International Data Sheet

International Data Sheet

Complete this form in order for Lewis and Clark to create your I-20 document.
Desired Term of Enrollment*
New (Never been issued I-20)Transfer (I have previously been issued an I-20)
Surname/Last Name(s) (As appears on passport)*
First Name(s) (As appears on passport)*
Full address of home country (house/apt #, Street name, city, country, zip/postal code)*

Street Address

Street Address Line 2

CityRegion/Province

Postal CodeCountry
Country of birth*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry of birth
Country of Citizenship*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry of Citizenship
Trailblazer CommonsOther address (complete below)
Local address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
TOEFL/Duolingo score (If you are from Non-English speaking country)
Birth Date *

MonthDayYear
Date
Email Address*
Phone Number*
Upload a picture of your passport*

Cancelof
Please take a copy of your Lewis and Clark acceptance letter and our SEVIS School code CHI214F00651000 to your current school's DSO to request your transfer.
Should be Empty:

Please take a copy of your Lewis and Clark acceptance letter and our SEVIS School code CHI214F00651000 to your current school's DSO to request your transfer.