Request for Program Extensions

Program extensions can be requested as long as the dates of the extension remain in the permitted program dates for your home country and within the dates listed on your student status form. Program extensions may require an extension of medical insurance. If a new form DS2019 is requested, courier fees will apply. Fees for medical insurance and courier (if applicable) must be paid in advance of the extension.

  • Name and SEVIS Information

    Please input the name exactly as it appears on form DS2019.







  • (# above the bar code on your form DS2019, beginning with N00…)

  • MM slash DD slash YYYY