Cordell Hull Foundation J-1 Exchange
NEW PROGRAM APPLICATION


For School, District or State to complete
Hull Foundation J 1 visa

Please be sure to complete all blanks in English.Cordell Hull Foundation Cordell Hull Institute

School name, School District, or State Dept. of Education

U.S. State where located

Initial date to initiate teacher exchange program

End date of J-1 visa term

LAST NAME of school contact

FIRST NAME(S) of school contact

MIDDLE NAME(S) of school contact

Type of school

If private or charter school,
date established

Title of School Contact
Public   Private

Address

 

 
City   State Zip Code
Number of teachers needed Country of Origin  Additional Country of Origin
   
email address of school contact telephone no. of school contact
school website address school fax number
Level that teachers will teach     Primary Secondary Both? Yes    No
Teacher name(s)
email address of the person completing this form

Subject(s) to be taught

If a teacher is already in the U.S., what is the current visa status?
Has any candidate already lived in the U.S. in H1-B visa status?   Yes No

Private Schools:  Please FAX to 646-349-3455 A COPY OF:
        State School Certification

To submit, click the submit button below.
 

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