Visiting International Scholars

Scholar Name

as it appears on passport

Gender

Date of Birth

mm/dd/yyyy

Birth City

Birth Country

Country of Citizenship

Country of Permanent Residence

Scholar Home Address

Scholar Mailing Address

This is the address to which the DS2019 will be mailed.

Email Address

UCM Sponsor Name

UCM Sponsor Email

Sponsor UCM email required

UCM Sponsor Department

Scholar's University

Scholar's Highest Degree

Scholar's Employer

Employer Type

Scholar J-1 visa Status

Has the scholar entered the USA in any J-1 visa status in the last 12 months? If yes, provide a copy of the previous DS2019 as an attachment.

Research Scholar or Professor

Have the scholar entered the USA as a J-1 research scholar or professor in the last 24 months? If yes, please attach your previous DS2019.

Home Residency Requirement

Was the scholar subject to the 2-year home residency requirement?

Home Residency Waiver

If yes, have you applied for a waiver of this requirement?

Waiver Granted?

If yes, has the waiver been granted?

Dependent Family Members

Is the scholar bringing any family members? If so, please attach passport copies in supporting documents.

Exchange Visitor Type

What type of exchange visitor is being requested?

Start Date of UCM Visit

Do not include travel. This period much match the invitation and available funding.

mm/dd/yyyy

End Date of UCM Visit

mm/dd/yyyy

UCM Host

The UCM host assumes responsibility for providing the visiting scholar with office space, cultural programming, and support during the visit. The visiting scholar is NOT for a tenure-track or tenured faculty appointment.

Supporting Documents

Please attach:

Copy of passport
Previous DS2019s (if applicable)
Proof of financial support
Proof of English proficiency
Passport copies of Dependent Family Members
Research plan and proposed activities (include all locations where research will be conducted)

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