SEVIS Arrival Report

Country Contacts should use this report when their inbound students arrive in Colorado.

Student's Name*
First Last
Home Rotary District Number*
Home Country*
SEVIS Number*
Sevis Status*
Length of Program*
Arrival Date*
MM
DD
YYYY
Host Parent 1*
First Last
This is parent one or two, not Host Family 1
Host Parent 2*
First Last
This is the other parent in the household, not host family two.
Welcome or Permanent Host Family*
Host Family Address*
Street Address City State ZIP Code
Host Family Phone Number*
School Name*
School Address*
Street Address City State ZIP Code
Name of Person Reporting*
First Last
Name of Person Reporting Zip Code*
Email of Person Reporting*
Airport where the student arrived in Colorado:*
Host Club Name*
Host Club Counselor Name*
First Last
Host Club Counselor Email*
Host Club Counselor Phone*
Additional Information
Phone
This field is for validation purposes and should be left unchanged.