J-1 AT Reporting Form

While on Academic Training, you are still considered a J-1 student under the University of Rochester's sponsorship and you must continue to comply with all J-1 regulations and reporting requirements.

All required information must be reported through the ISO within 10 days of any changes. Please email ISO’s OPT/AT Mailbox with questions or concerns about these reporting requirements.

If your AT will expire or you will no longer maintain your J-1 status through University of Rochester, please use the Student Departure Form to notify the ISO of your next plans.

To extend your Academic Training authorization or change/add an employer, please use the AT Recommendation Form (PDF). Permission for the new activity must be granted in writing by the ISO before you begin working. A break in active training between employers may not exceed 30 days.

* Full Name:	(Please list your name as it appears on your DS-2019)
* Date of Birth:	mm/dd/yyyy
University ID#:
* Current Email:
* Current Phone:

* Street 1:
Street 2:
* City:
* State:
* Zip Code:

Employer Name:	To ADD new employer info, use form linked above.
End Date:	mm/dd/yyyy
Supervisor Name & Contact:

Are you subject to 2-year Home Residency?:	NoYesYes - Waiver pendingUnsure
Other Comments/Remarks:

J-1 AT Reporting Form

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