Cordell Hull Foundation J-1 Exchange
NEW PROGRAM APPLICATION


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

Complete ALL blanks in English.itute

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:

 

City  

State

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 FAX to 646-349-3455 A COPY OF State School Certification

To submit this form, click the submit button below.
 

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