ntervevfed on • ••••' (V --- - .- ... • . . . - . . -O ( -1 c.- : O 1 -e ':) Document Issued,- • - •• 1:1 Reentry Per itCrin 1 ) (:) Relugee Travel1)0*nel! O Single Advance Parole O Multiple Advance Parole validity to It Reentry Permit or Refugee Travel Document O Mail to Address m P

USA SCHOOL MONTH DAY YEAR (43) STUDENT CITIZENSHIP STATUS (Circle One) 1 2 3 5 6 8 IrResident Allen 2:Non-resident Alien 3rExchange Student 5:Relugee 6:Entrant S.:Immigrant (Counselors can provide assistance in determinlig status) NEW STUDENTS TO PALM BEACH COUNTY ONLY: (44) ENTRY DATE (USA)