Program Extension Request Undergraduate
Request for Program Extension
Letter for undergraduate students
Print on appropriate ²ÝÁñÉçÇø letterhead
Current date
To: Reija Shnoro, Student Immigration Advisor
From: Faculty Advisor’s Name
Re: Request for Program Extension – Undergraduate Student
Name of student:
Academic program (major):
Level (mark one): AA_____ AS_____ BA_____ BS_____
First semester of ²ÝÁñÉçÇø attendance: Fall____ Spring____ Summer____ Year_____
Current I-20 program end date:
New Anticipated semester of program completion: Fall____ Spring____ Summer____ Year_____
The above-named student is in good standing and making normal and satisfactory progress towards the completion of his or her academic program.
Reason necessitating program extension: (Note: under immigration regulations, extensions must be due to compelling academic or medical reasons beyond the student’s control)
I request approval of this extension request.
Signed:__________________________________