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 (Required)

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		Citizenship
Email Id		Degree
Field Of Study		B Number


Your new US Address:	Your Permanent Address in Your Home Country:

US Address 1		Foreign Address 1
US Address 2		Foreign Address 2
US City		Foreign City
US State		Foreign Province
US Postal Code		Foreign Country
Telephone No		Foreign Postal Code