CHANGE OF ADDRESS/PERSONAL CONTACT INFORMATION

U.S. federal visa regulations require all Exchange Visitors to provide their visa sponsors with a current local U.S.

address and up-to-date personal contact information at all times. Accordingly, it is imperative that you inform the

Institute of International Education (IIE) of any subsequent change to your address or contact information. You

must report any change within ten (10) days of said change. You can report this change by completing and emailing

(PDF) this form to internatonalteachers@iie.org.

Important Notes:

Post Office Box (“P.O. Box”) or university campus mail box addresses are not acceptable.

Please provide a complete street address (Example: 123 House Street, Apt. 1, Any Town, Any State,

12345). If applicable, give the name of the residence hall and room number of where you are physically

residing.

If your mailing address is different than your physical residence address, then write it in the body of the

email you send to submit this form.

Failure to keep IIE informed of your current address and contact information can result in you being

considered out of status, and possibility result in the termination of your sponsorship.

Personal Address and Contact Information: Please complete all fields below. Please print clearly.

IIE ID # (Found on your Terms of Appointment) ____________________

FIRST NAME: _______________________________ LAST NAME: ________________________________

HOME COUNTRY: ____________________________

NAME OF HOST ORGANIZATION: ____________________________________________________________

NUMBER AND STREET NAME: ______________________________________________________________

BUILDING NAME AND ROOM # (if applicable): __________________________________________________

CITY: _______________________________ STATE: ________________ ZIP CODE (5 digits): _____________

E-MAIL ADDRESS: ____________________________ TELEPHONE NUMBER: _______________________

EFFECTIVE DATE OF CHANGE: _________________

________________________________________ _____________________

Signature of Exchange Visitor Date