Forms

Below is a list of forms from International Programs at Cal Poly Humboldt. Click on the link to download a form. PDFs require Acrobat Reader.

Form Description Link
Certificate of Finances Certification of Financial Support Certificate of Finances [PDF]
Address Change Form Use this form to notify International Programs of a change of address (must be submitted within ten days of moving).

Address Change Form

Immigration Responsibilities Contract This contract lists your responsibilities as an international student studying in the United States. Immigration Responsibilities Contract [PDF]
Extension of Time to Complete Program Submit this form to request an extension of your I-20 to complete your program. Extension of Time to Complete Program [PDF]
CPT Information Packet Use this packet for information and directions for applying for CPT. Curricular Practical Training (CPT) Information Packet [PDF]
OPT Application Checklist & Instructions – Online Filing Use this checklist and instructions to apply for OPT. OPT Application Checklist & Instructions - Online Filing [PDF]

STEM OPT Application Checklist – Online Filing

Use this checklist and instruction to apply online for STEM OPT. STEM OPT Application Checklist – Online Filing [PDF]
OPT - Employer Reporting Requirement Use this form to report OPT employer information. Employer Reporting Requirement Form
Model Employer Letter A sample letter for employers to fill out for students applying for CPT or OPT. Model Employer Letter [PDF]
J-1 Academic Training Use this form to get authorization from your academic advisor for Academic Training. J-1 Academic Training [PDF]
On-campus Employment Authorization Request Use this form to request authorization to work on campus. On-campus Employment Authorization Request [PDF]
I-20/DS-2019 Update Form Fill out this form to request a new or updated I-20 or DS-2019. I-20/DS-2019 Update form [PDF]
RCL Authorization Fill out this form to request a Reduced Course Load. Reduced Course-Load (RCL) Authorization [PDF]
I-20 Transfer Out Form Use this form if you are planning on transferring to another university. I-20 Transfer Out Form [PDF]
Travel Signature Request Form Submit this form to request a travel signature. Travel Signature Request Form [PDF]
Leave of Absence or Withdrawal Request Submit this form to request a leave of absence or withdrawal. Leave of Absence or Withdrawal Request [PDF]
Social Security Number Application Information Download these instructions to learn how to apply for a social security number. How to apply for a Social Security Number [PDF]
Verification of Permanent non-US Address For issuance of immigration form I-20 or DS2019. Verification of Permanent non-US Address
F-1 Reinstatement Fill out this form if you have overstayed your period of stay or failed to maintain status and wish to reinstate your F-1 student status. F-1 Reinstatement Form [PDF]