Appendix C to Part 514--Update of Information on Exchange-Visitor
Program Sponsor
Please amend the United States Information Agency records for
Exchange-Visitor Program Number______________________ 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 From:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
(city) (state) (zip)
To:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
(city) (state) (zip)
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)
_________________________________________________________________
(Date)
_________________________________________________________________
(Title of Signing Officer)