INTERNATIONAL STUDENT INFORMATION SHEET

F-1 International Student Information Sheet
Please complete all sections and submit immigration documents now and no later than
Thursday, September 5, 2024.
- Passport Biographical Page
- Current F-1 Visa (located in your passport)
- I-94 Record (Click here to get your most recent I-94) Link
  - Next, Click "Get Most Recent I-94" and input your information as seen on your visa page.
Remember to also submit the following forms as soon as possible:
- Student Contract (link)
- SJECCD Photo Release (Link)
If you have any questions please visit us in GE-118 or email at internationalprogram@sjcc.edu or call 408-759-4499.
PERSONAL INFORMATION
Name As Written on your passport*

First NameMiddle NameLast Name
SJCC ID*
SEVIS ID #
Email*
example@example.com
Date of Birth:*

MonthDayYear
Date
GENDER:*
Social Security Number (if any):
Country of Birth*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
City of Birth:
Country of Citizenship*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Are you a permanent resident of a country different from home country?*

YesNo
Permanent Residence (If different from Citizenship)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
U.S. Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Do you have a different physical address?*

YesNo
PHYSICAL ADDRESS (If Different from Mailing)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone Number*

Area CodePhone Number
Work Phone Number

Area CodePhone Number
Cell/ Mobile Phone Number

Area CodePhone Number
PERMANENT ADDRESS (Home Country) *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Country Phone Number*

Area CodePhone Number
EMERGENCY CONTACT INFORMATION

Whom Should We Contact In Case of Emergency?
Name*

First NameLast Name
Relations to you (friend, parent, guardian, etc): *
Phone Number*

Area CodePhone Number
E mail:*
example@example.com
Location (City, State & Country)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
PASSPORT INFORMATION
Passport Number:*
Passport Country:*
Passport Exp. Date:*

MonthDayYear
Date
Submit your current Passport Biographical page. *

Browse Files
Take a picture or scan your Passport biographical page. Only submit PDFs, JPG, JPEG, or PNG files. Cancelof
VISA INFORMATION
Visa Class on Visa Stamp (F-1, B-2, etc.)*
Visa Expiration Date: *

MonthDayYear
If D/S select the date you expect to finish at SJCC
Embassy/Consulate that Issued Visa: *
Submit your current F-1 Visa or Notice of Action Approval.*

Browse Files
Take a picture or scan your current visa in your passport. Only submit PDFs, JPG, JPEG, or PNG files. Cancelof
I-94 Information:
Immigration Status (F-1, J-1, H-4, other):*
Most Recent Arrival Date:*

MonthDayYear
Date
I-94 shows "D/S"?*
If No, I 94 Expiration Date:

MonthDayYear
Date
Port of Entry: (3-letter city code on I-94)*
Submit your most recent I-94 record. Available at www.cbp.gov/i94 *

Browse Files
Take a picture or screenshot of your most recent I-94 record. Only submit PDFs, JPG, JPEG, or PNG files. Cancelof
ACADEMIC INFORMATION
Degree Goal?*

Associate for Transfer (ADT)Associate of Arts (AA)Associate of Science (AS)Transfer to 4 YearCertificate ProgramOther
Program of Study (Find on your acceptance letter)*
Type your field of study if not listed here:
Semester Enrolled*
What semester did you start at studying at SJCC?
Other documents such as boarding pass, i-797 receipt, etc.

Browse Files

Cancelof
Do you give us permission to share your email address with other SJCC international students?*

YesNo
Signature*

Clear
Should be Empty:

F-1 International Student Information Sheet

PERSONAL INFORMATION

EMERGENCY CONTACT INFORMATION

PASSPORT INFORMATION

VISA INFORMATION

I-94 Information:

ACADEMIC INFORMATION