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 International Student Services within one week, please email iss@bellevue.edu.

International Students Change of Address Form

First Name (Required)

Last Name (Required)

Bellevue University ID (Required)

Email (Required)

Phone (Required)

Effective Date of New Address (Required)

mm/dd/yyyy

New Street Address (Required)

Include apartment/unit number

New City (Required)

New State/Province (Required)

New ZIP/Postal Code (Required)

New Country (Required)

Is your physical address the same as your mailing address? (Required)

Yes

Mailing Street Address

Required if mailing address is different from physical address. Include apartment/unit number

Mailing City

Required if mailing address is different from physical address.

Mailing State/Province

Required if mailing address is different from physical address.

Mailing ZIP/Postal Code

Required if mailing address is different from physical address.

Mailing Country

Required if mailing address is different from physical address.