F-1 Student: Form I-20 Program Extension Request

This form is for students currently enrolled at SUNY Poly only.

This request MUST be submitted before the program end date listed on your most recent Form I-20.

Failure to submit your Program Extension Request by this deadline will result in termination of your SEVIS record, and you will be required to re-gain status if this occurs.

Please allow 5-7 business days for review of your request.

*There is no need to contact the ISS to inform or inquire about the status of your request. Once your request is processed, you will be notified through your SUNY Poly email.*

Name * Required
First Last
SUNY Poly University ID * Required
SUNY Poly Email Address * Required

The ISS will send your reprinted Form I-20 to this address.
SEVIS ID * Required
SEVIS ID can be found on your Form I-20 issued from SUNY Poly.
Current SUNY Poly Program of Study * Required
SUNY Poly Academic Advisor * Required
SUNY Poly Academic Advisor Email * Required
How many credits have you completed toward your degree? * Required
New Anticipated Program Completion Date * Required
Month
Day
Year
Please indicate the reason for the delay in program completion * Required
- Change of major during program enrollment
- Unexpected research problems
- Documented medical reason
- Other compelling academic reason
Please list your new major program of study * Required
Please explain the problems which have caused your delay in completion. * Required
Upload all Medical documentation to support the reason for your delay in graduation * Required
Max. file size: 50 MB.

All documentation must be from a U.S. based doctor.
Explain in detail the reason for your delay in completion * Required
Explain in detail why the delay occurred and how it impacted the progress of the your program.
Upload Academic Advisor Letter * Required
Max. file size: 50 MB.

Your academic advisor must provide an explanation of a compelling academic or medical reason for the delay in completion and your new expected completion date. In addition, your academic advisor must provide you with a letter of support on your academic department’s letterhead indicating the reason for your request for a program extension.
Upload all financial support documents. * Required
Max. file size: 50 MB.

Your documents must show enough funding to cover all your expenses (and your dependents, if applicable) for the additional time needed. Funding documents cannot be older than 6 months. Your I-20 can be extended up to a year at a time. Each subsequent extension will require more detailed documentation.
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