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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?*
UALR ID Number*
Example: T001234567.
Email*
Enter Email Confirm Email
Phone Number*
In what semester will you join UA Little Rock?*
Which semesters will you study at UALR?*
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

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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.

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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.

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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*
Country of Citizenship*
Country of Residence*
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 Country
Current US Address
Address*
Street Address Address Line 2 City 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.*
- 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 Country
Phone Number*
This will be included on your envelope for better document delivery.
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.*
- I agree
If someone is assisting you with your admission application, you can give them the right to ask questions or pick up documents on your behalf. Do you have anyone helping you with your application?*
- Yes
- No
Relationship
- Friend
- Family member
- Agent
Name
First Last
Company Name
Email address
Enter Email Confirm Email
Types of authorization*
- Permission to check the status of my application
- Permission to pick up my documents
- Permission to change information or submit documentation
Electronic Signature
I agree that I am submitting this form myself. The information submitted and documents attached (if applicable) are accurate and authentic.*
- I agree
If I am classified as an F-1 or J-1 international student, and I am issued an I-20 or DS-2019 for UALR, my personal, educational, and immigration information is subject to disclosure to the Department of State and the Department of Homeland Security to meet requests or reporting requirements.*
- I agree
I understand that the information on this form will be reviewed and an I-20 or DS-2019 will be issued as needed only after admission has been granted.*
- I agree
Comments or Questions?

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Contact
- Office of International Student Services
- University of Arkansas at Little Rock
  2801 S. University Avenue Speech 101
  
  Little Rock, AR 72204
- Phone:
  501-916-3566
  Fax:
  501-683-7567 (fax)
  Email: internationalservices@ualr.edu

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Immigration Verification Form

Step 1 of 4 - Getting Started

Quick Questions

Financial Documentation

Dependent Information

Additional Student Information

Permanent Address in Your Home Country

Current US Address

Mailing Preference

FERPA Consent

Electronic Signature