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
*
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Month
-
Day
Year
Date
End Date
*
-
Month
-
Day
Year
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
*
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(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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