Visitor Candidate Form

Visitor Candidate Form

Information on this form is required to complete the appointment process for visitors to Stanford University. There may be additional information required to assist with a visa application process through the university’s Bechtel International Center. This information is being gathered through a secure online process and will be used only to complete Stanford internal administrative processes or for visa application process, if applicable. Complete the following form to the best of your ability. If you have any questions, please contact the Stanford administrator who sent you this form.

Note: Visiting Scholars and Visiting Postdoctoral Scholars are not employees of the university, do not receive regular salary compensation from Stanford, and must have their own source of financial support from outside of Stanford.

The full policy on visiting scholar can be found at: RPH 2.1: Visiting Scholars https://doresearch.stanford.edu/policies/research-policy-handbook/non-faculty-research-appointments/visiting-scholars#Policies

Intellectual Property (IP) - Stanford University resources are to be used solely for University purposes and not for personal gain or personal commercial advantage, nor for any other non-University purposes. Visitors to Stanford are required to complete an intellectual property agreement form (SU18A). The form can be viewed here: http://otlportal.stanford.edu/su18a .

Notes for visitors requiring a visa: As a condition of the visa visitors will be required to demonstration they have sufficient funds and adequate health insurance coverage to support themselves and any dependents while in the U.S. Schools may also have additional requirements for funding support and health insurance coverage.

If a J-1 Visa is required, please see the following links: Minimum funding requirements: https://bechtel.stanford.edu/departments/j-1-scholars/funding-requirements-j-1-scholars

Health insurance requirements: The United States Information Agency regulations require that all exchange visitors and their dependents maintain insurance at levels that meet the USIA-prescribed coverage. Details of this coverage can be found in the Orientation Handbook, provided to the visitor at the time the DS-2019 is issued. https://bechtel.stanford.edu/coming-stanford/health-insurance

English proficiency: As per the Department of State, a prospective visitor should have "sufficient proficiency in the English language as determined by an objective measurement of English language proficiency, successfully to participate in his or her program and to function on a day-to-day basis." https://bechtel.stanford.edu/departments/j-1-visitors/english-language-proficiency-j-1

Resources for international visitors: https://community.stanford.edu/engagement/global-engagement/resources-international-visitors-stanford-appointments

Legal Name: Last, First*

Use full legal name as it appears on legal documents, such as: US Driver’s License, Permanent Resident Card, or Passport; for international visitors, please use your legal name as it appears on your passport.

E-mail Address

Organization Information

Hosting Academic Unit for Appointment*

Select

Name of Principal Investigator/Faculty Host*

Last Name, First Name

Anticipated or Planned Start Date*

Please note that the administrative and visa processes can take time which could cause a delay in the appointment start date. There is an 8 week minimum requirement lead time to request the DS-2019 related to J-1 visa process.. Confirmation of plans should be discussed with your Faculty Host

Personal Information

Please ensure all information below is entered as it appears on legal documents, such as: US Driver’s License, Permanent Resident Card, or Passport.

Date of Birth*

(mm/dd/yyyy)

Permanent Address*

## Street Name City, State or Province, Country, Zip Code

Temporary Address (Local)*

Please use N/A if you have not procured a temporary address in the United States. ## Street Name City, State or Province, Country, Zip Code

Highest Academic Degree and Granting Institution*

Please list your highest degree obtained.

Is this the terminal degree in your field?*

Select

Conferral Date of Degree*

Current Position and Employer*

If retired, note retirement date and last position held.

Previous Stanford Affiliation*

Select

Previous Stanford Position: Title*

Stanford SUNet or Employee ID

If you know your past SUNet or Employee ID, please provide.

Funding Information

(For international scholars who will hold a visa during the visit, additional information about minimum funding requirements can be found in the visa information section below.) Note: individual Stanford school's may hold varying additional minimum funding level requirements.

Visitor External Funding Type (A)*

Select all types that apply of sources that will provide funding support and list amount in the following response box (B). If you have more than one type of funding, list all in response box (B).

Select

Amount of Funding (B)*

*Please do not add account numbers or account identifying information*

Visa Information

The Exchange Visitor Program, administered by the U.S. State Department, allows Stanford to use the J-1 scholar categories to host international researchers and instructors for prearranged periods of time. - Funding Information Information regarding minimum funding requirements for J-1 Scholars can be found at the link below. https://bechtel.stanford.edu/departments/j-1-scholars/funding-requirements-j-1-scholars ) Note: individual Stanford school's may hold varying additional minimum funding level requirements.

Will you require a J-1 Visa status for this visit?*

Select

The following information is required for the visa application process.

Current Visa Held*

If you currently hold a Visa, please describe the individual Visa and the start and end dates associated with it.

Type of J-1 Visa*

For more information, please watch: https://www.youtube.com/watch?v=lMOxtBQWiKE

Select

Have you held a J-1 Visa within the last two years?*

Select

Gender*

Select or enter value

Birth City and Country*

As it appears on your passport. Please note, some passports do not list birth city, but please insert it below.

Country of Citizenship*

As it appears on your passport.

Spouse and/or Dependents*

Will you be bringing any family or dependents? Please note J Visa's only allow spouse and children as dependants.

Select

Dependent Information 1*

Please list information as appears on passport.

Dependent Information 2*

Please list information as appears on passport.

Dependent Information 3*

Please list information as appears on passport.

Attachments

File Attachment*

Please Attach the following items: - Updated CV/Resume - Proof of Funding Information - Health Insurance Confirmation - Confirmation of Terminal Degree (If needed) - Previous DS-2019 form (If held within the last 2 years)

Drag and drop files here or

By clicking this box*

I certify that all information provided in connection with this application process is true and accurate to the best of my knowledge.

Send me a copy of my responses

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