International Student & Scholar Services
Binghamton University, NAR Center, Box 6000
Binghamton, NY 13902-6000

NEW INTERNATIONAL STUDENT RESPONSE SHEET

(Note: Do not mail the yellow copy of this form if you complete the web version. Thank you)

Semester (Required):  
Year:

YOUR IMMIGRATION DOCUMENTS WILL BE PREPARED AS SOON AS YOU SUBMIT THIS COMPLETED FORM TO OUR OFFICE

Do you plan to attend Binghamton University?(Required)  
If no, please indicate reason, fill in name and submit form:
If yes, please continue to fill out form:
When do you expect to arrive in Binghamton? - Month/Date/Year Format
- Please note that on-campus temporary housing is not available
Binghamton University ID#: - Binghamton University ID# is also known as the "B" number because it begins with "B"
- This information is provided in your admission letter
- If you do not have your BU identification number, you can still complete the form, as it is not a required field
PERSONAL INFORMATION
First Name City of Birth
Middle Name Country of Birth
Last Name Country of Citizenship
Date of Birth Position in Home Country(If you are currently employed):
(Month/Date/Year format)
Mailing Address Permanent Address in Home Country
(Note: If your permanent address is the same as your mailing address just type "same")
Address 1
Address 2
City
State
Country
Postal Code
Address 1
Address 2
City
State
Country
Postal Code
EDUCATIONAL INFORMATION: Answer Field of Study and Degree Sought based on your Binghamton program
 
(The above field is required)
TOEFL Fax (If any)
below 213(CBT), 79(INT) or 550(Paper) requires ESL
Field Of Study Telephone
Degree Sought E-Mail (If any)
If you are currently studying in the U.S.
Name of School
DEPENDENT/FAMILY INFORMATION
Are you married? (Required)  
Do you have children? (Required)  
Will your family accompany you? (Required)  
If so, provide name, date of birth, city, country of birth, country of citizenship and relationship to you for each:
You must document additional funds for each:
$6,000 - spouse
$4,000 - each child
CLICK HERE FOR IMPORTANT HOUSING INFORMATION
http://www2.binghamton.edu/isss/new-students/index.html#four
UNDERGRADUATES ONLY:
If you plan to live in University housing, do you prefer:
OTHER HOUSING INFORMATION:
UNIVERSITY HOUSING QUESTIONS:
($200 deposit is required, made payable to Binghamton University.This amount is included in the $350 undergraduate enrollment deposit.)
Undergraduates:
 Office of Residential Life: (607)777-2321
 Fax:(607)777-4350
 Email: reslife@binghamton.edu
 Website: http://reslife.binghamton.edu
OFF-CAMPUS HOUSING QUESTIONS:
 Off-Campus Services: (607)777-2768
 FAX:(607)777-6486
 E-mail: occ@binghamton.edu
 Website: http://www2.binghamton.edu/occ/housing/