International Student Information

Student Information

Please fill out this form anytime you have changes you need to report to the ISAP office (changes in your address, degree program, OPT employer, etc.).This form will be emailed to the ISAP office so we can update your records.
Name

First NameMiddle NameLast Name
US Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Country Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Alternate Phone Number

Area CodePhone Number
Personal Email Adress
University Email
@my.westga.edu
Student ID Number
Degree Type

UndergraduateGraduateCertificate/Specialist
Major
Are you a student on Optional Practical Training (OPT), or do you need to report your employer's information?

YesNo

Emergency Contact Information

Please provide the information of the person you would like our office to contact in the event of an emergency.
Emergency Contact Name

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Primary Phone Number

Area CodePhone Number
Alternate Phone Number

Area CodePhone Number
E-mail
Relationship to Student

Employer Reporting

Use this page to report your employer's information to the ISAP Office.
Graduation Date

MonthDayYear
OPT Start Date

MonthDayYear
OPT End Date

MonthDayYear
Please explain how your employment is related to your degree.
Employer Name
Employer's EIN Number
Electronic Identification Number
Job Title
Your job title at this employer
Employment Start Date

MonthDayYear
Employment End Date

MonthDayYear
Full Time or Part Time Employment

Part time (20 hours or less)Full time (more than 20 hours)
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Supervisor's Name

First NameLast Name
Supervisor's Phone Number

Area CodePhone Number
Supervisor's Email Address
REQUIRED
Please submit a copy of your EAD card

Upload a File

Cancelof
What are you planning to do when your OPT ends?

Enroll into another degree programSeek another visa type (such as H1-B)Leave the USA (after 60 day grace period)Other

Submit Your Changes
Your changes will be sent to the International Student Admissions & Programs Office to update your records.

Click Submit below to send your changes into the ISAP office.
Should be Empty:

Student Information