This cover letter / checklist is for J-1 Research Scholars, J-1 Short-Term Scholar and J-1 Interns

Please print, complete, sign, and date this page and mail it to:
RI J-1 Processing
The Robotics Institute
Carnegie Mellon University
5000 Forbes Avenue
Newell-Simon Hall
Pittsburgh, PA 15213
Email: RI-visa@andrew.cmu.edu

Please fill in your name as it appears on your passport. (No accented characters, please.)
Given Name:
Last Name / Surname:
 
Name of RI Faculty Host(s):

(optional)
Please confirm the dates of your visit.
Start date of visit (Ex: 31 Jan 2011):
End date of visit (Ex: 31 Jan 2011):
 
Project description / area of work to be completed at RI (2 - 3 sentences):
Document Checklist
J-1 Exchange Visitor Data Form or J-1 Intern Data Form
Visitor Passport Copy
J-2 Dependent Passport Copies (if applicable)
TOEFL / IELTS Scores Copy (if applicable)
Original Documentation of Financial Support
Currency Conversion Rate and amount as of this date
Signed Health Insurance Form
Home Institution Verification Letter (Only required for J-1 Interns)
Financial Support Amount in US Dollars
Carnegie Mellon University $
Personal $
Family $
Exchange Visitor's Government $
Exchange Visitor's Employer $
Exchange Visitor's University $
Other       (describe) $
(amount must meet minimum requirements as listed on the J -1 Visitor Data Form) $
 
As of my start date in RI, I will have completed at least a Bachelor's Degree (BS). Yes     No
Comments:
 
Signature: _____________________________________________ Date (Ex: 31 Jan 2011): __________________________