International Student ID Card Application - Office of International ...

International Student ID Card Application
For UGA Students: Please submit the following with your application:
1. Two color passport sized photographs
2” X 2”
2. $23-non-UGA Students only- pay by check or money order - UGA students only via direct billing on student’s UGA Account
For Non-UGA Students: Submit the above two items and:
3. Proof of student status (a school ID validated for this year, a letter on school stationery stating you are enrolled this year at an
accredited institution working toward a diploma or degree, or a photocopy of a transcript or report card for the most recent
semester) and proof of date of birth (e.g. copy of birth certificate)
It will take 2-3 business days for your ISIC card to be completed. However,
additional time may be required during peak work periods.
Return application, photographs and payment to:
OIE, Building 2219, 1324 S. Lumpkin St, Athens, GA 30602
For additional information, please contact the Study Abroad Office at (706) 542-2900
Date Student Id#(810)
School Name
Country of Citizenship
First name Last Name
Number and Street Address
City State Zip Code
Phone Number ( ) E-mail
Date of Birth
Permanent Address (if different from above)
Number and Street Address
City State Zip Code
Phone Number ( )
I hereby certify that this information is true
and understand that any false statements on my
part may result in the forfeiture of any benefits
associated with the card.
Signature X____________________

For office use only
International Identity Card #
Date of Issue
Optional Information
1. How did you hear about the card?
Student Travels Magazine Friend/Family Teacher/Advisor World Wide Web
Let’s Go Poster Berkeley Guides Other
2. What is your main reason for purchasing the card?
Airfare Savings Worldwide Discounts Insurance Coverage
ID Other
3. Have you purchased the card before?
Yes No
4. What is your current class level/year?
Junior high/high school College Freshman College Sophomore
Recent Graduate College Junior College Senior
Graduate Student Faculty
6. Where are you traveling?
Africa Asia Australia/South Pacific
Caribbean Central America/South America Central/Eastern Europe
Middle East Canada/Mexico Western Europe
USA
7. For how long?
1 week 2 to 4 weeks 1 to 3 months 3+ months
8. What is the purpose of your trip?
study work leisure
9. What discounts would be most important to you as a traveler?
Lodging Transportation Movies/Music/Books
Restaurants/Nightclubs Museums/Theaters Clothing
Telephone/Currency Exchange/Shipping Other: