17 Oct 2016 - Yes. No. ** You must complete this process no later than 30 days after completing your current academic pr
Office of Global Services
OGS MANHATTAN 383 Lafayette Street, New York, NY 10003 Tel: (212) 998-4720 Fax: (212) 995-4115 www.nyu.edu/ogs
[email protected]
OGS BROOKLYN 5 MetroTech Center, Room 259, Brooklyn, NY 11201 Tel: (646) 997-3805 Fax: (646) 997-3710 www.nyu.edu/ogs
[email protected]
F-1 Change of Program Request Form for students who are completing one NYU program and beginning another ** You must complete this process no later than 30 days after completing your current academic program. **
A. Personal Information: Student Name:
First Name
NYU ID#:
Last Name
NYU email address: Date you will complete your current program: OR, End date of your post-completion OPT: (as indicated on your EAD)
mm/dd/yy mm/dd/yy
B. New Academic Program Information: School name: Degree level:
Program/Major:
C. Travel Information: Please indicate if you will travel outside the US between the end of your current program and the start of the next semester/session: I plan to travel outside the US after the end of my current program and return for the next semester. Yes No I plan to depart the US on
mm/dd/yy
and return to the US on
mm/dd/yy
D. Statement of Financial Responsibility: I understand that I am required to have sufficient funding for the first year of my new program to cover full-time tuition and living expenses. I can find how much my academic program and living expenses costs per year here: http://bit.ly/NYUestimatedexpenses If I have F-2 dependents, I must document an additional $10,800 for my spouse and $5,400 for my each child. My financial documentation is attached to this application.
Last updated on 10/17/2016
Office of Global Services
OGS MANHATTAN 383 Lafayette Street, New York, NY 10003 Tel: (212) 998-4720 Fax: (212) 995-4115 www.nyu.edu/ogs
[email protected]
OGS BROOKLYN 5 MetroTech Center, Room 259, Brooklyn, NY 11201 Tel: (646) 997-3805 Fax: (646) 997-3710 www.nyu.edu/ogs
[email protected]
E. Financial Support Agreement: If you are going to be funded by someone other than yourself, the below statement must be completed by the person providing financial support to you. I hereby certify that I am willing, able, and, committed to provide: (Student full name) for tuition, fees, and personal expenses for each year of study at NYU.
at least US $
per year
I have provided the student with financial documentation to include in this application. Print name:
First Name
Last Name
Relationship to student:
Signature:
Date:
mm/dd/yy
F. Certification and Signature of Student: I certify that the information provided above is accurate. I understand that I am required to register full-time each semester and make normal progress toward the completion of my degree. I also understand that I am required to carry NYU health insurance or its equivalent for myself and for my dependents, if applicable. Student name:
First Name
Last Name
Signature:
Date:
mm/dd/yy
To submit your application, include: Completed Change of Program Form Copy of NYU school letter/email admitting you to new program Copies of financial support documents Copy of passport photo page with name, which shows your passport expiration date Photocopy of most recent I-94 information If you have any F-2 dependents, a copy of their passport photo page and most recent I-94 If you need your new I-20 shipped to you, submit a completed FERPA form, pay the shipping fee, and submit a receipt of your payment Scan and email your application [as one PDF document] using your NYU email address. SUBJECT: Change of Program, full name, NYU ID. If you are a student at Tandon School of Engineering, send your application to:
All other students, send your application to:
[email protected]
[email protected] 
