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    Student Check-In Packet NEW 7-25-19 v3

    Uploaded by

    shyam Saravanan
    This document contains an international student information form and acknowledgments of enrollment requirements and mandatory health insurance for international students at Missouri University of Science and Technology. The information form collects details about the student's local and foreign addresses, emergency contacts, and how they learned about the university. The enrollment requirements acknowledgment outlines the minimum credit hours considered full-time enrollment for undergraduate and graduate students. It also notes limits on online coursework that can count towards full-time status. The mandatory health insurance acknowledgment explains that international students will be automatically enrolled in the university's health insurance each term and must maintain coverage for the entire term.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Student Check-In Packet NEW 7-25-19 v3

    Uploaded by

    shyam Saravanan
    35 views3 pages
    This document contains an international student information form and acknowledgments of enrollment requirements and mandatory health insurance for international students at Missouri University of Science and Technology. The information form collects details about the student's local and foreign addresses, emergency contacts, and how they learned about the university. The enrollment requirements acknowledgment outlines the minimum credit hours considered full-time enrollment for undergraduate and graduate students. It also notes limits on online coursework that can count towards full-time status. The mandatory health insurance acknowledgment explains that international students will be automatically enrolled in the university's health insurance each term and must maintain coverage for the entire term.

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    This document contains an international student information form and acknowledgments of enrollment requirements and mandatory health insurance for international students at Missouri University of Science and Technology. The information form collects details about the student's local and foreign addresses, emergency contacts, and how they learned about the university. The enrollment requirements acknowledgment outlines the minimum credit hours considered full-time enrollment for undergraduate and graduate students. It also notes limits on online coursework that can count towards full-time status. The mandatory health insurance acknowledgment explains that international students will be automatically enrolled in the university's health insurance each term and must maintain coverage for the entire term.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    35 views3 pages

    Student Check-In Packet NEW 7-25-19 v3

    Uploaded by

    shyam Saravanan
    This document contains an international student information form and acknowledgments of enrollment requirements and mandatory health insurance for international students at Missouri University of Science and Technology. The information form collects details about the student's local and foreign addresses, emergency contacts, and how they learned about the university. The enrollment requirements acknowledgment outlines the minimum credit hours considered full-time enrollment for undergraduate and graduate students. It also notes limits on online coursework that can count towards full-time status. The mandatory health insurance acknowledgment explains that international students will be automatically enrolled in the university's health insurance each term and must maintain coverage for the entire term.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    For Office Use Only: R-10 Hold ____ List Serve ____

    I-94 Print ____ ALI: Request Student ID ____


    Ayako's Check-In Report ____ ALI: Request S&T Email ____
    Address ____ PC ____
    Enrollment ____ SEVIS Registration ____

    INTERNATIONAL STUDENT INFORMATION FORM


    Fill out all information completely and write dates as month/day/year. Please do not leave blanks.
    STUDENT INFORMATION:
    Today’s Date: MS&T ID Number:
    Last (Family) Name: First (Given) Name:

    LOCAL ADDRESS: Please provide the address where you currently live. SEVIS will not accept a PO Box for this address.
    (REQUIRED) Your department address cannot be accepted.
    ‰ This address is permanent. ‰ This address is temporary.
    Street Address:
    City: State: Postal Code:
    Local telephone number:
    SEVIS requires you to keep your local address updated. If the above information changes, you must update your
    local address in Joe’SS within 10 days so that it can be reported to SEVIS.

    FOREIGN/SEVIS ADDRESS: Please provide the complete address of your residence in your home country.
    Street Address:

    City: State/Province:
    Country: Postal Code:

    EMERGENCY CONTACT INFORMATION: Name/address of emergency contact person IN THE UNITED STATES.
    Name: Relationship:
    Street Address:
    City: State: Postal Code:
    Phone: Email address:

    PARENT INFORMATION (MOTHER OR FATHER)


    Name and Relationship:__________________________________________ Telephone:_________________________

    Address:______________________________________________________ Postal Code:________________________

    DEPENDENT INFORMATION:
    Did your spouse or child accompany you to the U.S.? ‰ Yes ‰ no
    Spouse/child’s name:

    TELL US HOW YOU LEARNED ABOUT MISSOURI S&T! (REQUIRED)

    Office of International Affairs Updated 06/02/17


    Enrollment Requirements Acknowledgement
    I understand during my status as an international student with Missouri
    University of Science and Technology I must maintain a full course of study
    unless otherwise authorized for a reduced enrollment. I also understand that
    this full course of study must be in the academic program listed on my Form
    I-20/DS-2019. A full course of study is defined as follows:

    Undergraduate Students

    Fall/Spring Summer*
    Semesters Semesters
    Full-time 12+ hours 6+ hours

    Graduate Students

    Fall/Spring Summer*
    Semesters Semesters
    Full-Time 9+ hours 3+ hours

    Online/Distance Course Limits


    Furthermore, I understand that in accordance to 8 C.F.R. § 214.2(f)(6)(i)(G)
    only 3 credit hours of online courses can be counted towards my fulltime
    enrollment requirement per semester while attending Missouri University of
    Science and Technology. While the full time requirement for the summer
    session can be satisfied with 3 credit hours, the full time requirement cannot
    be satisfied with online coursework alone.
    *Summer Semester is only a requirement if it is your first semester.
    If you are a Sponsored Student, you must comply with any rules or regulations your sponsor has in place
    in regards to online/distance courses.

    Name (Print):_______________________________________________

    Signature: ________________________________ Date: ____________


    Office of International Affairs Version 11/20/15
    Mandatory Health Insurance Requirement
    Acknowledgement
    I understand during my status as an international student with Missouri
    University of Science and Technology, I will be automatically enrolled in
    the mandatory health insurance provided through the University of Missouri.
    For academically enrolled students, charges for each insurance enrollment
    term will be applied to your student account. For students in the Applied
    Language Institute, payment is required at the beginning of each insurance
    term.

    Terms are: Fall term - August 1 through December 31.


    Spring term- January 1 through July 31.

    I understand that I must enrolled for the entire LQVXUDQFHterm regardless


    of the date that my classes end. SHU8QLYHUVLW\RI0LVVRXUL$HWQD
    FRQWUDFWXDODJUHHPHQW

    ,XQGHUVWDQGWKDW-YLVDVWXGHQWVZKRVHVSRXVHDQGRUFKLOGUHQDUH
    OLYLQJLQWKH8QLWHG6WDWHVDUHUHTXLUHGWRFDUU\KHDOWKLQVXUDQFHIRU
    GHSHQGHQWV

    Name (Print):_______________________________________________

    Signature: ________________________________ Date: ____________

    Office of International Affairs Version 

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