Los Angeles Main Campus

505 Shatto Place, Suite 300
Los Angeles, CA 90020
Tel 213.382.1136 · Fax 213.382.1187

Buena Park Branch Campus

6131 Orangethorpe Ave., Suite 116
Buena Park, CA 90620
Tel 714.228.0307 · Fax 714.228.0308

www.nobeluniversity.edu

I-20 Request Form

Form I-20 - Certificate of Eligibility for F-1 Nonimmigrant Student Status - Rev 05/2026

Prefer paper or Adobe Reader? Download the PDF version of this form to fill out offline and submit by email or in person.

Adobe Reader PDF Print PDF

Why this form. The Form I-20 is a U.S. Department of Homeland Security (DHS) document issued by Nobel University’s Designated School Official (DSO) under SEVP. It allows a prospective international student to apply for an F-1 visa, request a change of nonimmigrant status, or transfer a SEVIS record from another SEVP-certified school. Allow 3-5 business days for review once admission and financial documentation are complete.

Fields marked with * are required.

Section 1·Reason for Request

Check exactly one

Reason*

Initial Attendance — new F-1 student entering the U.S. for the first timeInitial Attendance - Change of Status (COS) — already in the U.S. on another nonimmigrant statusTransfer-In from another SEVP-certified school — also complete the F-1 Student Transfer Eligibility FormReinstatement — currently out of F-1 status, applying to reinstateReplacement — lost, damaged, or correction neededUpdate / Reprint — change of program, address, financial information, etc.

Previous SEVIS ID (N-)Previous school name & SEVIS code

Section 3·Applicant Information

As shown on your passport - please print clearly

Last / Family Name*First / Given Name*Middle Name

Date of Birth*

Sex*

Marital Status

SingleMarried

Country of Citizenship*

Country of Birth*Passport Number*Passport Expiration*

Foreign address (permanent address abroad) *

Number & Street*

Unit #

City*State / ProvinceZIP / Postal CodeCountry*

U.S. mailing address (if currently in the U.S.)

Number & Street

Unit #

CityStateZIP

Email Address*Mobile Number*Home Telephone

Section 4·Dependent (F-2) Information

If applicable

A separate Form I-20 will be issued for each accompanying F-2 dependent (spouse and/or unmarried children under 21). Submit a passport copy and proof of financial support ($4,500 per dependent per academic year).

Dependent 1

Last NameFirst NameDate of Birth

Country of Citizenship

Relationship

SpouseChild

Dependent 2

Last NameFirst NameDate of Birth

Country of Citizenship

Relationship

SpouseChild

Dependent 3

Last NameFirst NameDate of Birth

Country of Citizenship

Relationship

SpouseChild

Section 5·Financial Information

Source(s) of funding (check all that apply)*

Applicant's personal fundsFamily funds from abroad (parent / spouse / relative)Sponsor in the U.S. (Form I-134 required)Scholarship or grantGovernment / employer sponsorship

Other source of funding (specify)Total annual funds available (USD $)*

Section 6·Delivery of Form I-20

Choose one*

Pick up at Nobel University (Los Angeles or Buena Park campus)U.S. domestic mail (USPS - no additional fee; allow 5-7 business days)International mail or express courier (applicant pays shipping fees)Email scanned copy (digital Form I-20 - accepted by SEVIS since April 26, 2021)

Section 7·Submission Checklist

Form I-20 will not be processed until all required documents are received

Completed and signed I-20 Request FormAcceptance Letter from Nobel UniversityCompleted Affidavit of Financial SupportBank statement(s) dated within the last 6 monthsCopy of passport biographical page (and dependents', if any)Copy of current U.S. visa and I-94 (if currently in the U.S.)F-1 Student Transfer Eligibility Form (transfer-in only)Application fee receipt (if applicable)

Section 8·Student Attestation

By signing below, I certify that all information is true and complete; that misrepresentation may result in denial or cancellation of my Form I-20 and admission; and I agree to comply with all F-1 nonimmigrant regulations under 8 CFR 214.2(f), maintain full-time enrollment, report changes to the DSO within ten (10) days, and cover all costs of attendance from the funds declared above.

Name (printed)*Signature (typed)*Date*

On submit: a completed PDF is generated, sent to the Admissions Office, and a copy is emailed to you.