Please note this form is NOT for CCI Work and Travel participants.
If you are a Work and Travel participant, please validate/update your program via your online account at www.ccisevis.com.
PROGRAM OPTION: (Choose one)CCI-CAP InternCCI-CAP Trainee
SEVIS ID NUMBER (i.e. N000000000) (10 digits)LAST NAME: FIRST NAME: EMAIL ADDRESS: HOST ORGANIZATION ADDRESS / SITE OF ACTIVITY: (Where are you working?)
NAME OF HOST ORGANIZATION / COMPANY NAME:
ZIP CODE (#####):
U.S. HOUSING ADDRESS: (Where are you living?)