Non-UK Sponsored J-1 Information form (Fulbright Scholar)

Non-UK Sponsored J-1 Information form (Fulbright Scholar)
Last Name*
First Name*
Country of Citizenship*
Country of Birth*
Current Foreign Address
Street*
City/Province*
Postal Code*
Country*
Non-UK Email*
Start Date*

MonthDayYear
Date
End Date*

MonthDayYear
Date
Area of Study*
Local Address*
City*
State*
Zip Code*
College of Engineering Department
Faculty Advisor*
Copy of Passport Bio page*

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Copy of US Visa*

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Copy of DS-2019*

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Copy of I-94*

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Copy of Insurance *

(Upon arrival additional health insurance will need to be purchased since the coverage provided by Fulbright does not meet the University of Kentucky requirements). Purchase health insurance at www.uky.myahpcare.com
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