This application should be completed if you were granted an Authorized Early Withdrawal in the past five months.

You must be able to resume classes within 30 days of re-entering the U.S. You must register full-time in the semester you are returning to. If you are a matriculated student and you are returning in the Summer, you must register full-time between the Summer I and II Sessions. For example, if you are an Undergraduate student, you would register for 6 credits in Summer I and 6 credits in Summer II. 

Your SEVIS record can only be reactivated if you were granted an “Authorized Early Withdrawal” before you left the U.S. and you are resuming classes within five months of your last day of class in the U.S.