Academic Training Application And Academic Advisor Recommendation Form printable pdf download

Academic Training Application and Academic Advisor Recommendation Form

If you are a student in J-1 status , you may apply for “Academic Training” authorization to engage in off campus

paid/unpaid employment/training/internships/practica related to your coursework at W&M (it must be related

to at least 2 courses you are taking/have taken at W&M). To apply, submit this application, a job offer letter

(see Reves site for details), and financial documentation (if training is taking place after your academic program

ends) to the Reves Center. In 2 business days, a new DS-2019 and an authorization letter will be ready for pick-

up. These will act as proof of employment authorization for your employer.

Part I: To be completed by the student

Name:_______________________________________________

Student ID: 930______________________

Academic Program (circle one):

Bachelor’s

Master’s

Doctorate

Non-degree/Exchange

Position Title ________________________________________________________________________________

Location of employment (name of employer/company and complete street address)

___________________________________________________________________________________________

Employment/training dates: From ______/_____/______ to ______/_____/______

Hrs/week:____________

Duties of the employment/training:______________________________________________________________

___________________________________________________________________________________________

Local address of residence (complete street address of where you will be living) __________________________

___________________________________________________________________________________________

Part II: To be completed by the student’s academic advisor

Is the employment/training directly related to the student’s academic program/coursework at W&M (it must be

related to at least 2 courses the student is taking/has taken while at W&M)?

Yes ______ No ______

How does the employment/training contribute to the student’s academic program?

___________________________________________________________________________________________

As the student's academic advisor, I have reviewed the details of this employment/training proposal and I

recommend that you authorize this student be engaged in the proposed employment/training as part of his/her

"Academic Training".

_________________________________

________________________________

_______________

Signature

Printed Name

Date

Part III: To be completed by (Alternate) Responsible Officer at Reves Center

AT granted? Y N If no, reason:__________________________________________________________________

If AT was granted, attach copies of the authorization letter, job offer letter, and DS-2019.

*Reves Center for International Studies *PO Box 8795 *Williamsburg, VA 23187-8795

*Phone: (757) 221-3594 *Fax: (757) 221-3597

Academic Training Application And Academic Advisor Recommendation Form