International Student and Scholar Services

Center for International Education


Forms

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Online Forms

Form Description Link
Change of Address Form Use this form to notify CIE of a change of address (must be submitted within ten days of moving). Change of Address Notification Form
Immigration Information Form Required for prospective students who are attending (or have attended) a US college or university. Immigration Information Online Form
OPT Reporting Form Use this form to update CIE of any changes in your situation (address, employment, departure from US, marital status, etc.) after OPT. OPT Reporting Form
Request for Letter Use this form to request a letter. Types of letters include: Invitation for Family Visit, Certification of Enrollment, Currency Exchange, Estimate of Expenses, Passport Extension, Social Security, and others. Request for Letter Form

Commonly Used Forms

Form Description Link
Travel Request Form Use this travel form to request a new signature on your I-20 (and your dependent’s I-20). Travel Request Form

Student Forms

Forms for New & Transfer Students

Form Description Link
International Student Financial Statement Form Form must be completed by every international student who needs an I-20. Please visit our website for information on the Estimate of Expenses Financial Statement Form
Declaration of F-1 Student Responsibility for Compliance with U.S. Immigration Regulations Summarized F-1 regulations and responsibility statement (requires student’s signature before beginning classes at UT). F-1 Declaration

Forms for Current Students

Form Description Link
J-1 Student Academic Training Request Form J-1 Students can use this form to apply for a period of “Academic Training” during their academic program. Academic Training Request Form (fillable)
J-1 Student Academic Training Advisor’s Form This form should be used to obtain information from the organization or prospective employer which will be conducting the training. Academic Training Advisors Form (fillable)
J-1 Student Academic Training Evaluation This evaluation form must be completed by the student and supervisor after the training program ends. Academic Training Evaluation (fillable)
I-20 Request Form Required when requesting a new I-20 for self/dependent/updating biographical information (ie: name change). I-20 Request Form (fillable)
J-1 Student On-campus Work Permission To be completed and submitted to the CIE after a job has been offered, but before work begins. J-1 Students Only. Please contact Dave Lawson (dplawson@utk.edu) for this form.
Extension of Program (Academic Advisor’s Form) Must be completed by academic advisor/major professor when student needs more time to graduate. Restrictions apply. Extension of Program Form
Request Form for Permission to Enroll Below Full-time Must be submitted to CIE for approval before dropping below full time. Request Below Full Time Form (fillable)
Change of Program Form Required notification and request for obtaining a new I-20 based on a change of program/level/major. Change of Program Form
Employment Verification Form for Social Security Number Sample letter for departments (required only for students who are applying for a SSN). Employment Verification Memo for Social Security Number
GA Financial Verification Form Must be completed by the student and department prior to work authorization. GA Financial Verification (CIE)
Transfer Out Form This form (and admission letter Transfer Out Form

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Request to Cancel J-2 Record

Scholar Forms

J-1 Scholar and Intern Forms

Form Description Link
DS-7002 (Fillable) The DS-7002 is a Department of State form that serves as the official outline of the proposed internship. This form is to be submitted as part of the applicant’s program application. For further information on the purpose of the form please contact Dave Lawson (dplawson@utk.edu). DS-7002
Permanent Record Form (fillable) Use this form when checking-in at CIE. J-1 Permanent Record Form
J-1 Health Insurance Certification (fillable) Use this form when checking-in at CIE. You must also provide proof that you have purchased adequate health insurance. J-1 Insurance Certification
Short Term Activities Payment Use this form to apply for permission to receive some payment from institutions other than UT for short-term activities classified as “occasional lectures or consultations.” This form explains what types of payments can be authorized and how to apply for the authorization. J-1 Scholar Short-Term Activities Payment
J-1 Extension Request Form (Form B) Use this form to request a J-1 Extension. This form must be submitted to host the department. The department then completes Form A and submits both applications together.  J-1 Extension Request (Form B)(Fillable)
J-1 Request to Transfer Host Use this form to transfer a scholar/intern from one host professor to another. Restrictions apply. J-1 Request to Transfer Host (Fillable)
Request to Cancel J-2 Record Use this form to request to cancel the SEVIS record of a J-2 who decides to leave the US early or not come at all (required by law). Request to Cancel J-2 Record (Fillable)

H-1B Scholar Forms

Important: Please contact Wendy Syer (syer@utk.edu) in ISSS prior to completing and submitting any forms related to H-1B processing.
Form Description Link
Permanent Record Form Use this form when checking-in at CIE. Scholar-Permanent-Record-(Fillable)

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Department Forms

For Departments of F-1/J-1 Students

Form Description Link
GA (Graduate Assistantship) Financial Verification Form To be completed by a UT department to show student GA funding details (CIE internal use only). GA Financial Verification (CIE)
Academic Advisor J-1 Extension Request Form This form is used by a student’s academic advisor to provide information in support of the student’s request for a J-1 program extension. J-1 Advisor Extension Request Form (Form A) (Fillable)

For Departments of J-1 Scholars

Form Description Link
J-1 Scholar Request Form Use this form to request a DS-2019 for a J-1 Scholar. The form must be completed by the host department and submitted to the CIE. J-1 Scholar Request Form (fillable)
J-1 Extension Request (Form A) Use this form to request a J-1 Extension. The form must be completed by the host department for a scholar to extend their J-1 visa, and submitted to the CIE with form B (below) attached. J-1 Extension Request Form A (fillable)
J-1 Extension Request (Form B) Use this form to request a J-1 Extension. This form must be completed by the scholar and submitted to the host department for approval. Do not submit directly to the CIE. J-1-Extension-Request-Form-B-(Fillable)
Short Term Activities Payment Use this form to apply for permission to receive some payment from institutions other than UT for short-term activities classified as “occasional lectures or consultations.” This form explains what types of payments can be authorized and how to apply for the authorization. J-1 Scholar Short-Term Activities Payment
Departure Notification Use this form to notify CIE of the departure of every J-1 or H-1B scholar (mandatory). Scholar-Departure-Notification-Form-(Fillable)

For Departments of J-1 Interns

Form Description Link
DS-7002 (Fillable) The DS-7002 is a Department of State form that serves as the official outline of the proposed internship. This form is to be submitted as part of the applicant’s program application. For further information on the purpose of the form please contact Dave Lawson (dplawson@utk.edu). DS-7002
J-1 Intern Request Form Use this form to request a DS-2019 for a J-1 Intern. The form must be completed by the host department and submitted to the CIE along with other required documents. J-1 Intern Request Form
Certification of Academic Status This form must be submitted to the CIE along with the J-1 Intern Request Form. J-1 Intern – Certificate of Academic Status
Interview Report Form This form must be submitted to the CIE along with the J-1 Intern Request Form. J-1 Intern Interview Report Form
English Language Proficiency Form This form must be submitted to the CIE along with the J-1 Intern Request Form. J-1 Intern – English Proficiency Form
Evaluation of Internship for J-1 Intern Form Use this form to evaluate the progress of a J-1 intern at both the middle and end of their program (required by law). J-1 Intern – Internship Evaluation Form
J-1 Request to Transfer Host Use this form to transfer a scholar/intern from one host professor to another. Restrictions apply. J-1-Request-to-Transfer-Host-(Fillable)
Departure Notification Use this form to notify CIE of the departure of every J-1 or H-1B scholar (mandatory). Scholar-Departure-Notification-Form-(Fillable)

For Departments of H-1B Scholar

Important: Please contact Wendy Syer in CIE prior to completing and submitting any forms related to H-1B processing.
Form Description Link
H-1B Request Form Use this form to request an H-1B status for an employee. This form should be completed by the UT department or organizational unit wishing to employ an H-1B employee. See detailed instructions before completing form. H-1 Request Form (fillable)
H-1B Applicant Information Use this form to provide information to CIE about a UT employee (current or prospective) who will be the beneficiary of an H-1B petition. H-1 Applicant Information Form (fillable)
Actual Wage Certification Use this form to document that the employee will be paid the actual wage (required by law). Read overview and detailed instructions for this form before completing it. H-1 Actual Wage Certification and Chart (Fillable)
H-1B Request Amendment Form Use this form to change information provided on a recent “Request for H-1B Petition.” This form must be completed by the hiring department. H-1 Request Amendment Form (Fillable)
H-1B Export Control Attestation Form Use this form for export control attestation. Export Control Form (fillable)
Departure Notification Use this form to notify CIE of the departure of every J-1 or H-1B scholar (mandatory). Scholar Departure Notification Form (Fillable)

For Departments Petitioning Permanent Residence (PR)

Permanent Residence forms are currently under revision. For current information and forms please contact Wendy Syer.

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Miscellaneous Forms

Health Insurance Forms for Students, Scholars, and Departments

Form Description Link
Insurance Enrollment Form for Scholars Scholars can use this form to enroll in the insurance plan available through the university. Please visit the Health Insurance Information Page for more details.

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http://international.utk.edu/forms/immigration-information/

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