International Student Forms

PDF Forms: 

All PDFs must be signed digitally via DocuSign or submitted physically with a wet signature. All forms need to be emailed to international.services@millersville.edu. They will not be processed if sent to any other email account.  

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• AT/CPT REQUEST FORM (MU Staff/Advisor Form)
  • Used by an internship coordinator (undergraduate) or faculty advisor (graduate) to request CPT/Academic Training (AT) approval for an international student.
  • More information here.
• AT REQUEST FORM (Student Form)
  • For J-1 students to apply for Academic Training (AT), either pre- or post-completion, by providing personal info, employment details, and supporting documents.
  • More information here.
• CONSENT TO RELEASE FORM
  • Authorizes release of confidential immigration, academic, or personal information to designated individuals.
• COURSE SELECTION FORM
  • Allows exchange students to list seven preferred courses (ranked) for registration in five; first-year undergraduates are placed by the Registrar, and degree students register via their advisor.
• CPT REQUEST FORM
  
  • For F-1 students requesting Curricular Practical Training, including employment details, academic relevance, and advisor approval.
  • More information here.
• DEPENDENT ADDITION FORM
  
  • Used to add a spouse or child (F-2/J-2) as a dependent on an existing student record.
• DEPENDENT REMOVAL FORM
  • Used to remove a dependent from an I-20 or DS-2019 record.
• ECONOMIC HARDSHIP REQUEST FORM
  
  • Allows F-1 students to apply for off-campus employment authorization due to severe financial hardship with supporting documentation.
  • More information here. 
• EMPLOYMENT OFFER LETTER SAMPLE
  
  • Provides a sample employer letter template required for CPT or AT authorization.
  • More information here.
• EXTENSION REQUEST FORM I-20/DS-2019 (MU Staff/Advisor Form)
  • Completed by a faculty advisor to recommend an I-20 or DS-2019 program extension.
  • More information here.
• PROGRAM EXTENSION FORM FOR J-1/F-1 (Student Form)
  • Used by students to request additional time to complete their degree for valid academic or medical reasons.
• F-1 DEPARTURE FORM
  
  • Notifies the office when a student is leaving the U.S., withdrawing, or completing their program.
• F-T EQUIVALENCY REQUEST FORM
  • Used by graduate students to confirm full-time enrollment status while engaged in thesis, exams, or clinical work.
  • See more information here.
• HEALTH INSURANCE FORM
  
  • Verifies required health insurance coverage that meets minimum standards for all international students and scholars.
• INFORMATION SHEET
  • Collects student biographical, immigration, and emergency contact details.
• J-1 DEPARTURE FORM
  
  • Used by J-1 students to report program completion, withdrawal, or departure from the U.S.
• LETTER REQUEST FORM
  • Requests official letters such as enrollment verification or immigration support.
• MEDICAL VERIFICATION LETTER TEMPLATE
  
  • Provides documentation from a licensed medical professional to verify a health condition.
  • See more information here under "Reduced Course Load."
• ON-CAMPUS EMPLOYMENT AUTHORIZATION FORM (J-1 Only)
  
  • Used by J-1 students to request on-campus work authorization; F-1 students do not need separate approval but must complete SSN steps.
  • More information on regulations around work here. 
• OPT EMPLOYMENT UPDATE FORM
  
  • Used by OPT/STEM-OPT students to report or update employer information and job details.
• OPT I-20 REQUEST FORM
  • For F-1 students applying for Optional Practical Training authorization.
• OPT STEM I-20 EXTENSION REQUEST FORM
  • For F-1 students applying for the 24-month STEM OPT extension.
• PARENT/GUARDIAN CONSENT FOR MINORS
  
  • Grants permission for students under age 18 to participate in English Language Institute and related travel programs.
• REDUCED COURSE LOAD REQUEST FORM
  
  • Allows F-1/J-1 students to take fewer credits than full-time enrollment for approved academic or medical reasons.
  • See more information here under "Reduced Course Load."
• RELEASE OF INFORMATION FORM
  • Authorizes the office to share student records with approved third parties.
• REPLACEMENT I-20/DS-2019 FORM
  • Requests a new I-20 or DS-2019 if the original document is lost, stolen, or damaged.
• SACM LETTER REQUEST FORM
  
  • Used by SACM-sponsored students to request official letters such as change of major or scholarship extension.
• TRANSFER IN FORM
  
  • Used to transfer an active SEVIS record from another U.S. school to Millersville.
• TRANSFER OUT FORM
  • Notifies the office that a student intends to transfer their SEVIS record to another U.S. institution.
• UPDATE REQUEST FORM (I-20/DS-2019)
  
  • Used to request corrections or updates (name, address, major, etc.) on immigration documents.

 

Digital Forms: 

Some may require you to log into the Millersville University application system. 

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• Spring 2026 Returning Student Immigration Check In Form
  • For returning students to complete SEVIS registration (opens January 5, 2026); in-person check-in required at Lyle Hall.
• SSN Letter Request: On or Off Campus Employment Verification (Student)
  • Requests a letter confirming eligibility for a Social Security Number based on authorized employment.
  • More information here.
• Millersville University: Transfer Out Requests
  • Submitted before the Transfer Out Form to provide feedback on your Millersville experience.
• Source of Funds Form (must log into your application form)
  • Required financial documentation for I-20/DS-2019 issuance, completed in the application portal.