First Name *

Last Name *

GVSU Email *

G-Number *

SEVIS ID Number (N00XXXXXXXX). Found on top right of your DS-2019. Please enter the last 8 digits. *

Please provide us with the US Address where you are living.
GVSU Housing Physical Addresses

Street Address (ex. 10515 Laker Village Dr.) *

Apartment Number (ex. Apt# 14B)

City *

State/Province *
- Select State Alabama Alaska American Samoa Arizona Arkansas Armed Forces Afr/Can/EU/ME Armed Forces Americas Armed Forces Pacific Baker Island California Colorado Connecticut Delaware Federated State of Micronesia Florida Georgia Guam Hawaii Howland Island Idaho Illinois Indiana Iowa Johnston Atoll Kansas Kentucky Kingman Reef Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Midway Islands Minnesota Mississippi Missouri Montana Navassa Island Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Palmyra Atoll Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Trust Territory of Pacific Utah Vermont Virgin Islands Virginia Wake Island Washington Washington D.C. West Virginia Wisconsin Wyoming

Zip/Postal *

US Cell Phone Number, if you have one

First Name *

Last Name *

Relationship (Father, Mother, Aunt, Brother, etc) *

Country *
- Select Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentine Republic Armenia Aruba Australia Austria Azerbaijan Azores Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Colombia Comoros Congo Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Do Not Use Do Not Use Do Not Use Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Islands Finland France French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda S Georgia Sandwich Islands Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent The Grenadines San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovak Republic Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka Sudan Suriname Svalbard Swaziland Sweden Switzerland Syria Taiwan, Rc Tajikistan Tanzania Thailand The Bahamas The Congo Togolese Republic Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States of America Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands (British) Virgin Islands (US) Wallis and Futuna Western Sahara Western Samoa Yemen Zambia Zimbabwe

Address 1 *

Address 2

City *

State/Province *
- Select State Alabama Alaska American Samoa Arizona Arkansas Armed Forces Afr/Can/EU/ME Armed Forces Americas Armed Forces Pacific Baker Island California Colorado Connecticut Delaware Federated State of Micronesia Florida Georgia Guam Hawaii Howland Island Idaho Illinois Indiana Iowa Johnston Atoll Kansas Kentucky Kingman Reef Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Midway Islands Minnesota Mississippi Missouri Montana Navassa Island Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Palmyra Atoll Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Trust Territory of Pacific Utah Vermont Virgin Islands Virginia Wake Island Washington Washington D.C. West Virginia Wisconsin Wyoming - Select Province Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon

Zip/Postal *

Phone Number, including Country Code *

Email

Upload a scan of the US student visa stamp in your passport. This should include the opposing page. *
Please upload a file with the extension .pdf with a maximum size of 6 MB (6144 KB)

Upload a scan of the first page of your DS-2019 that includes visa approval stamp. See example below. *
Please upload a file with the extension .pdf with a maximum size of 6 MB (6144 KB)

Upload your I-94 by visiting this website: https://i94.cbp.dhs.gov/I94/. You will click on "Get Most Recent I-94" follow the prompts. Once you see your "Most Recent I-94" you can click "Print" to save a .pdf version. *
Please upload a file with the extension .pdf with a maximum size of 6 MB (6144 KB)

• In compliance with the United States Citizenship and Immigration Service (USCIS), international undergraduate students are required to carry a minimum of 12 credit hours each semester. International graduate students are required to carry a minimum of 9 credit hours each semester. For that reason, students must have the approval of the Director of International Students and Scholar Services before adding, dropping, or changing classes.
• Students on J-1 visas are permitted to work on-campus up to a maximum of 20 hours per week. You are required to have a social security number for work purposes.
• Any student wishing to leave the country either for travel or vacation must have their DS-2019 form endorsed each time by the Director of International Students and Scholar Services or the Coordinator of Outreach and International Students. For the endorsement, please allow a minimum of 2 days notice prior to the intended departure date. It is the responsibility of the student to make sure that the DS-2019 has this signature. There will not be problems for the student to leave the country, but without the signature, re-entry may be denied.
• Students that change their on-campus address must notify the Director of International Students and Scholar Services immediately. The Director will also need to be notified and updated on changes to the permanent address in the student's home country for communication that is sent after the student returns home. Additionally, students must complete the Federal Form AR-11 when any address change is made while at the University. This form can be found at www.uscis.gov or stop by the Padnos International Center for a copy.
• Every student on a J-1 visa is required to maintain a minimum amount of insurance coverage for the duration of their program.
• Detailed regulations are available at the United States Citizenship and Immigration Service website: www.uscis.gov

Please confirm that you have read the regulations outlined above. *
Yes, I have read the J-1 Regulations

By signing you confirm:

• that these are true copies of your original documents
• that you have read and agree to comply with the F-1 Regulations
• that you understand that not complying with the above regulations will result in a violation of your immigration status
• that you have been informed that your information will be released to Immigration through the SEVIS system