J-1 Exchange Visitor Immigration Clearance Form

You must complete this form before your scheduled J-1 Exchange Visitor Clearance at the ISSI.
 
1. This form requires information from your I-94 admission number, which you will only receive upon arrival to the United States. You will not be able to complete this form if you are currently outside of the United States.
 
When you have completed the form, you must then report to your scheduled J-1 Exchange Visitor Clearance session at the ISSI. Filling out this form does not substitute for attendance! You must also bring our DS-2019 to your scheduled J-1 Exchange Visitor Clearance session to have it signed by an ISSI advisor. 
 
You must enter information next to each Item that has an asterisk * next to it. If it does not have an asterisk, then you do not need to supply information to complete this form.

Personal Information

Please type your name, just as it appears on your Northeastern DS-2019, into the boxes below.

Emergency Contact Information


I-94 Card Information

*All J-1 Scholars must retrieve their I-94 numbers online (if you do not have a paper-based I-94 card in your passport), You must PRINT it OUT in hard copy and BRING it to the ISSI J-1 Immigration Clearance Session.

I-94 Retrieval: https://i94.cbp.dhs.gov/I94/request.html

Guide: https://i94.cbp.dhs.gov/I94/jsp/CaptivateVideo.jsp

If "Not Found": 
https://help.cbp.gov/app/answers/detail/a_id/1697/session/L3RpbWUvMTM5Mjk5NjEyMi9zaWQvQ1RBN011Tmw%3D/kw/I-94%20Automation/session/L3RpbWUvMTM5Mjk5NjEyMi9zaWQvQ1RBN011Tmw
 
CBP Contact: 

Boston, Massachusetts

Mailing address:
U.S. Customs and Border Protection
500 Terminal E
Logan International Airport
Boston, MA 02128

Reporting Address:
U.S. Customs and Border Protection
Logan International Airport
Terminal E, Lower Level, Room 500
Boston, MA 02128

8:00 a.m. – 4:00 p.m.

Monday -Thursday

(617) 568-1810

 

 

Other hints to use in searching online when you cannot find your I-94 numbers:

- If you have multiple names: try eliminating the space, or truncating the last few letters.

- Try using all lower case letters.

- If you use a Mexican passport, try eliminating the first two digits of the passport number (used to indicate year).  This will not work for all Mexican passports.

Passport and Visa Information


Address in Boston area

Please enter the address where you are now living. DO NOT enter Northeastern University's address of 360 Huntington Avenue, or you will be asked to complete the Form again with a legitimate address.

Statement of Compliance

* In order to submit all of your information to help you prepare for Immigration Clearance, you must read the Statement of Compliance below and check the button at the bottom of the text to confirm that you read and agree to the statement.

I acknowledge that it is my responsibility to maintain lawful J-1 exchange visitor status and remain informed about changes in federal regulations and SEVIS policies via the ISSI website.


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 (for J-1 Scholar): I agree to comply with the conditions listed below

1. I will update the ISSI of any changes in my U.S. address within 10 days of moving via Online Local Address Update Form in the ISSI website.
2. I will follow university policies and federal regulations that apply to out of country activities and will apply for the ISSI authorization in a timely manner.
3. I will not accept any employment or reimbursement (on- or off-campus) unless it is authorized IN ADVANCE by the ISSI and/or USCIS.
4. If approved by school officials, I will file the request to extend my form DS-2019 at least two weeks in advance BEFORE the end date listed on my current form DS-2019.
5. I will keep my passport valid at all times.
6. I pledge to maintain medical insurance meeting federal requirements for myself, and for any accompanying dependents, throughout the entire duration of my J program.
7. If I lose my I-94 Form, I understand that I am required to replace it by filling out and submitting the Form I-102 and paying any fees, as required, to the US government.
8. I will submit the request for travel signature at least two weeks before leaving the U.S. for a trip overseas.
9. I will leave the U.S. within 30 days (J-1) after my completion date, unless I have legally extended my stay in the U.S.
10. It is my responsibility to make copies of my immigration documents (passport, I-94 Card, visa, DS-2019s) in case of loss or theft. The university suggests uploading copies of documents to the myFiles storage area that is accessible through the MyNEU account.


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 (for J-1 Student): I agree to comply with the conditions listed below

I acknowledge that it is my responsibility to maintain lawful J-1 student status and remain informed about changes in federal regulations and SEVIS policies via the ISSI website and through updates sent to my student NEU-email account.

1. I confirm that I have already attended, or will attend, a January 2014 in-person International Student Check-In session, and brought/will bring my DS-2019 and my passport with me to the session. The details on all matters stated below have, or will, be given to me at that time.
2. I will remain enrolled full-time in my academic program BEFORE registration deadlines and will maintain my full-time enrollment throughout each academic term
3. I will report to the ISSI any changes of major, degree level, funding, name change, address or change of nonimmigrant status within the specified times given at the International Student Check-In session.
4. I will follow university policies and federal regulations that apply to Leave of Absence due to Medical or Personal reasons and will apply for the ISSI authorization in a timely manner.
5. I will not accept any employment (on- or off-campus) unless it is authorized IN ADVANCE by the ISSI and/or USCIS, as covered in the International Student Check-In session.
6. I will file the request to extend my form DS-2019 in accordance with the ISSI's regulations.
7. I will keep my passport valid at all times.
8. I will submit the request for travel signature at least one week before leaving the U.S. for a trip overseas.
9. I will leave the U.S. at the end of my "grace period (30 days)", unless I have legally extended my stay in the U.S.
10. It is my responsibility to make copies of my immigration documents (passport, I-94 Card, visa, DS-2019s) in case of loss or theft. The university suggests uploading copies of documents to the myFiles storage area that is accessible through the myNEU account.
X

* Indicates Response Required