Address Verification for Form I-20

Name:__________________________________________________________________

E-mail address:___________________________________________________________

******Attach a copy of your passport page showing legal name******

Permanent Home Address (note: this is a required field on the I-20 form)

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Mailing address where I-20 should be sent:

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Attach copy of passport page and return to:

Fax: 607.254.5175
Roni Searles
Admissions Processing Center
Cornell University
349 Pine Tree Road
Ithaca, NY 14850-2899