Middlebury I-20 Application

International Student and Scholar Services (ISSS) uses this information to issue a Form I-20, which you will use to apply for the F-1 (student) visa.

Enrolling in: *

Which Language School? *

Which Campus *

Summer Program Students: If you plan to enroll in another U.S. educational program in September, please provide the name of the institution/school.

Surname/Family/Last Name *

Exactly as it appears in passport

Given/First Name *

Exactly as it appears in passport

Passport Upload *

Please upload a copy of your passport.
Files must be less than 8 MB.
Allowed file types: gif jpg jpeg png bmp tif pict txt pdf doc docx.

Non-U.S. Permanent Street Address *

Non-U.S. Permanent Street Address (Line 2)

Non-U.S. Permanent City *

Non-U.S. Permanent State/Province *

Non-U.S. Permanent Country *

Non-U.S. Permanent Postal Code *

If you do not have a postal code, please write "N/A" for not applicable.

Email Address *

Phone Number *

Country Code/ City Code/ Number. If you do not have a phone number, please write "N/A" for not applicable.

Date of Birth *

Month/Day/Year

Month

Day

Year

City of Birth *

Country of Birth *

Country of Birth Other:

Country of Citizenship *

Country of Citizenship Other:

Country of Legal Permanent Residence *

Country of Legal Permanent Residence Other:

Leave this field blank

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