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International Students - Confirm Information Form

Your A# (Student ID Number) is REQUIRED to complete this form
We must have a USA Address AND US Mobile Phone # on file to report to SEVP
PLEASE CHECK EVERYTHING FOR ACCURACY AND SPELLING BEFORE SUBMITTING!

First Name

Last Name

A# *

Email Address *

Permanent Address OUTSIDE OF U.S.A.

Permanent Address OUTSIDE OF U.S.A.

Permanent Address OUTSIDE OF U.S.A.

Country

Street

City

Region

Postal Code

Permanent phone # OUTSIDE OF U.S.A: *

Permanent Address INSIDE OF U.S.A.

USA ADDRESS *

USA ADDRESS *

Country

Street

City

Region

Postal Code

Permanent Mobile Phone # INSIDE OF U.S.A: *

Acknowledgements: *

Acknowledgements: *

I understand that I must attend residency each semester and be in class for 16 instructive hours.

I understand that If I have a change of address, I must notify the PDSO or DSO immediately with my written change of address.