J-1 Exchange Visitor Candidate Information (DS-2019 Issuance)

J-1 Exchange Visitor Candidate Information (DS-2019 Issuance)

College of Engineering
Please complete this form with the requested documentation so that the University of Kentucky department that has invited you can review it. If a J-2 spouse is accompanying you to the US, a copy (and English translation, if applicable) of your marriage certificate is required.

All documents must be uploaded as a PDF
Your curriculum vitae*

Cancelof
A copy of the biographical page of your passport*

Cancelof
Are you presently in the US?*

Presently in the USPresently out of the US
Nonimmigrant Status*
Are you transferring from another US institution?*

YesNo
Name of Institution*
Name of RO or ARO*
Phone Number*
Email*
example@example.com
Copies of ALL previous DS-2019s*

Cancelof
Copy of J-1 visa page in your passport*

Cancelof
copy of I-94 Departure Record*

Cancelof
Have you previously been in the US in J-1 Professor or Research Scholar status?*

YesNo
Indicate the dates of the last J program:
Beginning*

MonthDayYear
Date
Ending*

MonthDayYear
Date
Surname (Family name):*
Given name*
Middle name
Gender*

MF
Date of birth*

MonthDayYear
Date
City of Birth*
Country of Birth*
Country of citizenship*
Country of legal permanent residence*
FOREIGN ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Email address where the DS-2019 can be sent*
example@example.com
Position in home country*
Highest academic degree*
Are you enrolling in an official full-time non-degree program at the University of Kentucky?*

YesNo
Will you be enrolled full-time in a foreign institution while at UK?*

YesNo
Institution or organization you are affiliated with in your home country or country of legal residence ( i.e. private university, government agency, etc.)*
Number of accompanying dependents (spouse and children) so that a DS-2019 can be issued for each dependent. Names should match the biographical page of the passport.*
Surname (Family)*
Given (First)*
Middle
Relationship to J-1*
Date of Birth*

MonthDayYear
Date
City of birth*
Country of Permanent Residence*
Email Address
example@example.com
A copy of the biographical page of the dependent's passport*

Cancelof
A copy of your marriage certificate with an English translation*

Cancelof
A copy of the dependent's birth certificate with an English translation*

Cancelof
Surname (Family)*
Given (First)*
Middle
Relationship to J-1*
Date of Birth*

MonthDayYear
Date
City of birth*
Country of Permanent Residence*
Email Address
example@example.com
A copy of the biographical page of the dependent's passport*

Cancelof
A copy of your marriage certificate with an English translation*

Cancelof
A copy of the dependent's birth certificate with an English translation*

Cancelof
Surname (Family)*
Given (First)*
Middle
Relationship to J-1*
Date of Birth*

MonthDayYear
Date
City of birth*
Country of Permanent Residence*
Email Address
example@example.com
A copy of the biographical page of the dependent's passport*

Cancelof
A copy of your marriage certificate with an English translation*

Cancelof
A copy of the dependent's birth certificate with an English translation*

Cancelof
Surname (Family)*
Given (First)*
Middle
Relationship to J-1*
Date of Birth*

MonthDayYear
Date
City of birth*
Country of Permanent Residence*
Email Address
example@example.com
A copy of the biographical page of the dependent's passport*

Cancelof
A copy of your marriage certificate with an English translation*

Cancelof
A copy of the dependent's birth certificate with an English translation*

Cancelof
Surname (Family)*
Given (First)*
Middle
Relationship to J-1*
Date of Birth*

MonthDayYear
Date
City of birth*
Country of Permanent Residence*
Email Address
example@example.com
A copy of the biographical page of the dependent's passport*

Cancelof
A copy of your marriage certificate with an English translation*

Cancelof
A copy of the dependent's birth certificate with an English translation*

Cancelof
Should be Empty: