Vacation Request Form

Vacation Request Form
F-1 students are eligible for annual vacation after completing 3 quarters at NVI. You must have been a full time student for the three consecutive quarters before you request the vacation. Please complete the following vacation request from before the quarter begin so that we can assist you with your request in a timely manner. The Register Officer’s approval should be granted. If the student does not return to school after approved quarter vacation, the student’s status will be changed to Withdrawal Status.
SECTION A-- TO BE COMPLETED BY THE STUDENT
Legal Name*

First and Middle NameLast Name
Email*
example@example.com
Student ID#*
Current U.S. Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Major & Degree*
Year of Requested Vacation *
Term of Requested Vacation*
Current Month
SECTION B--EXPLAIN YOUR PLAN FOR THE REQUESTED VACATION
Please explain your plan for the requested vacation
IMPORTANT NOTE

We will review your vacation request for this quarter. If it does not meet the eligibility criteria, it will be rejected.

If all criteria are met, we will send you an approval notice via email. Please be patient, you can expect to receive an email from us in the next few days.
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty: