Form Ds-2019 Request To Issue For A J-1 Exchange Visitor Page 2
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3FAMILY INFORMATION:
Please complete this section for any family members who will travel with the visitor to the U.S. or who will arrive later to
join the visitor. Please also provide a copy of the biographical pages of the passport, with expiration date, for each
accompanying dependent and/or spouse. Only the visitor’s spouse and children under age 21 may be included as family
members. The visitor’s family member will hold a J-2 status in the U.S.
Relationship
Country of
Name (Family/Last,
(spouse,
Date of Birth
County of
Permanent
First/given, middle)
daughter, son)
(mm/dd/yyyy)
City and Country of Birth
Citizenship
Residence
Will the scholar’s family travel with the visitor to the U.S.?
Yes
No
If the family will travel separately, when are they to arrive?
Expected arrival date:_________________________________
Please attach a copy of each J-2 dependent’s passport (biographic data page)
Is your spouse planning to seek paid employment in the U.S.? No
Yes If yes, what type of work?__________________
US VISA HISTORY:
1. Is the visitor currently in the U.S.?
Yes
No
If yes, please indicate current visa status and check one: _______________________________________________________
S/he will be leaving the U.S. and returning before s/he begins the appointment at Bryant University
Give destination and travel dates:______________________________________________________________________
S/he will be requesting a transfer of his or her current J-1 status.
S/he will be requesting a change of non-immigrant visa status to _________________.
Attach a photocopy of all previous visa documents including Form I-94, DS-2019 forms, I-20 forms, H-1B approval.
2. During the past twenty four (24) months, has the visitor been in the U.S. in any visa classification other than tourist?
Yes
No
If yes, visa status: ______________________________________ Date: _______________________________
3. Please attach photocopies of the visitor’s current passport page (biographic data and photo page), along with all
current and/or previous visa documents (if applicable), including I-94 records, DS-2019s, I-20s, EAD cards, and/or
H1B approvals.)
IMPORTANT: Scholars applying in the research scholar/professor category might be subject to a 6 or 24 month bar based
on completion of a previous J-program. The Office of International Affairs will evaluate eligibility after reviewing the
prospective scholar’s immigration history and the supporting documentation.
Documents that must be included with this request:
Copy of the appointment/invitation letter;
Original statement or letter of financial support (Refer to Financial Support Guidelines below);
Desired J-1 Scholar Category Selection Form;
Copy of the Exchange Visitor’s CV or resume, including academic credentials (highest degree completed).
Copy of the biographical pages of the passport, with expiration date, for the visitor and each accompanying
dependent and/or spouse.
Upon receipt of the complete packet, the OIA will initiate a request through the Student and Exchange Visitor Information
System (SEVIS) to generate Form DS 2019. This process may take several weeks. Once the DS-2019 form is issued, it will be
sent to the Exchange Visitor directly, along with their pre-arrival orientation materials.
Questions: Please contact the Office of International Affairs
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