Fillable For some applicants intending to study or attend (Vanderbilt University)

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For some applicants intending to study or attend (Vanderbilt University)

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For some applicants intending to study or attend conferences in the United States, or with
background or experience in certain areas of science and advanced technology, additional
information and review may be required. To assist in processing your application as
quickly as possible, please ensure that you bring the following documentation and fill out
the attached questionnaire completely.
Checklist of required documents. Please bring with you to your interview.
q DS-156
q DS-157
q DS-158 (for students)
q Current CV/Resume
q Full list of all of your publications
Qualifications Questionnaire
In order to assist this office in determining your eligibility for the visa in which you are
applying, please fill out the following questionnaire in as much detail as possible.
Name:
Passport Number:
1. Describe in detail your current field of research/work (use additional space if
required):
2. Describe your current position:
3. Provide dates and reasons for any past travel to the US:
4. Provide a detailed statement of the purpose of your visit to the US (use additional
space if required):
5. What organizations and individual facilities will you have access to in the US:
6. Describe in detail the real and potential applications of your work or research.
Assume that you are describing your work to a qualified professional in your field
(use additional space if required):
7. What work, if any, does your US sponsor do for the US Government? Is any of that
work sensitive or classified? Will you be involved in the work? (use additional
space if required):
8. Describe in detail what research or work you will perform in the US and explain
how your trip to the United States will benefit or change your current research or
work (use additional space if required):
9. Who is funding your trip?
10. Provide a list of three references of people who are familiar with your work or
research. Please provide their names, professional title, and contact information.
11. Please provide your trip itinerary with contact information for where you will be
staying in the US. If you are a student, please provide the contact information for
the professors who will be overseeing your studies/research:
12. Please list the names of all accompanying travelers, including both family members
and colleagues:
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For some applicants intending to study or attend (Vanderbilt University)

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Completed 1 September 2020

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