Rutgers Biomedical and Health Sciences International Services
Centers for Global Advancement and International Affairs
(GAIA Centers)
Rutgers, The State University of New Jersey
65 Bergen Street, GA-72
Newark, NJ 07107
rbhs.rutgers.edu/internationalservices
[email protected]
973-972-6138
Fax: 973-972-8260
ACADEMIC OFFICIAL’S RECOMMENDATION FOR J-1 ACADEMIC TRAINING
Academic Training (AT) is permitted for students on J-1 Exchange Visitor visas for a total of 18 months but not for
a period exceeding the amount of time the student has be in the J-1 program in the U.S. (For students pursing
post-doctoral research only, the “Academic Training” may be authorized for 36 months).
To certify the student's eligibility for AT, we need the following information from you:
Name of Student: ________________________________________________________________________
Degree Program of Student: _______________________________________________________________
Date of Completion of Studies*: ____________________________________________________________
*NOTE: This date should be for the completion of all degree requirements, including defense, etc.
Training Program (employment) Information:
Employment Start Date: ___________ Employment End Date: __________ Hours per week: _____________
Job Title: _______________________________________________________________________________
Employment location: _____________________________________________________________________
Name & phone of the employment supervisor: __________________________________________________
Goals and Objectives of Specific Training Program:
_______________________________________________________________________________________
_______________________________________________________________________________________
How does the training relate to the student’s major field of study? ______________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Why is the training an integral or critical part of the student's academic program? _________________
_______________________________________________________________________________________
_______________________________________________________________________________________
How will the training be evaluated for its effectiveness and appropriateness?_____________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Authorizing Signature:
Undergraduate Dean’s or
Graduate Program Director’s Signature: ___________________________________ Date: ______________
Academic Adviser’s Name (Printed): _________________________________________________________
Department: ____________________________________________________________________________
Phone Number: _________________________________Email: ___________________________________
Last Updated April 2016