Please complete this form fully. Please allow 5 business days for the international services office to process your request.
The symbol * represents mandatory fields which the applicant MUST fill out.
UNH STUDENT
* Last Name:
* First Name:
* UNH Student ID#:
STUDENT'S ADDRESS
* Street:
* City, State, Zip:
Telephone (Daytime or Cell):
* Email Address:
ACADEMICS
Student's Major:
* Current Degree Level:
Bachelors
Masters
Ph.D
Other: (Specify)
UNH INFORMATION
Date of student' first term at UNH:
Fall Winter Spring Summer Select Term 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Select Year
Term / Year
Expected Graduation:
May August January Select 2011 2012 2013 2014 2015 Select Year
Month / Year
# of credit hours student is currently enrolled in:
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Select One
EMPLOYMENT DETAILS
* Employing Department (enter in space below)
* Dates of Employment (beginning to end date)
1 2 3 4 5 6 7 8 9 10 11 12 Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Select 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Select to 1 2 3 4 5 6 7 8 9 10 11 12 Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Select 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Select
MM/ DD/ YY
* Position Title/Job Description
* Name & Title of Supervisor (enter in space below)
