• Travel Clearance Form

  • Name
  • Email
  • Address
  • Phone

  • Carson-Newman ID number
  • Academic Major
  • Please list any F-2 dependents you are traveling with (if none, enter "none")
  • Departure date
  • Return date
  • Destination(s)
  • I-20 Program End Date (item #5 on I-20-- "complete studies no later than _____")
  • Your passport expiration date
  • F-2 dependent passport expiration date (if applicable)
  • F-2 dependent passport expiration date (if applicable)
  • Your visa expiration date
  • F-2 dependent visa expiration date (if applicable)
  • F-2 dependent visa expiration date (if applicable)
  • Date that your DSO last signed your I-20
  • Are you currently on OPT, or have applied for OPT?

    Yes No
  • If you are on OPT, are you employed?

    Yes No
  • Are you requesting transportation to the airport or bus station from the International Student Services Office?

    Yes No
  • Have you contacted Phyllis Hoover in the International Student Services Office regarding your travel plans?

    Yes No

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