Pt. 62, App. C
Appendix C to Part 62—Update of Information on Exchange-Visitor Program Sponsor
Please amend the Department of State records for Exchange-Visitor
assigned to ________ as follows:
(Name of institution/organization)
1. Change the name of the Program Sponsor
from the above to
2. Change the address of the Program Sponsor
3. () Change the telephone number from ____ to ____
() Change the fax number from ____ to ____
4. () Change the name of the Responsible Officer of the above program from ____ to ____
5. a. Delete the following Alternate Responsible Officer:
5. b. Add the following Alternate Responsible Officer:
(Citizenship is required for all Responsible and Alternate Responsible Officers-See Reverse)
6. () Send ___ (indicate number) IAP-66 forms. (PLEASE ALLOW FOUR TO SIX WEEKS FOR RESPONSE AND REMEMBER TO SUBMIT THE ANNUAL REPORT)
7. () Send ___ copies of this form.
8. () Send ___ copies of Codes for Educational and Cultural Exchange.
9. ( ) Cancel the above named Exchange Visitor Program.
(Signature of Responsible or Alternate Responsible Officer)
(Title of Signing Officer)