I-20 CHANGE REQUEST

Personal Information


As written on your passport

As written on your passport

As written on your passport






















The start term as listed on your I-20 (e.g., Fall 2022, Spring 2023, etc.)

(e.g., Fall 2025, Spring 2026, etc.)
FOREIGN ADDRESS






UNITED STATES PHYSICAL ADDRESS



If you don't know your Dorm & Room # yet, you can simply put "I don't know yet."









Reason for Requesting New I-20






(e.g., Fall 2022, Spring 2023, etc.)

NEW PHYSICAL ADDRESS
Please provide your new physical address:






DEPENDENTS