SEVIS Validation Form

When completing this form, it is imperative that you take your time and fill in all the information in full and correctly. If you do not complete the form correctly, we cannot activate your SEVIS, and this may cause issues such as a delayed start date or inability to apply for Social Security in a timely manner.

Are you activating or updating SEVIS? (Please note: if you have done a J1 program before, you have to activate each new program since the DS-2019/SEVIS number is new. For example, if you did work and travel in 2021, and now you are on another work and travel in 2023, you need to activate your 2023 SEVIS record. Or, if you did a work and travel in 2021 and are now doing an internship in 2023, you need to activate your 2023 internship SEVIS record. If you are unsure, it's best to ask your coordinator, rather than complete it incorrectly.)*

J1 Program*

What are you updating (you can choose more than one)?

Email AddressPhone NumberEmployer InformationHousing Information

Name (as printed on the DS 2019 form)*

First NameMiddle NameLast Name

Email*

example@example.com

DS Form #*

ex: N000123456789

Your Citizenship Country:*

Port of Entry in US:*

Arrival Date in USA:*

MonthDayYear

I-94 Number*

Sponsor on DS Form:*

Start Date on DS Form:*

MonthDayYear

E-mail Address:

My US Phone Number:*

Area Code (this section can only be 3 digits formatted as ###)Phone Number (this section can only be 7 digits formatted as ###-####) Enter 000-000-0000 if you do not have one yet and come back and fill out the form again once you get one.

HOST EMPLOYER

Site of Activity (as printed on the DS 2019 form):*

Name of Business

Site of Activity Address (as printed on the DS 2019 form):*

Site of Activity City:*

Site of Activity Zip Code:*

Site of Activity State:*

My Employer Phone Number (note: 661-299-4714 is LifeTRAVELED's phone number, not your employer's phone number)*

Area CodePhone Number

HOUSING

If you do not enter your housing address correctly, then we will be unable to activate your SEVIS. Please check with your landlord for the correct way to write your address.

The USA address format is

Street Number Street Name Apartment or Room Number

City State Zip Code

For example,

1234 Apple Street #2

Los Angeles, California 90005

You must enter your address for where you currently are living. If you arrived to the USA early and are not in your permanent housing yet, you need to use your temporary address to activate SEVIS, and then update SEVIS when you move. SEVIS must always be 100% accurate to where you are currently residing.

The exchange visitor is expected to reside at the approved location throughout the duration of their program.

Should the exchange visitor wish to change their housing from what has been confirmed with LifeTRAVELED, they must submit a Self-Housing Vetting Form to have the new housing vetted and approved by LifeTRAVELED.

It is imperative that the address used for SEVIS activation and record matches the address where the exchange visitor is actually living. Only the address that has been approved for residence should be used for SEVIS purposes. This disclosure ensures that participants are aware of their obligations regarding housing and the importance of maintaining accurate SEVIS records.

HOUSING INFO: Apartment Community/ Hotel Name:*

Name of Community/Hotel

Housing Address: Street Number and Name*

Apartment/Room # (if you are in an apartment, you MUST write your apartment number, or we cannot activate your SEVIS) (if you are in a hotel, you MUST write your room number, or we cannot activate your SEVIS)*

Housing Zip Code*

Housing City*

Housing State*

Is this housing temporary? Temporary housing is typically hotel style and provided for the first 1-2 weeks by your host employer until you are able to locate housing for the duration of your program. *

Your SEVIS record must always be accurate. I acknowledge that I must resubmit the SEVIS registration form once Iocate the program housing I will be using for the duration of my program. I understand I must submit a change request (within ten days of the change to have SEVIS updated by LifeTRAVELED. Not doing so will result in termination of my program.*

I acknowledge