Foreign National Information form

Family Name 
Given Name  
EMPLID Number  
Date of Birth(mm/dd/yyyy) 
Home Country 
Visa Status  (Select One)  F1  J1 
DSU Email Address (DSU will use this email address for all communications. Please use lower case letters) 
Alternate email Address(please use lower case letters)  

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USA Address

 

Street Address 
City 
State 
Zip Code 
Phone Number 
Cell Phone Number  

291 Campus Drive
Dickinson, North Dakota 58601
ph: (701) 483-2507
toll free: (800) 279-HAWK
dsu.hawk@dickinsonstate.edu

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