Section 1 of 1
School of Nursing Visiting Scholar Application
To be considered as a visiting scholar, please complete and submit this form and email the face page from your passport, and a current CV (in English) to songlobal@umn.edu with the subject line: Visiting Scholar Request. Proof of English proficiency is also required.
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Applicant name (as it appears on passport):
Applicant name (as it appears on passport):
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Home address:
Home address:
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Phone number:
Phone number:
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Gender:
Gender:
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Date of birth:
Date of birth:
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Country of birth:
Country of birth:
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Country of citizenship:
Country of citizenship:
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Country of legal permanent residence:
Country of legal permanent residence:
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Academic Background/Interests (please attach CV)
Academic Background/Interests (please attach CV)
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Highest degree and date earned:
Highest degree and date earned:
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Name and address of the Institution where your highest degree was earned:
Name and address of the Institution where your highest degree was earned:
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Major:
Major:
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Current institution/organization affiliation (name and address):
Current institution/organization affiliation (name and address):
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Current position in institution/organization:
Current position in institution/organization:
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For graduate students only: Name and address of faculty advisor:
For graduate students only: Name and address of faculty advisor:
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Requested start date of proposed visit:
Requested start date of proposed visit:
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Requested end date of proposed visit:
Requested end date of proposed visit:
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Have you been in the United States in J-1 or J-2 status during the previous 12 or 24 months? (If yes, please email songlobal@umn.edu with a copy of previous DS-2019)
Have you been in the United States in J-1 or J-2 status during the previous 12 or 24 months? (If yes, please email songlobal@umn.edu with a copy of previous DS-2019)
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Are you currently in the United States?
Are you currently in the United States?
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Area of study during proposed visit:
Area of study during proposed visit:
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Research/scholarship focus during proposed visit:
Research/scholarship focus during proposed visit:
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Goals for your stay (if accepted, a more detailed study plan is required):
Goals for your stay (if accepted, a more detailed study plan is required):
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Proposed activity to meet the above goals (check all that apply):
Proposed activity to meet the above goals (check all that apply):
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Conduct research on own project (describe topic in the space below)
Conduct research with a faculty member (describe topic in the space below)
Utilize library resources (requires an additional monthly fee of $165 USD)
Audit classes (Please note that visiting scholars may only register to take one class. See https://onestop.umn.edu/academics/registration-guidelines and https://isss.umn.edu/J/)
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If you marked "conduct research" above, please describe the topic and area of research in the space provided below:
If you marked "conduct research" above, please describe the topic and area of research in the space provided below:
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University of Minnesota Faculty Sponsor
University of Minnesota Faculty Sponsor
To be accepted as a visitor, a School of Nursing faculty member must agree to serve as a faculty sponsor.
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Have you identified a faculty member in the school who seems to be a good match for your area of interest and who might serve as a sponsor?
Have you identified a faculty member in the school who seems to be a good match for your area of interest and who might serve as a sponsor?
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No, I am asking the school to identify a potential faculty sponsor.
Yes, but I have not contacted this person. Please identify the person and how you became familiar with the work of this faculty member in the space below.
Yes. Please provide the faculty member's name in the space below.
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If you answered "yes" above, please identify the faculty member and how you became familiar with their work in the space provided below.
If you answered "yes" above, please identify the faculty member and how you became familiar with their work in the space provided below.
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Please describe your plans to fund this visit. Review the description of School of Nursing scholar fees and expenses related to the J Visa application, health insurance, and living arrangements. More detailed information can be found at http://www.isss.umn.edu/. In addition to the required fees, scholars are required to show proof of a minimum of $2,100 USD per month.
Please describe your plans to fund this visit. Review the description of School of Nursing scholar fees and expenses related to the J Visa application, health insurance, and living arrangements. More detailed information can be found at http://www.isss.umn.edu/. In addition to the required fees, scholars are required to show proof of a minimum of $2,100 USD per month.
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Other Dependents
Other Dependents
If you wish to bring dependents on a J-2 Visa, please email songlobal@umn.edu a copy of the face page from your passport for each dependent traveling with you. Additional proof of funding required for dependents is: 1 dependent - $800/month; 2 dependents - $1,000/month; 3 dependents - $1,200/month; 4 dependents - $1,675/month; 5 dependents - $1,897/month.
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Do you wish to bring dependents on a J-2 Visa?
Do you wish to bring dependents on a J-2 Visa?
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No
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Please indicate the number of dependents you wish to bring and if the person is a spouse or minor child.
Please indicate the number of dependents you wish to bring and if the person is a spouse or minor child.
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