J-1 Student Internship Supervisor Form

1 Intern Info 2 Internship Info 3 Supervisor Info 4 Certifications 5 J-1 Student Internship Supervisor Form Preview Page

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Thank you for your interest in inviting an undergraduate international student to do their internship in your department!  Please complete this form to provide the necessary information we will need to create the immigration documents the student will need to apply for a J-1 Exchange Visitor Visa in the Student Intern category. 

Be prepared to upload documented proof of English language proficiency for the intern.  

As the supervisor for the intern, it is your responsibility to "evaluate the Visitor’s English language skills to determine that the visitor has sufficient proficiency in the English language to successfully participate in his or her program and to function on a day-to-day basis."

Use one of the following "objective measurements of English language proficiency" to determine an applicant's language proficiency:

  •  A recognized English language test;
  • Signed documentation from an academic institution or English language school; or
  • A documented interview conducted by the sponsor either in-person or by videoconferencing, or by telephone if videoconferencing is not a viable option

Supply to the International Center evidence of how you measured the applicants’ English language proficiency so that it may be made available to the U.S. Department of State upon request. 

Intern Information
Please provide information about the intern you have accepted to your department.

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