International Student Address Change

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	All F-1 students at Fitchburg State University are required to report any address, phone or email changes within 10 days of a relocation. Please note that U.S. immigration regulations require students to report their actual residential addresses. Temporary addresses are permitted.

1.	Your full name: (Last, First Middle) and student identification number (@XXXXXXXX)*

2.	What is your new U.S. address?*

3.	What is your cell phone number or U.S. phone number?*

4.	What is your email addess?* Please note that a copy of your responses for this form will be sent to this email address for your records.