International Student Office
800 US Hwy 29 N, Building H/700
Athens, GA 30601-1500
Fax: 706-583-2531
Change of Address Form
Return to: International Student Office/ Athens Technical College/ 800 US Hwy 29 N/ Athens, GA 30601/ fax: 706-369-5756
Immigration law requires students to update their physical address within 10 days of the change (Section 265 of the Immigration and
Nationality Act [8 U.S.C. 1305]). The International Student Office is not automatically notified when a student changes their address
through Banner or in another office on campus, so it is important that you notify the International Student Office with any changes
of address.
To Be Completed By Student
First Name: __________________________
Last Name: __________________________
SEVIS ID #: ___________________________
(This number is found on your SEVIS I-20 form in the top right hand corner, above the bar code. The “number” begins with the letter
“N.”)
Current Address
Address Line 1: ____________________________________________
Address Line 2: ____________________________________________
City, State, and Zip Code: _________________________________________________
Expired Phone Number (leave blank if no change): ________________________________________
New Address
Address Line 1: ____________________________________________
Address Line 2: ____________________________________________
City, State, and Zip Code: _________________________________________________
New Phone Number (leave blank if no change): ________________________________________
(Do not use a P.O. Box number. You must use the street address where you reside.)
Athens Technical College does not discriminate on the basis of race, color, creed, national or ethnic origin, gender, religion, disability, age, political affiliation or
belief, veteran status, or citizenship status (except in those special circumstances permitted or mandated by law). The following individuals have been designated to
coordinate the college's implementation of nondiscrimination policies: Celeste Taylor, Section 504 and the Americans with Disabilities Act (ADA) Coordinator,
Building H, Office H-748, 706-355-5081 and Dr. Leslie Crickenberger, Title VI, Title VII, and Title IX Coordinator, Building J, Office J-211, 706-355-5140.