Dear Faculty Member, Thank yu fr cntacting the Office f Internatinal and Cultural Affairs (OICA) cncerning yur intent t invite a visiting schlar t ur campus. Please wrk with yur department administrative assistant t submit the necessary paperwrk, as they shuld be very familiar with this prcess. It is recmmended t start the applicatin prcess ne semester in advance f the prspective schlar s prpsed prgram in rder t allw time fr prcessing. The first step in this prcess is fr the prspective schlar t cmplete the Bigraphical Details/Sectin 212(e) Certificatin Frm, as infrmatin n this frm will allw yu t cmplete the ther required applicatin materials. The prspective schlar will need t return this frm t the academic department alng with cpies f his r her passprt, C.V. r Résumé, additinal dcumentatin fr dependents, and financial dcumentatin. The next step is fr the department t cmplete the fllwing DS 2019 Request Frm. The items belw are necessary in rder t cmplete the required paperwrk: Bigraphical Details/Sectin 212(e) Certificatin Frm (t be cmpleted by the prspective visiting schlar) Cpy f passprt C.V. r Résumé fr applicant Additinal dcumentatin fr dependents (if applicable) Missuri S&T Offer Letter Financial Dcumentatin (fficial bank statements, spnsrship letters, schlarship letters, etc.) Prf f English Language prficiency (S&T testing fee is $130) Once cmplete, please submit the applicatin packet t OICA at 103 Nrwd Hall. Shuld yu have any questins, feel free t cntact ne f ur advisrs t further discuss the applicatin prcess. Their cntact infrmatin is as fllws: Justina Lewis: lewisjus@mst.edu Shawna Hlle: hllesh@mst.edu Jenell Kamler: kamlerj@mst.edu Please visit the OICA website at http://internatinal.mst.edu/ fr additinal details and prgram infrmatin cncerning the visiting schlar applicatin prcess. We lk frward t wrking with yu t welcme qualified visiting schlars t Missuri S&T! Sincerely, Dr. Jeanie Hfer, Ph.D. Assistant Vice Chancellr Office f Internatinal and Cultural Affairs (573) 341 6425
DS 2019 REQUEST FORM (t be submitted by the academic hst department) Visiting Schlar Name: Faculty/Hst Designee Name: Academic Hst Department Address: E mail: REQUIRED DOCUMENTS Cmpleted/signed DS 2019 Request Frm Missuri S&T Offer Letter (if available) Financial Dcumentatin (fficial bank statements, spnsrship letters, schlarship letters, S&T hiring frm, etc.) Bigraphical Details/Sectin 212(e) Certificatin Frm (t be cmpleted by the prspective schlar) Certificatin f English Language Prficiency (S&T testing fee is $130) Cpy f passprt C.V. r Résumé fr applicant Additinal dcumentatin fr dependents (if applicable) REGULATIONS AND PROGRAM INFORMATION Overview: Please submit the cmpleted DS 2019 Request Frm and supprting dcuments t the Office f Internatinal and Cultural Affairs (OICA), 103 Nrwd Hall. It typically takes several weeks fr all parties invlved t cmplete, review, sign and submit the required paperwrk. When defining the prgram begin date fr yur visiting schlar, please cnsider internal prcessing time (minimum f 10 days), as well as visa prcessing time (visa prcessing can take apprximately 30 days). If further U.S. Department f State (DOS) administrative prcessing is necessary, a minimum f 90 days culd be required. SEVIS requires schlars t enter the U.S. within the start date listed n the DS 2019; visiting schlars may nt arrive mre than 30 days after the prgram start date. It is imprtant that visiting schlars maintain lawful J 1 status during their prgram at Missuri S&T. Failure t cmply with requirements may affect the schlar s ability t remain in r return t the United States. English Language Prficiency Requirement [22 CFR 62.11(a)(2)]: DOS requires visiting schlars t have sufficient prficiency in the English language, as determined by an bjective measurement f English language prficiency, successfully t participate in his r her prgram and t functin n a day t day basis. DS 2019 Frm: Visa dcumentatin sent t prspective visiting schlars is legally binding. The prgram must be cnducted n the Missuri S&T campus. The prgram must be suitable t the visiting schlar s backgrund, needs and experience and must meet the intent f the requested J 1 prgram categry. All infrmatin submitted will be made available t the apprpriate gvernment agency in the event f audit r request. Visiting schlar psitins cannt be ffered as tenure track psitins. Mandatry Insurance: Visiting schlars and accmpanying dependents must maintain insurance that cvers sickness r accident fr the duratin f their prgram. As prgram spnsr, DOS requires Missuri S&T OICA t terminate a visiting schlar s participatin in ur prgram if it is determined the participant and/r any dependent willfully fails t remain in cmpliance with mandatry insurance requirements. There can be n breaks in insurance cverage, as this will result in a vilatin t immigratin status. At a minimum, DOS specifies that the insurance cverage must include: 1. $100,000 Medical benefits per persn per accident/illness 2. $25,000 Repatriatin f remains 3. $50,000 Expenses assciated with medical evacuatin 4. $500 Maximum deductible per accident/illness
VISITING SCHOLAR INFORMATION (refer t http://internatinal.mst.edu/visitingschlars/resurcesfracademicdepartments/ fr categry definitins) Visiting Schlar Categry: Research Schlar Shrt Term Schlar Student Intern New Prgram Transfer(prvide cpies f all DS 2019 s) Extensin Last Name: First Name: Prspective J 1 Prgram Dates: Beginning: MM/DD/YYYY t Ending: MM/DD/YYYY Schlar s Psitin/Title at S&T: Academic Department Administrative Cntact Name/E mail: Descriptin f Schlar s Prpsed Activity at S&T (in technical terms, at least tw sentences): SIGNATURE APPROVALS I certify that I have read this dcument in its entirety and that the purpse f the visiting schlar s prgram at Missuri S&T meets the intent f the requested prgram categry. I certify that the visiting schlar s prgram will be cnducted n the Missuri S&T campus I certify that the infrmatin prvided in this dcument is accurate t the best f my knwledge. I understand that all infrmatin submitted with this applicatin will be made available t the apprpriate gvernment agency in the event f audit r request. I understand that the requesting faculty supervisr will be respnsible fr versight f the schlar s prgram, including ntifying OICA upn early terminatin r change f prgram. Requesting Faculty r Individual Signature Department and Phne Number Department Chair Signature Date Research Center Affiliatin & Faculty Spnsr Signature E mail/phne
FINANCIAL DOCUMENTATION Fr visitrs wh will be emplyees f Missuri S&T, please submit a cpy f a Request t Hire Frm apprved by the Prvst. Otherwise, attach riginal dcumentatin demnstrating that the visiting schlar is supprted by his r her hme institutin r schlarship. Surce and amunt f financial supprt fr the prgram duratin must be stated. At a minimum, $1,200 per mnth funding is required fr the schlar, with an additinal $3,000 per year fr spuse and $1,500 per year per child. Surce: Amunt (in USD$): Missuri University f Science and Technlgy US Gvernment(Please Specify): Gvernment f Schlar s Origin: Persnal Funds (Original Bank Statement) Other (Please Specify): MAILING INFORMATION The academic department is respnsible fr the shipping csts f the DS 2019 packet. Please indicate the preferred methd f shipment, as well as yur shipping I.D. If yu wuld like fr OICA t charge yur department, please prvide a valid MCde and Accunt Cde. United States Pstal Service UPS Accunt Number FedEx Accunt Number Department MCde and Accunt Cde Other
Certificatin f English Language Prficiency (CONFIDENTIAL DOCUMENT FOR USE BY THE OFFICE OF INTERNATIONAL AND CULTURAL AFFAIRS ONLY) The U.S. Department f State (DOS) requires schlars t have sufficient prficiency in the English language, as determined by an bjective measurement f English language prficiency, successfully t participate in his r her prgram and t functin n a day t day basis. [22 CFR 62.11(a)(2)] DOS states that this measure was prmpted because it fund that t many exchange visitrs lack sufficient English prficiency t perfrm their jbs r cmplete their academic prgrams t navigate daily life in the U.S.; t read and cmprehend prgram materials; t understand fully their respnsibilities, rights and prtectins; and t knw hw t btain assistance, if necessary. [79 FR 602994, 60301] Visiting Schlar s Name: Hst Academic Department: Faculty Hst Name: Please select ne f the ptins belw t indicate hw the academic department has certified English prficiency fr the prspective visiting schlar AND include apprpriate supprting dcumentatin: Certificatin f the TOEFL/IELTS language test Submit fficial test reprt The test must have been taken within the past tw years TOEFL scre must be 57 (ibt) r higher IELTS verall band scre f 5.5 r higher Intermediate Level r abve: TOEFL: 57 / IELTS: 5.5 Requirement: 16 weeks (4 hurs per week) Oral English Cmmunicatin training. Cst is $1,040. Minimum f 8 weeks may be allwed. Advanced Level: TOEFL: 79 r abve / IELTS: 6.0 r higher Requirement: Applicant is cnsidered English prficient and may fully participate in an exchange prgram at Missuri S&T Certificatin by the Applied Language Institute T be cmpleted by ALI Evaluatr Assessment Fee: $130.00 payment is required prir t interview (please make check payable t the Missuri S&T Applied Language Institute; prvide Jurnal Entry with MCde if department is paying) Passprt Cpy
Certificatin f English Language Prficiency (CONFIDENTIAL DOCUMENT FOR USE BY THE OFFICE OF INTERNATIONAL AND CULTURAL AFFAIRS ONLY) Results f English Language Certificatin Interview Methd f Interview: Videcnferencing via Skype In Persn Results f the assessment determined the fllwing: I certify that I have interviewed the prspective visiting schlar and have determined that: The prspective visiting schlar demnstrated English language prficiency sufficient t participate in an exchange prgram at Missuri S&T and t functin n a daily basis. The prspective visiting schlar demnstrated a minimal level f English language prficiency sufficient t participate in an exchange prgram at Missuri S&T and t functin n a daily basis. The prspective visiting schlar is required t take an ral cmmunicatin curse upn arrival t Missuri S&T. The curse is 16 weeks lng, 4 hurs per week. Tuitin is $1,040. A minimum f 8 weeks may be allwed. Attendance is mnitred. The prspective visiting schlar did nt demnstrate English language prficiency sufficient t participate in an exchange prgram at Missuri S&T and t functin n a daily basis. ALI Evaluatr Name: Date f Interview: Duratin f Interview: Signature f Evaluatr: These results and/r any ther dcuments related t the bjective measurement f the prspective schlar s English language prficiency will be made available t the Department f Hmeland Security, Department f State, r any ther apprpriate gvernment agency in the event f an audit r request.
Certificatin f English Language Prficiency (CONFIDENTIAL DOCUMENT FOR USE BY THE OFFICE OF INTERNATIONAL AND CULTURAL AFFAIRS ONLY) (This page has been intentinally left blank.)