International Students Change of Address Form

International students must complete and submit this form within ten (10) days of any change of address (see 8 CFR § 214.2(f)(17)).

Note: If you do not receive confirmation of this update from your immigration advisor within one week, please email [email protected].

Bold fields are required

NAME

TimeZone

First Name

Last Name

Bellevue University ID

NEW PHYSICAL ADDRESS

Effective Date of New Physical Address

Month Day Year

Physical Country

Physical Address Line 1
(include apartment/dorm number)

Physical Address Line 2

Physical City

Physical State/Province

Physical Zip/Postal Code

*Is your physical address the same as your mailing address?

MAILING ADDRESS

Mailing Address

Mailing City

Mailing State

Mailing Zip Code

ADDITIONAL CONTACT INFORMATION

Email Address

Confirm Email Address

Phone Number

Phone Number

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