CHECK-IN and CHANGE OF ADDRESS FORM
All F-1 students must submit this Check-In Form at the beginning of every semester in order to register your SEVIS record. Students must submit this form by the ADD period deadline (first two weeks of the semester). Failure to check in may inactivate your SEVIS record. This form must also be used to report changes of address in the U.S.
Please select the purpose for completing this form
STUDENT INFORMATION
LAST/FAMILY NAME: *
Your answer
FIRST NAME: *
Your answer
NICKNAME:
Your answer
STUDENT ID#: *
Your answer
PHONE NUMBER: *
Your answer
PREFERRED EMAIL ADDRESS for SCHOOL UPDATES: *
Your answer
METHOD OF TRANSPORTATION:
ADDRESS IN THE U.S.: *
Building #, Street Name, Apartment # (Example: 4200 Farm Hill Blvd, Bldg 3-103)
Your answer
City *
(Example: Redwood City)
Your answer
State *
(Example: CA)
Your answer
Zip Code *
(US Postal Code example: 94061)
Your answer
Address in the U.S. is:
EMERGENCY CONTACT IN THE U.S.:
NAME: *
Your answer
RELATIONSHIP TO STUDENT: *
Your answer
PHONE: *
Your answer
EMAIL:
Your answer
ON-CAMPUS EMPLOYMENT (IF ANY):
Complete this section if you are working on-campus this semester. If you are not working on campus please leave blank.
CAMPUS OFFICE / ACTIVITY:
Your answer
SUPERVISOR'S NAME:
Your answer
YOUR PROGRAM OF STUDY
I am enrolled in a : *
YOUR MAJOR *
Your answer
PLANS AFTER CANADA COLLEGE *
If you are planning to transfer to a Bachelor's Degree Program (4 year university), where would you like to go?
Your answer
TRAVEL INFORMATION
This is my first semester
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I did NOT travel outside of the U.S.
I traveled outside of the U.S.
Download your most recent I-94 record at www.cbp.gov/i94 and bring it by the International Student Center, 3-103.
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PLEASE CHECK ALL THAT APPLY
Do you have any allergies, medical conditions, or are taking any medications that we should be aware of?:
Your answer
Thank you for completing the Check In Survey for this semester. Please come by our office in 3-103 or email caninternational@smccd.edu if you have any questions. Have a good semester!
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