Guide To Completing The Ds-7002 Training/internship Placement Form

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Guide to Completing the DS-7002
Training/Internship Placement Form (TIPP Form)
The DS - 7002 is a U.S. State Department form for the J - 1 Student Intern visa application. It must be completed
following this guide. Refer to our website for sending and mailing instructions.
Participant Information (Part 1)
Select One: Click “Student Intern”.
The intern’s resume can be used to determine estimated years of experience in the field.
The type of degree is the name of the home country degree the student is currently pursuing with the expected completion date.
The training/internship dates will reflect the dates of the position at Columbia University and will coincide with the dates on the
DS - 2019 visa certificate.
Site of Activity Information (Part 2)
Columbia University’s EIN is 13 - 5598093
Hours per week must be 32 hours/week or greater, as the research must be full - time
Columbia’s Worker’s Compensation (WC) policy carrier:
Gallagher Basset, 100 Wall Street, 25th Floor, New York, NY 20005, Tel: 877 - 749 - 1826
The Worker’s Compensation policy ​ W ILL NOT ​ cover the intern if the intern is a Visiting Scholar.
The intern ​ W ILL ​ be covered if the intern holds a University appointment.
Number of full - time employees 14,874
Annual Revenue $25 Million or More
Contract Agreement Information (Part 3)
DO NOT ​ sign the Trainee/Intern section, the ISSO will coordinate this
SIGN ​ and complete the Supervisor section
DO NOT ​ sign the Responsible Officer section, the ISSO will complete this section
Training/Internship Placement Plan (Part 4)
The name of the phase can be a title reflecting the topic of the research
The start and end dates of the phase can match the start and end dates of the research and it can be Phase 1 of 1.
Each box must be completed and must reflect internship tasks and goals, and not emphasize regular employment.
The purpose is to provide the intern with a structured student work - based program that will reinforce the student's academic study
upon return.
The "Knowledge/Skills/Techniques to be Imparted" section refers to the skills that your intern is to acquire or develop during the
program, not the intern's skills you are seeking to utilize.

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