Multiple Delivery Attestation (MD)

F-1 and J-1 International Students who are enrolled in one or more Multiple Delivery (MD) courses or one MD course along with an online course in a standard semester must submit the Multiple Delivery Attestation form to confirm that they will attend the necessary MD course at least 25% in-person for the duration of the semester. 25% attendance in-person is approximately 4 weeks of in-person meetings in a standard Fall/Winter semester. When attending this way, the course is considered in-person for immigration purposes.

Fully online participation in MD courses does not meet immigration requirements when a student is taking the MD course in combination with other MD courses or online courses.

Examples where the attestation form is required are:

2MD courses, 1 in-person course, no online courses
- at least 1 MD course must be attended at least 25% in-person -- complete this form for 1 MD course
3 MD courses, no online courses
- at least 2 MD courses must be attended at least 25% in-person -- complete this form for 2 MD courses
1-2 MD course, 1 online course, 1 in-person course
- All MD courses must be attended at least 25% in-person -- complete this form for all MD courses

First Name *

Last Name *

G-Number *

Email *

Semester you are registered for the MD course *

This semester, are you taking three or more MD courses -OR- two or more MD courses and an online course? *

The Multiple Delivery (MD) courses you select below are the courses you are committing to take in-person for the duration of the semester.

MD Course *

MD Course

By signing, you attest that you taking one or more multiple delivery courses as detailed above. You further attest that you will regularly attend these courses in-person (at least 25%) throughout the semester. *

Please draw your signature to the best of your ability.

Human Verification *

Page last modified June 24, 2026

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