1. F-1 CHANGE OF LEVEL REQUEST FORM
A. To be completed by student:
Student Name: ___________________________, ___________________________ ________
Last First Middle Initial
SEVIS #: N __ __ __ __ __ __ __ __ __ __ Banner #: V __ __ __ - __ __ - __ __ __
Current Address: _____________________________________________________________________
Number, street apt. City State ZIP Code
Birthdate: ______________ Email: _________________@vcu.edu Phone: __________________
mm/dd/yyyy
Change of level from _________________________ to _________________________
(e.g., from VCU English Language Program to Bachelor’s of Arts)
Are you changing departments? Yes No
If yes, what is the name of your new department? ______________________________
What is the name of your new field of study? ______________________________
What is the current expiration date of your I-20 or DS-2019? ______/______/________
mm dd yyyy
B. To be completed by current ELP and/ or Academic Advisor:
1. Is the student taking ELP classes? Yes No (if No, skip to number 4)
2. If so, when will the student exit the English Language Program? ______/______/________
mm dd yyyy
3. ELP advisor name: _____________________________ _________________________________
Print Signature Date
4. If the student is in an academic program or is taking ELP AND academic classes concurrently, what
are the current academic program and degree level:
________________________________________________________________________________
When will this student complete his/ her current academic program? ______/______/________
mm dd yyyy
Academic advisor name: _____________________________________________
Email: _______________________________ Phone: ___________________________
Signature: ______________________________________ Date: __________________
Updated 2010
Office of International Education - Immigration Services
817 W. Franklin Street, P.O. Box 843043, Richmond, VA 23284 Tel: (804) 828-0595 Fax: (804) 828-2552

2. Statement of Financial Ability
C. To be completed by Student:
Indicate the sources used to support you and your dependents (check all that apply):
Personal/family funds. Provide the name and address of the person providing support:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Departmental funding (e.g., Research Assistant or Teaching assistantship). Please attach
your official letter of funding. If additional funding is required (including dependents), you
must submit additional financial documentation.
Governmental funding. Attach an official letter which details the source, amount and
duration of this funding.
I affirm that I will be responsible for the total costs associated of each year of study at Virginia
Commonwealth University, including costs associated with relevant dependents.
____________________________________________ ________________________
Student signature Date
Estimated Expenses* for the 2008-2009 academic year (including tuition for a nine-month
term, living expenses, books, and health insurance):
Undergraduate $31,724
Graduate (Masters) $30,211
Graduate (Doctoral) $29,893
Add an additional $5,000 to total cost per F-2 dependent.
* Students are strongly advised to use the VCU tuition calculator for differences that may
occur in programmatic costs:
http://www.enrollment.vcu.edu/accounting/tuition_fees/calculator.html
Please submit this form completed in its entirety with:
• original bank statements and/or letters of support from your sponsors,
• a copy of your academic acceptance letter