Student/Scholar/Faculty Change of Address/E-Mail Form


Federal SEVIS regulations require F and J students, scholars and faculty (including students who have graduated but are on optional practical or academic training) to notify the ISSS within ten days of any change in your U.S. address.

By reporting this change on this form, it will then be updated into SEVIS and you do not have to file a separate AR-11 form with the Department of Homeland Security.

You may also use this form to report a new e-mail address.


Address and E-Mail Information

Select one:
I am a
    Current F or J Student
    Former F or J Student on optional practical training or academic training
    J Scholar or Faculty


Last Name: First Name: Middle Name:
Field of Study: Degree:    
Citizenship:
Email Address:
Check if this is a new e-mail address

Your New US Address:

US Address1:

US Address2:
US City:
US State:
US Postal Code:

 

Your Permanent Address in Your Home Country:

Foreign Address1:
Foreign Address2:
Foreign City:
Foreign Province:
Foreign Country:
Foreign Postal Code:

 

Telephone No: