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Report as an International Student
The purpose of this form is for the Office of Global Services (OGS) to collect information about J-1 students attending a program at Georgetown using a Form DS-2019 not issued by Georgetown.
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* Indicates required question
Family Name(s)
*
Exactly as written on your passport
Your answer
Given Name(s)
*
Exactly as written on your passport
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
Male
Female
Clear selection
Country of Birth
*
Your answer
Country of Citizenship
*
Your answer
Email
*
Your answer
Which J-1 sponsor created your DS-2019?
Example: IIE, Fulbright, Brazil Scientific Mobility Program, USAID
Your answer
Academic Program Information
Name of Academic Program
*
Example 1: Master's in Latin American Studies, Example 2: Undergraduate studying in the School of Business, Example 3: Post Bach Certificate in Computer Science
Your answer
Expected Start Date
*
Example: January 13, 2016 or Spring 2016
Your answer
Expected Graduation/Completion Date
*
Example: May, 20 2017 or Spring 2017
Your answer
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