Berkeley International Office
The Scholar Information Meeting schedule is available at:
Personal Information (All fields are required)
|Family Name (as in passport): |First Name: |
|U.S. Street Address: |Apt # (if any): Room # (if any): |
|City: |State: Zip Code: |
|Email: |Personal U.S. Telephone: |
| |UC Berkeley Departmental Telephone: |
J-2 Dependents’ Information
|Do you have dependents (spouse /child)? Yes No |If your dependents are not in the U.S., will they arrive later? |
| | |
|If yes, are they in the U.S.? Yes No |Yes No |
Required Health Insurance
J-1 Exchange Visitors and J-2 dependents must have health insurance that meets the requirements for both UC Berkeley and the U.S. Department of State. Under the J Exchange Visitor Program, you are required to maintain health insurance for yourself and all accompanying J-2 dependents throughout the period of your stay in the United States. Failure to maintain such health insurance for yourself and your dependents while in the United States is a violation of J-1 and J-2 visa status and may lead to termination of your program.
The options to purchase insurance vary according to your appointment title at UC Berkeley. For information about the required health insurance coverage, please visit
Health Insurance Agreement
I have read the health insurance requirements and I agree to maintain health insurance coverage that meets both UC Berkeley and the U.S. Department of State requirements for me and my J-2 dependents for the full length of stay in the United States.
Scholar’s Signature___________________________________________________ Date_________________
-----------------------
internationaloffice.berkeley.edu
Do NOT write in this box.
Date attended SIM _________________
Date of Arrival in U.S.:______________
SEVIS ID: ______________ _________
□ BIO Program Sponsor
S档汯牡䤠普牯慭楴湯䴠敥楴杮⠠䥓⥍ଠ⁊硅档湡敧嘠獩瑩牯鉳䌠敨正椭潆浲畓浢瑩琠楨潣灭敬整潦浲愠⁴捓潨慬湉潦浲瑡潩cholar Information Meeting (SIM)
J Exchange Visitors’ Check-in Form
Submit this completed form at a Scholar Information Meeting. Please bring the following original documents:
• Passport
• DS-2019
• Passport admission stamp or paper I-94 card
• Above documents for accompanying J-2 family members
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
Related searches
- uc berkeley school of information
- uc berkeley school of public health
- star theater berkeley springs wv
- uc berkeley mids
- berkeley school of information tenure track opening
- berkeley springs wv weather forecast
- berkeley springs weather forecast
- berkeley springs weather map
- berkeley weather hourly
- berkeley springs wv weather radar
- berkeley springs west virginia weather
- weather in berkeley springs west virginia fahrenheit