J-1 Exchange Visitor Request Form

When completing the following form, typing is preferred by our office but not required. We will be taking all of the information from this form to complete the appropriate Department of State documents, therefore it is extremely important that we be able to read and understand your input.

• J-1 Exchange Visitor Request Form - Allows users with Microsoft Word installed on their computer to view, fill out, print, and save changes to the form.
• J-1 Exchange Visitor Request Form - Allows users with the freely available Adobe Acrobat READER installed on their computer to view, fill out and print the form. Form data can only be saved if users have the full Adobe Acrobat software installed on your computer.

Please send the fully completed and signed form to the ISSS Scholar Coordinator, International Center, N52 Memorial Union). If you have any questions, please do not hesitate to contact our office at 882-6007.