| Hartford International University

F-1/J-1 Visa Check-in Form

First Name

Middle Name

Last Name

Degree

Local U.S. Address (P.O Boxes are not acceptable):

U.S. phone number:

Name and Phone Number for an Emergency Contact:

Does your emergency contact speak English?

Please attach a copy of your most recent I-94:

One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

Please attach a copy of your entry stamp:

Please attach a copy of your SEVIS 1-901 fee confirmation:

Please attach a copy of your F-1 or J-1 visa stamp:

Please attach a copy of your passport biographic page:

Date

Full Name

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