Please submit this form if you have been accepted to complete an internship at Cal Poly for credit at your home institution and you need a J-1 visa to enter the USA. If you have questions, please contact Susan Tripp.
You must also complete the DS-2019 Request Form.
You will not be able to save this form and complete it later. Be prepared to upload a copy of your approved internship agreement.
By typing my name below, I affirm that all the information I have provided is accurate. I understand that this information will be used to evaluate my eligibility for DS-2019 issuance in the Student Intern Category. I will immediately inform California Polytechnic State University (Cal Poly) of any changes in the information I have provided. I understand that the duration of my internship cannot be extended without the permission of Cal Poly and must be done prior to the expiration of the DS-2019. I also understand that as an exchange visitor I am not eligible to earn a degree at Cal Poly.