J-1 EXCHANGE VISITOR (DS2019) EXTENSION FOR SCHOLARS

Size: px
Start display at page:

Download "J-1 EXCHANGE VISITOR (DS2019) EXTENSION FOR SCHOLARS"

Transcription

1 International Programs Laurel Hall on the Oval Fort Collins, CO Phone: (970) Fax: (970) J-1 EXCHANGE VISITOR (DS2019) EXTENSION FOR SCHOLARS THIS HANDOUT OUTLINES THE PROCEDURES TO FOLLOW IF YOU NEED TO EXTEND YOUR PERMISSION TO STAY IN THIS COUNTRY TO ACHIEVE YOUR ORIGINAL OBJECTIVE AS A J-1 EXCHANGE VISITOR. WHEN TO EXTEND YOUR PERMISSION TO STAY IN THE U.S. WILL EXPIRE 30 DAYS AFTER THE END DATE SHOWN IN ITEM 3 OF YOUR DS PLEASE NOTE THAT YOU ARE NOT ELIGIBLE TO WORK DURING 30-DAY GRACE PERIOD, BUT ARE ELIGIBLE TO REMAIN IN THE UNITED STATES. UNDER FEDERAL REGULATIONS, IF AN EXTENSION IS NEEDED, IT MUST BE COMPLETED BY THE EXPIRATION DATE ON YOUR DS ELIGIBILITY YOU ARE ELIGIBLE TO APPLY FOR AN EXTENSION OF STAY IF: YOU ARE WORKING TOWARD THE OBJECTIVE SHOWN ON YOUR MOST RECENT DS-2019; YOU ARE MAINTAINING YOUR STATUS AS A J-1 EXCHANGE VISITOR; YOU CAN DEMONSTRATE ADEQUATE FUNDING FOR THE PERIOD OF THE PROPOSED EXTENSION; AND YOUR EXTENSION WILL NOT CARRY YOU BEYOND FIVE YEARS AS A J-1 VISITING PROFESSOR OR RESEARCH SCHOLAR, OR SIX MONTHS AS A SHORT-TERM SCHOLAR. YOU HAVE ADEQUATE HEALTH INSURANCE COVERAGE FOR YOU (AND ANY DEPENDENTS). PROCEDURES AT LEAST 30 DAYS BEFORE YOUR PERMISSION TO STAY EXPIRES, PLEASE PROVIDE THE FOLLOWING ITEMS TO THE INTERNATIONAL STUDENT AND SCHOLAR SERVICES OFFICE: A. J-1 EXCHANGE VISITOR EXTENSION REQUEST FORM B. LETTER FROM ADVISER STATING DURATION OF EXTENSION C. ADEQUATE FUNDING OR PROOF OF FINANCIAL SUPPORT I. IF FUNDED BY CSU, A LETTER FROM DEPARTMENT INDICATING THE SUFFICIENT AMOUNT. II. IF FUNDED BY ANOTHER SOURCE PLEASE SUPPLY A LETTER FROM YOUR SPONSOR SHOWING A FINANCIAL COMMITMENT FOR THE EXTENSION PERIOD ALONG WITH AN ACCOMPANYING BANK STATEMENT. D. SIGNED HEALTH INSURANCE COMPLIANCE FORM E. ADMINISTRATION FEE OF $45.00 (CHECK/MONEY ORDER MADE PAYABLE TO CSU ) FINANCIAL SUPPORT INFORMATION: BEFORE A DS2019 DOCUMENT CAN BE ISSUED, PROOF OF ADEQUATE FINANCIAL SUPPORT MUST BE PROVIDED WITH THIS APPLICATION. MINIMUM FUNDING REQUIREMENTS FOR J-1 EXCHANGE VISITORS: ESTIMATED COSTS: LIVING EXPENSES PER MONTH LIVING EXPENSES PER YEAR Research Scholar/Professor/Short Term $ $17400 Scholar/Specialist ADDITIONAL EXPENSES: Spouse $ $ Child $ $

2 1024 Campus DelivERY J-1 EXCHANGE VISITOR EXTENSION REQUEST FORM (SCHOLAR) FULL LEGAL NAME AS IT APPEARS ON YOUR PASSPORT: FAMILY NAME (LAST NAME) MIDDLE NAME GIVEN NAME (FIRST NAME) CSU ID #: - - TODAY S DATE LOCAL ADDRESS: NUMBER AND STREET APT.# CITY STATE ZIPCODE LOCAL PHONE NUMBER: ( ) WORK PHONE NUMBER ( ) ADDRESS: COUNTRY OF CITIZENSHIP: DATE OF BIRTH: (MONTH/DAY/YEAR) ORIGINAL U.S. ENTRY DATE: EXTENSION DATES: START DATE END DATE DO YOU HAVE DEPENDENTS CURRENTLY IN THE U.S.? YES NO IF YES, HOW MANY? ARE YOU SUBJECT TO THE 2-YEAR HOME RESIDENCY REQUIREMENT? HAVE YOU APPLIED FOR A WAIVER OF THIS REQUIREMENT? YES YES NO NO IF YES, HAS YOUR WAIVER BEEN GRANTED? YES NO SUBMISSION CHECKLIST: J-1 EXCHANGE VISITOR EXTENSION REQUEST FORM LETTER FROM ADVISER STATING DURATION OF EXTENSION ADEQUATE FUNDING OR PROOF OF FINANCIAL SUPPORT I. IF FUNDED BY CSU, A LETTER FROM DEPARTMENT INDICATING THE SUFFICIENT AMOUNT. II. IF FUNDED BY ANOTHER SOURCE PLEASE SUPPLY A LETTER FROM YOUR SPONSOR SHOWING A FINANCIAL COMMITMENT FOR THE EXTENSION PERIOD ALONG WITH AN ACCOMPANYING BANK STATEMENT. SIGNED HEALTH INSURANCE COMPLIANCE FORM ADMINISTRATION FEE OF $45.00 (CHECK/MONEY ORDER MADE PAYABLE TO CSU)

3 J-1 EXCHANGE VISITOR HEALTH INSURANCE REQUIREMENTS ACCORDING TO IMMIGRATION REGULATIONS (22 CFR S62.14), J-1 EXCHANGE VISITORS AND ACCOMPANYING J-2 DEPENDENTS ARE REQUIRED TO MAINTAIN COMPREHENSIVE MEDICAL INSURANCE WITH EVACUATION AND REPATRIATION COVERAGE THAT MEETS U.S. GOVERNMENT MINIMUM REQUIREMENTS BEGINNING ON THE START DATE OF THE J-1 PROGRAM (INDICATED IN ITEM 3 OF THE DS-2019) CONTINUING TO THE END OF THE J-1 PROGRAM. THERE CANNOT BE ANY BREAKS OR LAPSES IN INSURANCE COVERAGE EVEN IF ONE TRAVELS OUTSIDE THE U.S FOR AN EXTENDED PERIOD OF TIME DURING THE J PROGRAM. AS PER THE U.S DEPARTMENT OF STATE REGULATIONS, ISSS IS REQUIRED TO TERMINATE THE SEVIS RECORD OF AN EXCHANGE VISITOR WHO: 1) DOES NOT PROVIDE ISSS WITH A VALID INSURANCE COMPLIANCE FORM BY THE START OF THE CSU J PROGRAM; AND 2) DOES NOT SUBMIT AN UPDATED INSURANCE COMPLIANCE FORM WHEN THE PREVIOUSLY REPORTED INSURANCE EXPIRES OR S/HE SEEKS TO EXTEND THE J-1 PROGRAM. THE WILLFUL FAILURE TO CARRY THE REQUIRED INSURANCE FOR YOURSELF AND, IF APPLICABLE, YOUR DEPENDENTS, OR MATERIAL MISREPRESENTATION OF INSURANCE COVERAGE WILL RESULT IN THE TERMINATION OF YOUR J PROGRAM AND LEGAL STATUS IN THE U.S. COMPREHENSIVE INSURANCE MINIMUM REQUIREMENTS STARTING MAY 15, 2015: The J insurance coverage must provide the following minimum coverage: Minimum medical benefit of $100,000 per person per accident or illness; Deductible that does not exceed $500 per accident or illness; Minimum repatriation of remains in the amount of $25,000; Minimum medical evacuation expenses in the amount of $50,000; and Co-insurance paid by J-1 not to exceed 25% of covered benefits per accident or illness. Insurance policies: May require a waiting period for pre-existing conditions that is reasonable as determined by current industry standards; and Must not unreasonably exclude coverage for the perils inherent to the activities of the exchange program in which you participate. Any policy, plan, or contract secured to fill the J insurance requirements must at minimum be: Underwritten by an insurance corporation having: o An A.M. Best rating of A- or above; or o A McGraw Hill Financial/Standard & Poor Claims-paying Ability rating of A- or above; or o A Weiss Research, Inc. rating of B+ or above; or o A Fitch Ratings, Inc. rating of A- or above; or o A Moody s Investor Services rating of A3 or above; or Be backed by the full faith and credit of the exchange visitor s home country; or Part of a health benefits program offered on a group basis to employees or enrolled students by a designated sponsor; or Offered through or underwritten by a federally qualified Health Maintenance Organization or eligible Competitive Medial Plan as determined by the Centers of Medicare and Medicaid Services of the U.S. Department of Health and Human Services

4 If you are a paid employee of CSU, you may be eligible for medical insurance coverage depending upon the terms of your appointment. Please check with your hiring department to verify your eligibility. IF YOU ARE A CSU EMPLOYEE ELIGIBLE FOR HEALTH INSURANCE, PLEASE BE AWARE OF THE FOLLOWING: THE ONLY CSU POLICY THAT MEETS THE MEDICAL AND DEDUCTIBLE MINIMUM REQUIREMENT FOR THE J-1 VISA IS THE ANTHEM POINT OF SERVICE(POS)PLAN. IF YOU ARE ENROLLED IN THIS INSURANCE YOU WILL NEED TO ALSO ENROLL IN AN ADDITIONAL PLAN WHICH PROVIDES REPATRIATION AND MEDICAL EVACUATION. IF YOU CHOOSE THE CSU GREEN OR GOLD PLAN YOU WILL NEED TO ALSO ENROLL IN AN ADDITIONAL PLAN THAT MEETS ALL THE J-1 MINIMUM REQUIREMENTS. THESE INSURANCE PLANS DO NOT MEET THESE REQUIREMENTS. For further information: All other J-1 Exchange Visitors must obtain your own private insurance that meets the minimum requirements. PLEASE NOTE: ISSS DOES NOT REVIEW POLICIES TO DETERMINE MINIMUM REQUIREMENTS YOU MUST CONSULT DIRECTLY WITH THE INSURANCE COMPANY. WE DO NOT ENDORSE OR RECOMMEND ANY ONE INSURANCE PROGRAM OVER ANOTHER. THE FOLLOWING IS A LIST OF INSURANCE COMPANIES AVAILABLE ONLINE: *AMA & Associates Associate Insurance Plans International, Inc. *BETiNS *CMI Insurance Compass Benefits *Co-ordinated Benefit Plans, Inc. and Cultural Insurance Services International (CISI) *FrontierMEDEX *Gallagher Koster *GatewayConnexions International Plans Health Benefit Concepts, Inc. HTH Worldwide *Insurance for Students, Inc. - IFS *International Medical Group (IMG) *International Student Insurance On Call International *The Harbour Group *Trawick International, Inc. *T.W. Lord & Associates Electronic mail to: *VISIT Wallach & Company *Companies that have a star in front of them offer repatriation and medical evacuation insurance that you can purchase separately.

5 Name: CSU Start Date CSU End Date Please check one of the following: 1. I am enrolled in the Anthem Blue Point of Service Plan and a separate policy for repatriation and Medical Evacuation (Please provide information below). EVACUATION & REPATRIATION COVERAGE: The policy indicated below will cover (check all that apply): Me, the J-1 primary All of my J-2 dependents Insurance Company Name: Company Address: INSURANCE COMPLIANCE INFORMATION Company Phone: Company Policy/Group Number: Insurance Start Date: Insurance End Date: 2. I am enrolled in the Anthem GREEN or GOLD Plan and a non-csu plan which meets all of the J-1 Requirements (Please provide information below). 3. I am enrolled in a non-csu plan which meets all of the J-1 requirements. (Please provide the information below). COMPREHENSIVE MEDICAL/HEALTH INSURANCE COVERAGE WHICH INCLUDES MEDICAL EVAUCATION AND REPATRIATION The policy indicated below will cover (check all that apply) Me, the J-1 primary All of my J-2 dependents Insurance Company Name: Company Address: Company Phone: Company Policy/Group Number: Insurance Start Date: Insurance End Date: I certify under penalty of perjury that the above information is true and correct. I confirm my, and if applicable, my J-2 dependent(s), insurance coverage meets the U.S. Department of States requirements as outlined in 22 CFR S I understand it is my responsibility to provide proof of continuous insurance coverage to ISSS throughout my J program. I understand that if I fail to obtain and maintain adequate health, repatriation, and evacuation insurance for myself and my J-2 dependents (if applicable) for the duration of the J program, Colorado State University will be required to terminate my J program which will result in my loss of my legal J-1 immigration status and the J-2 status of any dependents accompanying me. Signature: Date

HEALTH INSURANCE COVERAGE ~ MANDATORY

HEALTH INSURANCE COVERAGE ~ MANDATORY HEALTH INSURANCE COVERAGE ~ MANDATORY PURCHASING INSURANCE OUTSIDE OF UAF: Currently, UAF does not offer an employee health insurance plan that complies with the U.S. Department of State requirements.

More information

DS-2019 Request Form Updated 3/27/15

DS-2019 Request Form Updated 3/27/15 DS-2019 Request Form Updated 3/27/15 Background: The J-1 Exchange Visitor Program The Exchange Visitor Program is managed by the U.S. Department of State. Its purpose is to increase mutual understanding

More information

International Student and Scholar Services Middle Tennessee State University. J-1 Visitor s Handbook

International Student and Scholar Services Middle Tennessee State University. J-1 Visitor s Handbook International Student and Scholar Services Middle Tennessee State University J-1 Visitor s Handbook Table of Contents Important Documents and Acronyms...1 Your Activities as a J-1 Visitor...3 Time Limits...4

More information

J-1 Exchange Visitor Program Information Request Package

J-1 Exchange Visitor Program Information Request Package J-1 Exchange Visitor Program Information Request Package New Jersey Institute of Technology has authorization to extend visa scholarship to foreign professors, researchers, specialists and short-term scholars

More information

DS-2019 Request Form

DS-2019 Request Form DS-2019 Request Form Name of Department and faculty or staff member completing form The primary purpose of J-1 scholars programs is for academic exchange, therefore J-1 visas are not appropriate for tenure-track

More information

AGREEMENT TO HOST J-1 EXCHANGE VISITOR & J-2 DEPENDENTS (DS-2019 Worksheet)

AGREEMENT TO HOST J-1 EXCHANGE VISITOR & J-2 DEPENDENTS (DS-2019 Worksheet) AGREEMENT TO HOST J-1 EXCHANGE VISITOR & J-2 DEPENDENTS (DS-2019 Worksheet) Return to Tina Sickinger and/or Cheryl Barnett, Center for Int l Education 6514 Phone: 453-5774 tschiff@siu.edu; cbarnett@siu.edu

More information

J-1 Exchange Visitors

J-1 Exchange Visitors THE UNIVERSITY OF TEXAS AT EL PASO J-1 Exchange Visitors INSTRUCTIONS & APPLICATION INFORMATION / UTEP DEPARTMENTS 2014-2015 WHAT IS A J-1 EXCHANGE VISITOR? The J-1 visa is used for foreign national exchange

More information

Application Guide Short-term Program at Brooklyn College

Application Guide Short-term Program at Brooklyn College Phone: 718 951 4477 Fax: 718 951 4287 Application Guide Short-term Program at Brooklyn College Phone: 718 951 4477 Fax: 718 951 4287 Dear Student: Brooklyn College welcomes students from around the world.

More information

Health Insurance Coverage for International Students

Health Insurance Coverage for International Students POLICY STATEMENT Health Insurance Coverage for International Students General Policy: The University of Mississippi requires that all non-u.s. citizens (=international) students who hold a temporary nonimmigrant

More information

Return all required documentation and completed application packet to: Karen Hill Office of Human Resources Florida Tech Work Building

Return all required documentation and completed application packet to: Karen Hill Office of Human Resources Florida Tech Work Building BRINGING A J VISITOR TO FLORIDA TECH REVISED: May 1, 2015 FROM: Jackie Lingner, jlingner@fit.edu Associate Director, International Student & Scholar Services Florida Tech Commons, Room 334 321-674-8053

More information

SUPPORTING DOCUMENTATION FOR NON-NIH VISITING PROGRAM PARTICIPANT: Professional Services Contract

SUPPORTING DOCUMENTATION FOR NON-NIH VISITING PROGRAM PARTICIPANT: Professional Services Contract (Date) TO: Immigration Specialist, ISB, FIC FROM: Key Contact, (ICD) SUBJECT: SUPPORTING DOCUMENTATION FOR NON-NIH VISITING PROGRAM PARTICIPANT: Check appropriate items: 1. Category: Guest Researcher Exchange

More information

J-1 EXCHANGE VISITOR REQUEST FORM FOR VISA DOCUMENTS

J-1 EXCHANGE VISITOR REQUEST FORM FOR VISA DOCUMENTS J-1 EXCHANGE VISITOR REQUEST FORM FOR VISA DOCUMENTS Section 1 Visitor Information: UHV Academic School or department representative must obtain the following information from the visitor and dependents

More information

Flow Chart International Visiting Scholars

Flow Chart International Visiting Scholars Page 1 of 6 Flow Chart International Visiting Scholars Academic Department Sponsoring WPI faculty member initiates request to invite the international visiting scholar. Completes the Visa Documentation

More information

USF Exchange Visitor/Scholar REQUEST FORM

USF Exchange Visitor/Scholar REQUEST FORM USF Exchange Visitor/Scholar REQUEST FORM International Services, USF World 4202 E Fowler Ave, CGS 101 Tampa, FL 33620 Phone: 813-974-5102 Fax: 813-974-0491 International Services is responsible for administering,

More information

Preliminary DS-2019 Checklist

Preliminary DS-2019 Checklist Preliminary DS-2019 Checklist This form should not be sent to the potential Exchange Visitor to complete. This form is for the department to collect information from the EV for the production of the actual

More information

Health Insurance Information International Students

Health Insurance Information International Students Health Insurance Information International Students Health services can be extremely costly without adequate insurance coverage. Therefore, all international students at the University of Tennessee at

More information

Place this completed checklist on top of the application you send to Cultural Vistas.

Place this completed checklist on top of the application you send to Cultural Vistas. Place this completed checklist on top of the application you send to Cultural Vistas. Expedited Application Review: 5 business-day review (Additional Cost) participant and host company information Expedited

More information

DS-2019 Application for J-1 Exchange Visitors

DS-2019 Application for J-1 Exchange Visitors International Affairs MTSU-Box120 Murfreesboro, TN 37132 Email:international@mtsu.edu www.mtsu.edu/international DS-2019 Application for J-1 Exchange Visitors Plans to invite an individual in J-1 status

More information

ADMISSION DEADLINES F 1 TRANSFER STUDENTS ALREADY STUDYING IN THE UNITED STATES

ADMISSION DEADLINES F 1 TRANSFER STUDENTS ALREADY STUDYING IN THE UNITED STATES Dear Applicant, Thank you for your interest in Tidewater Community College! Enclosed are the TCC I 20 Application and Financial Affidavit. Please refer to the included F1 Admission Checklist for a list

More information

General Information About the J-1 Exchange Visitor Program and Instructions for Departments Requesting Form DS-2019

General Information About the J-1 Exchange Visitor Program and Instructions for Departments Requesting Form DS-2019 International Center 219 University Center 303 East Kearsley Street Flint, MI 48502-1950 Email: ic@umflint.edu Phone: 810-762-0867 Fax: 810-762-0006 General Information About the J-1 Exchange Visitor Program

More information

2015-2016 Exchange Visitor (J Visa) Regulations Handbook

2015-2016 Exchange Visitor (J Visa) Regulations Handbook 2015-2016 Exchange Visitor (J Visa) Regulations Handbook DASHEW CENTER FOR INTERNATIONAL STUDENTS & SCHOLARS www.internationalcenter.ucla.edu intl@saonet.ucla.edu Phone: (310) 825-1681 Fax: (310) 206-1612

More information

2013-2014. The Ohio State University Visiting Scholars Accident & Sickness Insurance Plan. Frequently Asked Questions

2013-2014. The Ohio State University Visiting Scholars Accident & Sickness Insurance Plan. Frequently Asked Questions 2013-2014 The Ohio State University Visiting Scholars Accident & Sickness Insurance Plan Frequently Asked Questions Whom do I contact if I have questions or need help? Questions about what is covered,

More information

Health Insurance Guide

Health Insurance Guide Health Insurance Guide For J- 1 Visa Scholars and their J- 2 Bechtel International Center Stanford University 584 Capistrano Way, Stanford, CA 94305 Information Intended for International Scholars on J

More information

EXCHANGE PROGRAM APPLICATION INSTRUCTIONS

EXCHANGE PROGRAM APPLICATION INSTRUCTIONS EXCHANGE PROGRAM APPLICATION INSTRUCTIONS INCOMING STUDENTS GENERAL INSTRUCTIONS 1. The deadline to submit exchange program applications is the last Friday of October for Spring term exchanges and the

More information

IMPORTANT THE DS-2019 IS A LEGAL U.S. IMMIGRATION DOCUMENT ISSUED BY THE UNIVERSITY OF ARIZONA SPECIFICALLY FOR YOU.

IMPORTANT THE DS-2019 IS A LEGAL U.S. IMMIGRATION DOCUMENT ISSUED BY THE UNIVERSITY OF ARIZONA SPECIFICALLY FOR YOU. International Faculty & Scholars IMPORTANT THE DS-2019 IS A LEGAL U.S. IMMIGRATION DOCUMENT ISSUED BY THE UNIVERSITY OF ARIZONA SPECIFICALLY FOR YOU. DUE TO NEW, VERY STRICT IMMIGRATION RULES AND REGULATIONS,

More information

Frequently Asked Questions For Ivy Tech Community College of Indiana 2013-2014 International Student Health Insurance Plan

Frequently Asked Questions For Ivy Tech Community College of Indiana 2013-2014 International Student Health Insurance Plan Frequently Asked Questions For Ivy Tech Community College of Indiana 2013-2014 International Student Health Insurance Plan Table of Contents Important Contact Information... 2 I have questions about what

More information

Deficiencies in English or in academic preparation will lengthen your period of study.

Deficiencies in English or in academic preparation will lengthen your period of study. INFORMATION FOR USE IN COMPLETING THE FINANCIAL RESOURCES STATEMENT Under the regulations of the U.S. Immigration and Naturalization Service, the University of Michigan is required to obtain proof that

More information

Blessings to you from Charis Bible College,

Blessings to you from Charis Bible College, Blessings to you from Charis Bible College, Thank you for your interest in our school. We are pleased that your desire is to study the Word and the good news of the gospel with us. The first step in the

More information

J-1 EXCHANGE VISITOR (SCHOLAR) REQUEST INSTRUCTIONS FOR DEPARTMENTS

J-1 EXCHANGE VISITOR (SCHOLAR) REQUEST INSTRUCTIONS FOR DEPARTMENTS J-1 EXCHANGE VISITOR (SCHOLAR) REQUEST INSTRUCTIONS FOR DEPARTMENTS INTRODUCTION The International Center, through International Student and Scholar Services, administrates the university s exchange visitor

More information

Instructions for applying for a 17-month OPT extension for degrees in the STEM category

Instructions for applying for a 17-month OPT extension for degrees in the STEM category Instructions for applying for a 17-month OPT extension for degrees in the STEM category A 17-month OPT extension may be available to F-1 students currently participating in a period of standard OPT, working

More information

2015 UCI Summer Session: Application and Enrollment Form for Visiting International Students

2015 UCI Summer Session: Application and Enrollment Form for Visiting International Students 2015 UCI Summer Session: Application and Enrollment Form for Visiting International Students 1. PERSONAL INFORMATION TYPE or PRINT CLEARLY your name EXACTLY as it appears on your passport. Application

More information

Carnegie Mellon University Office of International Education Warner Hall, Third Floor Pittsburgh, PA 15213 USA

Carnegie Mellon University Office of International Education Warner Hall, Third Floor Pittsburgh, PA 15213 USA Carnegie Mellon University INSTRUCTIONS The information requested on the International Student Information form is required from you to issue a Certificate of Eligibility (I-20 or DS-2019) for Carnegie

More information

J 1 Scholar Department Sponsorship

J 1 Scholar Department Sponsorship J 1 Scholar Department Sponsorship The purpose of the J 1 Exchange Visitor Program is to increase the mutual understanding between the people of the United States and the people of other countries by means

More information

2012-2013. Stand Alone Medical Evacuation and Repatriation Insurance Plan. Policy No. CLSP0004-12 For International Students of

2012-2013. Stand Alone Medical Evacuation and Repatriation Insurance Plan. Policy No. CLSP0004-12 For International Students of 2012-2013 Stand Alone Medical Evacuation and Repatriation Insurance Plan Policy No. CLSP0004-12 For International Students of 1876 THE TEXAS A&M UNIVERSITY SYSTEM Direct All Inquiries to the Plan Administrator:

More information

EXCHANGE VISITOR SPONSORSHIP PROGRAM REFERENCE GUIDE

EXCHANGE VISITOR SPONSORSHIP PROGRAM REFERENCE GUIDE EXCHANGE VISITOR SPONSORSHIP PROGRAM REFERENCE GUIDE Rev. APRIL 2015 EDUCATIONAL COMMISSION FOR FOREIGN MEDICAL GRADUATES Committed to promoting excellence in international medical education CONTENTS INTRODUCTION...

More information

Rocky Mountain Health Plans Individual Application

Rocky Mountain Health Plans Individual Application Plans underwritten by Rocky Mountain HMO (RMHMO) 1A Rocky Mountain Health Plans Individual Application Thank you for choosing Rocky Mountain Health Plans (RMHP) for your health care coverage. Here are

More information

HEALTH INSURANCE FOR VISITING INTERNATIONAL SCHOLARS - A COMPLEX BUT IMPORTANT ISSUE -

HEALTH INSURANCE FOR VISITING INTERNATIONAL SCHOLARS - A COMPLEX BUT IMPORTANT ISSUE - HEALTH INSURANCE FOR VISITING INTERNATIONAL SCHOLARS - A COMPLEX BUT IMPORTANT ISSUE - The US State Department requires all J-1 visa holders and their dependents to carry health insurance with specific

More information

Health and Dental Insurance Coverage

Health and Dental Insurance Coverage Application for Health and Dental Insurance Coverage Who can use this application? Apply faster online. Use this application for yourself and anyone in your household who needs health or dental insurance

More information

REQUEST FOR FORM DS-2019 INSTRUCTIONS

REQUEST FOR FORM DS-2019 INSTRUCTIONS INSTRUCTIONS Office of International Students and Scholars 120 Fitzgerald Student Services Building/0074 Reno, Nevada 89557 Tel.: (775) 784-6874 Fax: (775) 327-5845 http://www.unr.edu/oiss This packet

More information

Table of Contents. A Guide to International Faculty Exchange

Table of Contents. A Guide to International Faculty Exchange 1 Table of Contents A Guide to International Faculty Exchange Page 1 Table of Contents Page 2 Introduction Page 3 Classification of Exchange Visitors Page 4 J-1 Exchange Visitor Categories Page 4 Procedures

More information

Office of International Affairs 3301 College Avenue Fort Lauderdale, FL PHONE (954) FAX (954)

Office of International Affairs 3301 College Avenue Fort Lauderdale, FL PHONE (954) FAX (954) Office of International Affairs 3301 College Avenue Fort Lauderdale, FL 33314-7796 PHONE (954) 262-7240 FAX (954) 262-3846 J-1 EXCHANGE VISITOR (SCHOLAR) REQUEST FORM - INSTRUCTIONS Introduction: The Office

More information

SEVP Frequently Asked Questions

SEVP Frequently Asked Questions SEVP Frequently Asked Questions Who is classified as an International Student? Any prospective student whose country of residence and citizenship is not the United States and is considered a non-immigrant.

More information

IMPORTANT. 3. Reread and carefully follow all of the instructions found in this Pre- Arrival Packet.

IMPORTANT. 3. Reread and carefully follow all of the instructions found in this Pre- Arrival Packet. IMPORTANT THE DS- 2019 IS A LEGAL U.S. IMMIGRATION DOCUMENT ISSUED BY THE UNIVERSITY OF ARIZONA SPECIFICALLY FOR YOU. DUE TO NEW, VERY STRICT IMMIGRATION RULES AND REGULATIONS, YOUR FAILURE TO REPORT TO

More information

ECFMG. Exchange Visitor Sponsorship Program. Copyright 2015 by the Educational Commission for Foreign Medical Graduates (ECFMG ). All rights reserved.

ECFMG. Exchange Visitor Sponsorship Program. Copyright 2015 by the Educational Commission for Foreign Medical Graduates (ECFMG ). All rights reserved. ECFMG Exchange Visitor Sponsorship Program Learning Objectives Review basic requirements for IMGs and foreign national physicians enrolled in U.S. GME Credentials Immigration ECFMG J-1 sponsorship Training

More information

Applying for a Driver s License or State Identification Card

Applying for a Driver s License or State Identification Card Student and Exchange Visitor Program U.S. Immigration and Customs Enforcement 500 12 th Street SW Stop 5600 Washington, DC 20536-5600 500 12 th Street, SW Washington, DC 20536-5600 This fact sheet provides

More information

Medical Insurance for Fermilab Users with J-1 Visas (and their accompanying family) International Services Visa Office FY 2014-2015

Medical Insurance for Fermilab Users with J-1 Visas (and their accompanying family) International Services Visa Office FY 2014-2015 Medical Insurance for Fermilab Users with J-1 Visas (and their accompanying family) International Services Visa Office FY 2014-2015 Medical Insurance for J-1 and J-2 Exchange Visitors J visas are controlled

More information

Health Insurance for International Visiting Scholars & Faculty

Health Insurance for International Visiting Scholars & Faculty Health Insurance for International Visiting Scholars & Faculty Health Insurance is required while you are working/researching at Stony Brook University. United States Federal Law requires you have adequate

More information

J-1 Program Handbook

J-1 Program Handbook v J-1 Program Handbook A GUIDE TO IMMIGRATION MATTERS FOR J-1 EXCHANGE VISITORS University of Illinois at Urbana-Champaign International Student and Scholar Services 616 East Green Street, Room 201 Champaign,

More information

F-1 OPTIONAL PRACTICAL TRAINING (OPT)

F-1 OPTIONAL PRACTICAL TRAINING (OPT) F-1 OPTIONAL PRACTICAL TRAINING (OPT) OFFICE FOR INTERNATIONAL STUDENTS AND SCHOLARS Phone: 517.353.1720 Fax: 517.355.4657 E-mail: oiss@msu.edu Web: www.oiss.msu.edu WHAT IS OPT? Optional Practical Training

More information

International Student Admissions Checklist

International Student Admissions Checklist International Student Admissions Checklist One Main Street, Suite 350S Use this checklist as an old aid to make sure you have completed all necessary steps before submitting your application. Check the

More information

How to Get Your Form I-20

How to Get Your Form I-20 How to Get Your Form I-20 (Certificate of Eligibility for F-1 Student Status) The information in this booklet explains how to get your St. John s University Form I-20. Please read it completely. International

More information

FOR: Professors; Research Scholars; and Short Term Scholars

FOR: Professors; Research Scholars; and Short Term Scholars WELCOME FOR: Professors; Research Scholars; and Short Term Scholars The primary purpose of the J-1 exchange visitor program under law is to foster an exchange of ideas between Americans and foreign nationals

More information

U.S. Department of Energy Exchange Visitor Program G-3-00348

U.S. Department of Energy Exchange Visitor Program G-3-00348 U.S. Department of Energy Exchange Visitor Program G-3-00348 Welcome to the Department of Energy Exchange Visitor Program! This is to provide Pre-Arrival Information that you will need to successfully

More information

Department Guide for J-1 Exchange Visitors: Visiting Professors, Researchers & Short-term Scholars

Department Guide for J-1 Exchange Visitors: Visiting Professors, Researchers & Short-term Scholars Department Guide for J-1 Exchange Visitors: Visiting Professors, Researchers & Short-term Scholars International Student & Scholar Services (ISSS) University of Massachusetts Boston 2nd Floor, Campus Center

More information

Florida Memorial University s 2014-15 Student Insurance Plan. Frequently Asked Questions

Florida Memorial University s 2014-15 Student Insurance Plan. Frequently Asked Questions Florida Memorial University s 2014-15 Student Insurance Plan Frequently Asked Questions Did you know college students have several choices for health coverage? Did you know there is no special college

More information

Kalamazoo Valley Community College International Student Application Packet

Kalamazoo Valley Community College International Student Application Packet Kalamazoo Valley Community College International Student Application Packet Full-Time Student (F-1 Immigration Classification) Forms and documents to be submitted for admission review: 1. Application 2.

More information

2. Please provide the following enrollment information (must be completed by the employee):

2. Please provide the following enrollment information (must be completed by the employee): EmployeeElect (51-99) Member Application Health care plans offered by Anthem Blue Cross Insurance plans offered by Anthem Blue Cross Life and Health Insurance Company Employee Application anthem.com/ca

More information

Welcome to the Student Health & Wellness Services (SH&WS)

Welcome to the Student Health & Wellness Services (SH&WS) Student Health Insurance Plan Information 2014 2015 Welcome to the Student Health & Wellness Services (SH&WS) Cleveland State University offers health care to all students of the University community.

More information

International Student Verification Form Part A

International Student Verification Form Part A UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGN GRADUATE COLLEGE Graduate and Professional Admissions and Academic Support Unit, 309 Coble Hall, 801 S Wright St, Champaign, Illinois 61820 International Student

More information

ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY VISITING INTERNATIONAL MEDICAL STUDENT PROGRAM. Mailing Address: Country of Citizenship

ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY VISITING INTERNATIONAL MEDICAL STUDENT PROGRAM. Mailing Address: Country of Citizenship ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY VISITING INTERNATIONAL MEDICAL STUDENT PROGRAM Clinical Elective Application PLEASE PRINT CLEARLY First Name: Mailing Address: Middle Name: Last Name: Today s

More information

COLORADO Assurant Health Individual Medical Metallic Plans Enrollment Packet

COLORADO Assurant Health Individual Medical Metallic Plans Enrollment Packet Client Tip Sheet COLORADO Assurant Health Individual Medical Metallic Plans Enrollment Packet Thank you for applying for an Assurant Health Individual Medical Metallic plan. Please review the product materials

More information

PENNSYLVANIA Assurant Health Individual Medical Metallic Plans Enrollment Packet

PENNSYLVANIA Assurant Health Individual Medical Metallic Plans Enrollment Packet Client Tip Sheet PENNSYLVANIA Assurant Health Individual Medical Metallic Plans Enrollment Packet Thank you for applying for an Assurant Health Individual Medical Metallic plan. Please review the product

More information

INTERNATIONAL STUDENT APPLICATION Please complete the following in English (Type or use blue or black ink):

INTERNATIONAL STUDENT APPLICATION Please complete the following in English (Type or use blue or black ink): H INTERNATIONAL STUDENT APPLICATION Please complete the following in English (Type or use blue or black ink): I am applying for the: Fall semester Spring semester Year: FAMILY NAME: MIDDLE: Social Security

More information

SANTA ANA VALLEY COLLEGE 1926 West 17th St - Santa Ana, CA 92706 - Tel (714) 835-0278

SANTA ANA VALLEY COLLEGE 1926 West 17th St - Santa Ana, CA 92706 - Tel (714) 835-0278 1926 West 17th St - Santa Ana, CA 92706 - Tel (714) 835-0278 ESTIMATED EXPENSES Estimated School Costs and Living Expenses for International Students All fees subject to change without notice COSMETOLOGY

More information

Graduate and Doctorate Programs

Graduate and Doctorate Programs INTERNATIONAL STUDENT DATA (ISD) Graduate and Docrate Programs This information is required for issuance of the Form 1-20, Certificate of Eligibility for Nonimmigrant (F-1) Student Status, which is the

More information

App ying as an F-1 with a Higher Education Degree

App ying as an F-1 with a Higher Education Degree BERGEN COMMUNITY COLLEGE App ying as an F-1 with a Higher Education Degree Applying as an F-1 with a Higher Education Degree Thank you for your interest in attending Bergen Community College! The following

More information

WE ARE NEW YORK S LAW SCHOOL

WE ARE NEW YORK S LAW SCHOOL WE ARE NEW YORK S LAW SCHOOL Foreign students who attend school in the United States may need to apply for an F-1 student visa. The New York Law School will help you with this process and will work with

More information

Health and Dental Insurance Coverage

Health and Dental Insurance Coverage Application for Health and Dental Insurance Coverage Who can use this application? Apply faster online. Use this application for youself and anyone in your tax household who needs health or dental insurance

More information

Applying as a Transfer Student on a F-1 Visa

Applying as a Transfer Student on a F-1 Visa BERGEN COMMUNITY COLLEGE Applying as a Transfer Student on a F-1 Visa Applying as a Transfer Student on an F-1 Thank you for your interest in attending Bergen Community College! The following information

More information

Optional Practical Training Revised 5/14

Optional Practical Training Revised 5/14 Optional Practical Training Revised 5/14 Office of International Programs Optional Practical Training (OPT) is a benefit of F-1 status which allows degree seeking students to apply for work authorization

More information

Dependent Health Insurance Guide

Dependent Health Insurance Guide University of Arkansas at Little Rock Dependent Health Insurance Guide Office of International Student Services Purpose of this Guide Health insurance serves an important role for individuals and families

More information

or my newly adopted/placed for adoption child(ren): placement date)

or my newly adopted/placed for adoption child(ren): placement date) Washington Individual Enrollment Application Effective January 1, 2016 This application is for health care coverage purchased directly from Premera Blue Cross (Premera). For timely and proper processing,

More information

OFFICE OF INTERNATIONAL PROGRAMS EXCHANGE STUDENTS 2013-2014 FINANCIAL CERTIFICATION

OFFICE OF INTERNATIONAL PROGRAMS EXCHANGE STUDENTS 2013-2014 FINANCIAL CERTIFICATION PART I: PERSONAL INFORMATION Family/Last Name: First/Given Name: Middle/Other Name: Permanent address in home country: Street: City: Postal Code: Country: U.S. address: Street: City: State: Zip: Date of

More information

CHANGE OF STATUS TO F-1

CHANGE OF STATUS TO F-1 CHANGE OF STATUS TO F-1 If you are currently on a non-immigrant status (except C, D, J subject to the two-year home residency requirement or K visa status) you may have the ability to change your status

More information

IMMIGRATION MANUAL PREPARED BY: Office of General Counsel The California State University

IMMIGRATION MANUAL PREPARED BY: Office of General Counsel The California State University IMMIGRATION MANUAL PREPARED BY: Office of General Counsel The California State University REVISED: FEBRUARY 2012 Immigration Manual Table of Contents I. INTRODUCTION... 1 II. EMPLOYMENT... 1 A. Recruitment...

More information

The Cruise Industry s Vacation Medical Plan

The Cruise Industry s Vacation Medical Plan SHIP Shoreside Health Insurance Plan The Cruise Industry s Vacation Medical Plan Distributed by: INSURANCE BROKERS Signing off? Take the Shoreside Health Insurance Plan (SHIP) with you! SHIP is designed

More information

Visiting Scholar Pre-Arrival Information Booklet. International Services for Students and Scholars Office

Visiting Scholar Pre-Arrival Information Booklet. International Services for Students and Scholars Office Visiting Scholar Pre-Arrival Information Booklet International Services for Students and Scholars Office Dear Visiting Scholar, Welcome to Rensselaer Polytechnic Institute! Fellow students, professors,

More information

Application Checklist

Application Checklist Division of Student Affairs ~ International Student and Scholar Services Boca Raton Campus: 777 Glades Road, SU 214, Boca Raton, FL 33431 Tel. (561) 297-3049 Fax: (561) 297-2446 Davie Campus: Diversity

More information

International Student Application

International Student Application Admission Application Requirements To be considered for admission to Bates Technical College, please complete this application and submit the following, in English, to Laurie Arnold, International Student

More information

Business Certificate Programs University of Washington Educational Outreach Application Information

Business Certificate Programs University of Washington Educational Outreach Application Information Application Information Dear Student, Thank you for your interest in the International & English Language Programs (IELP) at University of Washington Educational Outreach! We offer a wide variety of programs

More information

SUNY INTERNATIONAL HEALTH INSURANCE. Presented by the Student Health Center and International Student Programs at SUNY New Paltz

SUNY INTERNATIONAL HEALTH INSURANCE. Presented by the Student Health Center and International Student Programs at SUNY New Paltz SUNY INTERNATIONAL HEALTH INSURANCE Presented by the Student Health Center and International Student Programs at SUNY New Paltz Why Do You Need Health Insurance? Health Care in the U.S.A: Health Care in

More information

MASTER OF ENGINEERING MANAGEMENT

MASTER OF ENGINEERING MANAGEMENT MASTER OF ENGINEERING MANAGEMENT APPLICATION FOR ADMISSION TO THE GRADUATE DIVISION Graduate Programs in Management Valparaiso University College of Business Administration College of Engineering (219)

More information

H-1B Application Checklist (submit as cover page)

H-1B Application Checklist (submit as cover page) H-1B Application Checklist (submit as cover page) From OSU Hiring School or College Submit Export Control Certification OSU must certify that a license is or is not required from the U.S. Department of

More information

Application for Medicare Supplement Coverage

Application for Medicare Supplement Coverage Application for Medicare Supplement Coverage Complete application in full Use ballpoint pen Print legibly Plan Selection Plan A Plan D Plan N Requested Effective Plan C Plan F Date: / / Applicant Information

More information

HOSTING INTERNATIONAL EXCHANGE VISITORS

HOSTING INTERNATIONAL EXCHANGE VISITORS I. GENERAL POLICY HOSTING INTERNATIONAL EXCHANGE VISITORS 1. WWU sponsors J-1 visas for international faculty, scholars, artists, and graduate students, whether salaried or non-salaried, who engage in

More information

How to Hire an International Student

How to Hire an International Student How to Hire an International Student 1. Verify that the Department of Homeland Security (DHS) has granted appropriate authorization and visa status to enable the student to be employed. If employment is

More information

Chapter 1: Introduction to the I 901 SEVIS Fee

Chapter 1: Introduction to the I 901 SEVIS Fee Chapter 1: Introduction to the I 901 SEVIS Fee Slide 1: The, known as SEVP, maintains the Student and Exchange Visitor Information System, or SEVIS. SEVIS is a Web-based system that keeps track of F and

More information

24, 2012 PROCEDURES F-1 STUDENTS (TEACHING ASSISTANTS, TEACHING FELLOWS, ASSOCIATES IN, TUTORS, REMEDIAL TUTORS)

24, 2012 PROCEDURES F-1 STUDENTS (TEACHING ASSISTANTS, TEACHING FELLOWS, ASSOCIATES IN, TUTORS, REMEDIAL TUTORS) April 24, 2012 PROCEDURES F-1 STUDENTS (TEACHING ASSISTANTS, TEACHING FELLOWS, ASSOCIATES IN, TUTORS, REMEDIAL TUTORS) 1. Use Glacier language in appointment letters (if offer letter is issued) 2. Set

More information

International Student Application Instructions for Undergraduate and Graduate Admission

International Student Application Instructions for Undergraduate and Graduate Admission International Student Application Instructions for Undergraduate and Graduate Admission 1. Completed and signed application form and financial affidavit form. Use your full legal name. List any former

More information

Certificate of Finance Graduate Program Fall 2015 Spring 2016

Certificate of Finance Graduate Program Fall 2015 Spring 2016 In order to apply for an F-1 visa to study at the BAC, an international student must receive an immigration form called the Certificate of Eligibility (I-20) from the BAC upon acceptance to its master's

More information

UNDERGRADUATE INTERNATIONAL SUPPLEMENTAL APPLICATION

UNDERGRADUATE INTERNATIONAL SUPPLEMENTAL APPLICATION 2016 UNDERGRADUATE INTERNATIONAL SUPPLEMENTAL APPLICATION INSTRUCTIONS International students need to apply to Oakland University by completing an online application for admission at oakland.edu/apply.

More information

Administrative Policy and Procedures for Off-Campus Activities, Courses and Programs Approved by AAL, May 2007 Updated July 2009

Administrative Policy and Procedures for Off-Campus Activities, Courses and Programs Approved by AAL, May 2007 Updated July 2009 Policy Regarding Off-Campus Travel Administrative Policy and Procedures for Off-Campus Activities, Courses and Programs Approved by AAL, May 2007 Updated July 2009 Part I: Part II: Part III: Policies and

More information

Please complete electronically, or in blue or black ink only. Employer name Group no. Subsection

Please complete electronically, or in blue or black ink only. Employer name Group no. Subsection Employee Enrollment Application For 51+ Employee s Georgia You, the employee, must complete this application. You are solely responsible for its accuracy and completeness. To avoid the possibility of delay,

More information

Manage your Liberty Mutual group benefits online.

Manage your Liberty Mutual group benefits online. Manage your Liberty Mutual group benefits online. MyLibertyConnection.com offers convenient access to online tools to help you manage your group benefits. To get started, visit www.mylibertyconnection.com

More information

Individual/Family Health Insurance Change Form for Gold, Silver, Bronze and Catastrophic Plans

Individual/Family Health Insurance Change Form for Gold, Silver, Bronze and Catastrophic Plans Individual/Family Health Insurance Change Form for Gold, Silver, Bronze and Catastrophic Plans READ ALL INSTRUCTIONS BEFORE COMPLETING THIS CHANGE FORM. CHANGE FORM MUST BE COMPLETED IN ITS ENTIRETY AND

More information

International Programs International Scholar & Faculty Services E-3 INFORMATION Fees E-3 Eligibility

International Programs International Scholar & Faculty Services E-3 INFORMATION Fees E-3 Eligibility E-3 INFORMATION Departments wishing to hire an international employee should contact an International Faculty & Scholar Advisor at (ISFS) to determine which visa status best fits the position. If ISFS

More information

International Student Information Packet

International Student Information Packet International Student Information Packet Full Sail University 3300 University Boulevard Winter Park, FL 32792 407.679.0100 800.226.7625 Full Sail University International Student Information Packet International

More information

SMALL EMPLOYER GROUP APPLICATION INSTRUCTIONS

SMALL EMPLOYER GROUP APPLICATION INSTRUCTIONS SMALL EMPLOYER GROUP APPLICATION INSTRUCTIONS This form should be completed with the assistance of your authorized Broker or Horizon Healthcare of New York Sales Representative. Please be sure that all

More information

Please complete in blue or black ink only. Section A: Employee Information Last name First name M.I. Social Security no.

Please complete in blue or black ink only. Section A: Employee Information Last name First name M.I. Social Security no. Employee Enrollment Application For 2 50 Employee Small s Virginia care plans offered by Anthem Blue Cross and Blue Shield and Keepers, Inc. PPO health care plans are insurance products offered by Anthem

More information

OPTIONAL PRACTICAL TRAINING Post-completion Employment authorization following graduation

OPTIONAL PRACTICAL TRAINING Post-completion Employment authorization following graduation OPTIONAL PRACTICAL TRAINING Post-completion Employment authorization following graduation What is OPT? Optional practical training (OPT) is defined in the F-1 regulations as "temporary employment for practical

More information