J-1 Academic Training Request Form

J-1 Academic Training

Academic Training (AT) is a type of off-campus work authorization in a student’s field of study available to J exchange visitor students. Please note that Rice may only authorize AT for students sponsored by Rice. Students sponsored by other institutions (Fulbright, LASPAU, etc) must seek authorization directly from that sponsor. For more details regarding AT, please visit http://oiss.rice.edu/AT

Deadline: Please submit the completed request to OISS no later than two weeks before the expiration of the DS-2019 or the date the training is to begin (whichever is earlier). Please allow at least one week for processing.

New DS-2019: Upon approval, a new DS-2019 will be prepared to indicate the work authorization that may be presented to the employer for the purpose of I-9s and may also be used to apply for a Social Security Number (SSN).

Full official name as indicated on your DS-2019

Rice Student ID (S number)

Email address

Current US address

Street number and name

Address line 2 (e.g. apartment number), if applicable

City

Zip code

State

Start Date on DS-2019

Current DS-2019 End Date

Academic Program Completion Date

STUDENT CERTIFICATION

The statements below review and confirm that you have read and understood the regulations and agree to comply with the requirements for Academic Training for J-1 students per 22 CFR 62.23(f).

For additional information, please visit http://oiss.rice.edu/AT

I understand the primary purpose of AT is to permit a student to participate in an academic training program during his/her studies, with or without wages/remuneration, with the approval of the academic dean/advisor and the responsible officer (OISS).

Yes
No

I understand that I must obtain authorization before beginning any period of Academic Training and I may only work during the authorized period of Academic Training as indicated on my DS-2019

Yes
No

I confirm that I meet the following criteria required to be authorized for a period of academic training:

The primary purpose of my program is related to study; engaging in academic training is supplemental to my program
The training requested is directly related to my major field of study
I am currently enrolled as a full-time student in good academic standing

I will notify OISS prior to any change to the terms, goals, objectives, dates of any authorized period of academic training, as updates may be necessary to remain compliant.

Yes
No

I will complete a self-evaluation during the final month of my Academic Training (http://oiss.rice.edu/AT) as required to maintain valid immigration status.

Yes
No

I will continue to maintain health insurance that meets the U.S. Department of State requirements for myself and my J-2 dependents for the duration of my program, including any period of post-completion academic training. I understand that failure to maintain health insurance would be a violation of my J-1 status and would result in the termination of my J Exchange Visitor program.

Yes
No