International Student Information Form

Welcome to Syracuse University!
Please submit this form AFTER YOU ARRIVE IN THE UNITED STATES.

Personal Information
Current Date Current Date / MM / DD YYYY
SU ID #
Date of Arrival in the United States Date of Arrival in the United States / MM / DD YYYY
Last Name (Family)
First Name (Given)
VISA Type(F-1, J-1, H-4, etc.)
SU Email Address
Personal Email Address
Arrival Phone Arrival Phone - ### - ### ####
Current U.S. address, even if temporary (hotel etc.) Current U.S. address, even if temporary (hotel etc.)
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Dependent(s) Information
Are your Spouse and/or Children traveling with you?

Are your Spouse and/or Children traveling with you? Yes No
Please list the names and date of birth of all dependents
Emergency Contact Information
Emergency Contact Name
Does your Emergency Contact speak English?

Does your Emergency Contact speak English? Yes No
Indicate language spoken by your Emergency Contact
Emergency Contact Relationship

Emergency Contact Relationship Parent Spouse Other Other
Emergency Contact Email Address
Emergency Contact Phone
Spam Protection. Please answer this simple question:
What is "nine hundred" as a number?