_________________________________________________________________________ 1414 E 59th Street, Chicago, Illinois 60637, Tel. (773) 702-7752, Fax (773) 702-3058

international-affairs@uchicago.edu http://internationalaffairs.uchicago.edu

Request for Graduate Non-Degree Visiting Student

General Information

This document is used to request a Form DS‐2019 for a Non‐Degree Visiting Student coming to the University. Please consult page 45 of the University’s Student Manual – University Policies and Regulations for details. The student must meet all conditions set forth under Non‐Degree Visiting Student. This form is NOT used for Visiting Scholars who are given an appointment in or agreement with the University.

Non‐Degree Visiting Students are advanced graduate students pursuing a graduate level degree at another academic institution, who are at the research or writing stage, and who temporarily work on their research project with a faculty member at the University of Chicago.

Non‐Degree Visiting Students must comply with all University rules and regulations and are subject to student disciplinary systems. This status is available for no more than 4 consecutive quarters, including the summer quarter. This status may be extended by up to 4 consecutive quarters upon recommendation of the faculty sponsor and the area Dean of Students and with the approval of the Deputy Provost for Research and Education. Please refer to the Office of the Vice President and Dean of Students website’s section on Student Policies for the latest and most complete description of the Non‐Degree Visiting Student category: http://studentmanual.uchicago.edu/enrollment

Status Considerations

Each international Non‐Degree Visiting Student will be sponsored by the University in the status and category most appropriate for him or her. The decision which status to sponsor is made between OIA and the academic unit, keeping the interest of both the University and the student in mind; such considerations will include concerns regarding future availability of J‐1 status for the student, current eligibility for a specific category, as well as the duration of the program, but not the personal preference of the student. Where possible, OIA will use the J‐1 Specialist category for international Non‐Degree Visiting Students. It permits a program length of up to one calendar year, the stated maximum a Non‐Degree Visiting Student may spend at the University of Chicago. The length of the J‐1 Specialist category cannot be extended. However, if the department – when requesting issuance of the DS‐2019 form – indicates that there is a possibility of an extension of the Non‐Degree Visiting Student’s program at the University of Chicago, OIA will issue a DS‐2019 in the Research Scholar category instead. International Non‐Degree Visiting Students in the BSD will never be sponsored in the Specialist category; they will be sponsored in the Short‐Term Scholar (maximum of 6 months, no extension possible) or Research Scholar (maximum of 5 years) categories. Individuals who have been in the US in J‐1 status in the two years directly preceding the requested start date may not qualify for J‐1 Research Scholar status. OIA will be able to determine someone’s eligibility for a specific category. To make this determination, copies of the prospective Non‐Degree Visiting Student’s previous DS‐2019 forms are required.

J-1 Visa Document

Revised 6/19/2013

Non‐Degree Visiting Student Budget 

Before issuing Form DS‐2019, OIA must have proof that sufficient funding will be available for tuition, fees and living expenses according to the University’s standard budget for Non‐Degree Visiting Students. Proof that the Non‐Degree Visiting Student has sufficient funds to support him or herself (and dependents if applicable) throughout his or her stay must be submitted with this request. This proof can come in the form of bank statements (which must be accompanied by support letters if funds are not the visiting student’s personal funds), official College or University funding letters, etc.

It is essential that all Non‐Degree Visiting Students are made aware of the fact that they indeed are responsible for the payment of these fees to the University before he or she arrives at the University. While it is understood that visits will often not coincide with the academic quarters, the fees are assessed on the basis of these quarters. The rates below are per quarter and are accrued for each quarter during which the Non‐Degree Visiting Student is enrolled, irrespective of the duration of this enrollment during a specific quarter. (E.g. a visiting student enrolled from 2/1/2013 until 1/31/2014 would incur costs for five quarters.) 

$ 1050 Non‐Degree Visiting Student

$ 331$ 1007

Tuition Student Life fee Health Insurance1

Living expenses2 $ 5,490

Spouse: $ 259 Dependent Life fee3 Living expenses

$ 1,000

First Child: $ 259 Dependent Life fee Living expenses $ 1,000

Second Child: $ 259 Dependent Life fee Living expenses $ 1,000

1.) The annual insurance premium for coverage through the University will be broken up into three quarterly installments. No insurance will be charged during the fourth quarter. J‐1 status holders must obtain insurance through the niversity or obtain a waiver.

2.) Living expenses are not paid directly to the University. The prospective Non‐Degree Visiting Student must prove that he or she has access to funds that are equal to the above rate to cover his or her private living expenses, such as room and board.  

3.)  J‐2 dependents are required to have health insurance that meets the minimum requirements as shown on our website, but they do not have to acquire this coverage through the University. When the primary status holder (Non‐Degree Visiting Student) obtains the University of Chicago Student Health Insurance Plan (USHIP), the NDVS will be charged $204 for each dependent per quarter, for three quarters.  The Dependent Life fee will not be charged if the NDVS does not obtain the USHIP. In that case, funds for health insurance premiums for J‐2 dependent spouses and children are in addition to the costs stated here and are the responsibility of the J‐1 status holder.  

_________________________________________________________________________ 1414 E 59th Street, Chicago, Illinois 60637, Tel. (773) 702-7752, Fax (773) 702-3058

international-affairs@uchicago.edu http://internationalaffairs.uchicago.edu

Revised 6/19/2013

Issuance of DS‐2019

In order to allow for the appropriate issuance of the DS‐2019 form as well as to allow enough time for the J‐1 visa application process at a US Embassy or Consulate, OIA must receive this request with the appropriate supporting documents no later than 30 days prior to the requested start date. If the lead time is not enough in the view of OIA, the adviser will contact the department to arrive at a more feasible start date. Please send the completed form to OIA at 1414 East 59th Street (Int. 291). If you have questions, contact OIA at 2‐7752, international-affairs@uchicago.edu.

Specific Fields

Part 1:   The Contact Person’s initials verifying compliance with the eligibility criteria (as above)  as well as a University of Chicago ID Number are required.

Part IV: All requested documents must be included with the request. Without these

documents, the issuance of the DS‐2019 form will be delayed as the information will have to be obtained from the visitor.

The approval of the Dean of Students (or his or her representative) is required, should the end date of

the program change.

A new request is needed for an extension of the DS‐2019.

Please direct any questions that you may have to OIA at 2‐7752 or international-affairs@uchicago.edu

Part II: For new students initially planning to stay for less than six months, it is very importantfor OIA to know whether or not the student might extend, as this will determine their J-1 category.

Change of Program Dates

Questions

_________________________________________________________________________ 1414 E 59th Street, Chicago, Illinois 60637, Tel. (773) 702-7752, Fax (773) 702-3058

international-affairs@uchicago.edu http://internationalaffairs.uchicago.edu

Revised 6/19/2013

Please initial to confim that the prospective Non-Degree Visiting Student meets the requirements as outlined in the student manual

PART I: Contact Person Verification

Name

Email

PART II: Non-Degree Visiting Student’s Personal Information

Name as written in passport:

DOB

Country of Citizenship:

Country of Legal Permanent Residence:

Country of Birth:

Mailing Address:

Is the student an M.D.?

Current Field of Study:

If yes, attach a “five point” letter from the Department Chair certifying that the Non-Degree Visiting Student will not be involved in patient care.

PART III: The Non-Degree Visiting Student’s Program

Request Type

Start date: End date:

Important: For new students whose initial program will be less than six months, is there a possibility that the student’s program will be extended beyond six months? Please Initial

Graduate Non-Degree Visiting Student DS-2019 Request Form

GenderStudent ID Required to process request

Last First Middle

City of Birth

E-mail address:

Street Address

City, Province (if applicable) Postal Code Country

New Student Requests Only

Number of dependents who will accompanystudent to the U.S.Please attach passport copy foreach dependent

_________________________________________________________________________ 1414 E 59th Street, Chicago, Illinois 60637, Tel. (773) 702-7752, Fax (773) 702-3058

international-affairs@uchicago.edu http://internationalaffairs.uchicago.edu

Revised 6/19/2013

If yes, please attach copies of previous DS-2019 forms.

Previous J-1 Program Participation: Has the student participated in any J-1 program during the two years immediately preceding the requested start date?

Division and Department:

PART IV: Support Documents and Mailing

Funding Sources

Please refer to the front page of this request form for the required total amounts. Attach proof for all funding sources, except for funding from the University of Chicago.

Source Amount

University of Chicago $

(in U.S. dollars)

$

$

U.S. Government Agency(specify)International Organization(specify)Non-Degree Visitor’s Government $

$ Other Organizations(specify)Personal & Family Funds

TOTAL $

Check List (please attach the following documents, if applicable): For each non-University of Chicago funding source listed, attach at least one document Copy of passport ID page(s) Copy of passport ID page(s) of each dependent coming with the Non-Degree Visiting Student 5 Point Letter (if student is an M.D.--see previous page)Copies of previous DS-2019 forms (if applicable, see above)

Mailing Instructions

Mail it to the Non-Degree Visiting Student via airmail using the address above.

E-mail or call the Department at

Make the document available for pick-up at OIA and email student.

$

Faculty Member Making Request

Dean of Students(or representative)

Name Signature Date

Name Signature Date

Send it to the student using the express shipping label he/she purchased from eshipglobal.

_________________________________________________________________________ 1414 E 59th Street, Chicago, Illinois 60637, Tel. (773) 702-7752, Fax (773) 702-3058

international-affairs@uchicago.edu http://internationalaffairs.uchicago.edu

Mail it to the student using Department's Fed Ex account .