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 arrival/departure record, 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.