Change of Status F-I Visa Student Form
If you would like to get an I-20 from Empire State English to file a Change of Status, please fill out this form.
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How did you hear about us? 
 *
Your name as listed on your passport *
Given name *
Surname / last name / family name *
Middle name, if any
Your date of birth (month/day/year) *
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The last four digits of your passport number *
Your mailing address in the U.S.  *
Phone number / WhatsApp number *
Email address
 *
What type of visa do you currently have?  *
Do you have any dependents (a spouse and/or children) with your current visa?
 *
When does your current visa expire?  *
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How long would you like to study English if your Change of Status is approved?  *
How will you pay for your classes? (Check all that apply.) *
Required
Do you have student health insurance or do you need information from us? Health insurance in mandatory. (Please check all that apply.) *
Required
Do you already have housing in Albany, NY or do you need information from us? There are several options: hotel, apartment, homestay, stay with friends/family. (Please check all that apply.) *
Required
If you already have housing in Albany, NY, where will you stay during your English classes? Please provide an explanation and the address.  Your housing sponsor will need to fill out a housing sponsor form with us.
Is there anything else that we should know?  
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