Appointee InformationU.S. Immigration history for last 5 ...
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Email completed form to: [email protected] Appointee Information U.S. Immigration history for last 5 years (Do not include visits in B1, B2, WB or WT status) Immigration Status Start Date End Date Visa Sponsor If previously in J1 or J2 status, was individual subject to the 2 year home residency requirement? If yes, has the individual fulfilled the requirement by obtaining a waiver or returning to the home country for two years? Yes No Is individual planning to remain employed there until ND appointment begins? FOR OFFICE OF GENERAL COUNSEL USE ONLY: Date Form Completed: Appointee Name: Appointment Start Date: Department/Center/Institute where appointee will be working: Department Contact: Email Address: Phone Number: Dept. FedEx Account #: On what date did this status begin? On what date does this status expire? Yes No If currently in the U.S., where is individual working? Yes If not, what are the individual’s plans between current employment end date and the start date at Notre Dame? No Date: Appointment End Date: Office of General Counsel - Revised: 07/26/2015 Annual Salary: Country of Citizenship: Primary Purpose of Visit: Current immigration status (if in U.S.): Recommended Immigration Status: Reviewer Comments: Position Title: If Other (Position Title): If Other (Status): If Other: If Other (Primary Purpose): Immigration Request Form for International Employees/Visitors
Transcript of Appointee InformationU.S. Immigration history for last 5 ...
Email completed form to: [email protected]
Appointee Information
U.S. Immigration history for last 5 years (Do not include visits in B1, B2, WB or WT status) Immigration Status Start Date End Date Visa Sponsor
If previously in J1 or J2 status, was individual subject to the 2 year home residency requirement?
If yes, has the individual fulfilled the requirement by obtaining a waiver or returning to the home country for two years? Yes No
Is individual planning to remain employed there until ND appointment begins?
FOR OFFICE OF GENERAL COUNSEL USE ONLY:
Date Form Completed:Appointee Name:
Appointment Start Date:
Department/Center/Institute where appointee will be working:
Department Contact:
Email Address: Phone Number:
Dept. FedEx Account #:
On what date did this status begin? On what date does this status expire?
Yes No
If currently in the U.S., where is individual working?
Yes
If not, what are the individual’s plans between current employment end date and the start date at Notre Dame?
No
Date:
Appointment End Date:
Office of General Counsel - Revised: 07/26/2015
Annual Salary:Country of Citizenship:
Primary Purpose of Visit:
Current immigration status (if in U.S.):
Recommended Immigration Status:
Reviewer Comments:
Position Title:
If Other (Position Title):
If Other (Status):
If Other:
If Other (Primary Purpose):
Immigration Request Form for International Employees/Visitors
