This form is only for New Students that have arrived in the United States and are reporting directly to our office. Please fill out the following information. We will use this information ONLY for the purpose of registering your record with SEVIS, connecting you with your future mentor, and contacting a family or friend due to emergencies. USCIS immigration regulations require that you report any changes of this information to our office within 10 days.
Full Name as on passport, Date of Birth, Relationship (1 dependent per line)