Cordell Hull Foundation J-1 Visa Exchange

          To be completed by School, District or State  Hull Foundation J 1 visa

Complete ALL blanks in English.  Click Submit Form at the bottom of the page, then copy and paste the application form into a Word file or email window and send to:

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

Date school was established

Title of School Contact

Public   Private

Address of school /district:



Zip Code

Number of teachers

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 (1) applied for or (2) lived in the U.S. in H1-B visa status?  
Yes No

Private Schools:  Please email a PDF of State or Regional School Accreditation

To submit this form, click the submit button below, then copy the form (Ctrl A  + Ctrl C) and paste it in a Word file or email (Ctrl V) and email to: