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SEVIS Arrival Report
Country Contacts should use this report when their inbound students arrive in Colorado.
Use the form below to file an arrivalĀ report.
Student's Name
*
First
Last
Home Rotary District Number
*
Home Country
*
SEVIS Number
*
Sevis Status
*
Active
Inactive
Initial
Terminated
Transfered
No Show
Length of Program
*
Academic Year
Semester
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
*
Permanent
Welcome
Host Family Address
*
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Host Family Phone Number
*
School Name
*
School Address
*
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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
Comments
This field is for validation purposes and should be left unchanged.