepted file types: jpg, gif, pdf, doc, docx.
Copy of EAD
*
Upload the front of your current EAD. Files must be under 1MB. Red X does not signify an error.
City of Birth
*
Country of Birth
*
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Northern Mariana Islands
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country of Citizenship
*
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Northern Mariana Islands
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country of Residence
*
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Northern Mariana Islands
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Permanent Address in Your Home Country
Address
*
We must have your PHYSICAL address in your home country. We will only mail your documents to this address upon your request.
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darrussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
US Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
Current US Address
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone Number
*
Mailing Preference
Select your preferred method of receiving admission letter, I-20 or DS-2019, or transfer forms.
Select your preferred method of shipping.
*
Emailed to your personal email account
Standard shipping (No additional cost, 4-6 weeks for international addresses, no tracking number)
Courier shipping (through eShipGlobal, cost varies per address, 3-5 day international shipping)
Pick up from ISS front desk
After your I-20 or DS-2019 has been issued, you will receive notification by email. Then you may purchase UEMS (eShipGlobal) express shipping.
*
I agree
Name of trusted contact picking up your documents
*
Email of contact
Shipping address
Is your shipping or mailing address different from the addresses listed above?
Same as foreign address above
Same as US address above
Different shipping address
Shipping Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darrussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
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FERPA Consent
Under the United State's Family Educational Rights and Privacy Act (FERPA), personally identifiable information and educational records are protected from release to a third party. This is to protect your information and maintain your privacy. For further information concerning FERPA, please contact the Office of Records and Registration.
All F-1 and J-1 international students are required to purchase health insurance provided through UALR and maintain coverage year‐round, as per UALR Board of Trustees Policy 502.6. I authorize my identifiable information to be given to our health insurance company each semester that I am enrolled at the university.
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