J-1 AT Reporting Form - International Services Office

人妻少妇专区

While on Academic Training, you鈥檙e still considered a J-1 student sponsored by the 人妻少妇专区. You must notify ISO within 10 days of any of the following changes:

- You have a new address, phone number, or email: Fill out the form below
- New employment: Before you start working, fill out this PDF to get permission from ISO
- Changes with your current employer: Update employer information (PDF)
- Finishing early or extending: Report a change in completion date (PDF)

Please email ISO at with questions or concerns about these reporting requirements.

Reporting form

Complete the relevant form fields below. Contact ISO with any questions.

Identification

Full Name:(Required)

(Please list your name as it appears on your DS-2019)

Date of Birth:(Required)

University ID#:

Current Email:(Required)

Current Phone:(Required)

U.S. Residential Address

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Report End of Employment/Training

Employer Name:

End Date:

Supervisor Name & Contact:

Additional Information

Are you subject to 2-year Home Residency?:

Yes

Yes - Waiver pending

Unsure

Other Comments/Remarks: