J-1 Information Form

Sponsor
Wake Forest University Center for International Studies

Your name:
Your email:
Your telephone number:
Your Department:
   
Name of incoming J-1 visitor:
   
J-1 visitor's e-mail:
   

Estimated beginning date of J-1 program (If unknown please leave blank):

 (mm/dd/yyyy)
   
Estimated ending date of J-1 program:
   
J-1 category:

Specific field of study, research,
or professional activity:
   
Financial funding/benefits provided by Wake Forest Health Sciences: (example: tuition, salary, food, housing, scholarship, etc.)

 

  
   
Additional information:
Would you like this mailed express mail Yes No
If so please provide the name of the shipping company:
Please provide the account number:
Internal billing number (if applicable):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If you have any questions about this form or the J-1 Visitor program please contact:

Kent Greer

Assistant Director, International Students and Scholars

e-mail: greerrk@wfu.edu

Tel: 336.758.6033(work)