J-1 AT Reporting Form - International Services Office

While on Academic Training, you’re still considered a J-1 student sponsored by the University of Rochester. You must notify ISO within 10 days of any of the following changes:

You have a new address, phone number, or email: Fill out the form below
New employment: Before you start working, fill out this PDF to get permission from ISO
Changes with your current employer: Update employer information (PDF)
Finishing early or extending: Report a change in completion date (PDF)
End of your program or early departure: Report with the Student Departure Form

Please email ISO at questions@iso.rochester.edu with questions or concerns about these reporting requirements.

Reporting form

Complete the relevant form fields below. Contact ISO with any questions.

Identification

Full Name:(Required)

(Please list your name as it appears on your DS-2019)

Date of Birth:(Required)

University ID#:

Current Email:(Required)

Current Phone:(Required)

U.S. Residential Address

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Report End of Employment/Training

Employer Name:

End Date:

Supervisor Name & Contact:

Additional Information

Are you subject to 2-year Home Residency?:

Yes

Yes - Waiver pending

Unsure

Other Comments/Remarks: