Address/Information Change Form for F-1 Student Visa Holders

Students in F-1 immigration status should complete this form to report any changes that affect your SEVIS record. If your home country address has changed, please use the box at the bottom to inform OISS/SEVIS of the new address. Thank you.

Required Information For All Sections

Name(Required)

First Last

Email(Required)

Student ID(Required)

If Moved in U.S.

New Address

U.S. Address Suite/Apartment City State Zip Code Home Country

U.S. Telephone Verification(Required)

On Campus Employer

Employer Name

Department

Start Date of Employment

End Date of Employment

Supervisor

Off-Campus Employer

Type of Employment

F-1 OPT

F-1 Econ. Hardship

F-1 CPT

Other

Employer/Company Name

Employer Address

Street Address Address Line 2 City State Zip Code Country

Start Date of Employment

End Date of Employment

Supervisor's Name

First Last

Supervisor's Contact Number

Travel or Other Information (SEVP 45 day notice in effect)

Travel Itineraries (to be submitted prior to travel out of the US) Expected Changes to SEVIS record

(RCL, CPT, OPT, AT, joint degree, financial changes, etc.)

Phone

This field is for validation purposes and should be left unchanged.

Request Information

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Online or On Campus

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Online or On Campus Old

Online

On Campus

Online Degree Type(Required)

Email Address(Required)

First Name(Required)

0 of 50 max characters

Last Name(Required)

0 of 50 max characters

I live outside the US

Address(Required)

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Address(Required)

0 of 75 max characters

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City(Required)

0 of 50 max characters

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Zip Code(Required)

Phone(Required)

By entering my first and last name above and clicking “Learn More” below, this shall constitute my electronic signature and I expressly agree that Regent University may call or text me for marketing purposes at the number I provide above, including through the use of an automatic telephone dialing system and/or artificial or prerecorded voice or message according to the TCPA Terms & Conditions below. Accepting this consent is not required to obtain any good or service.

Comments

This field is for validation purposes and should be left unchanged.

$2Thousand

Up to $2,000 tuition grant for eligible transfer students from the Virginia Community College System