 To help facilitate your exchange experience, a number of forms must be signed
and/or completed by you, your host university, your home institution, or your
program sponsor during the course of your program. Some of these forms can be
downloaded in PDF format. To open and print these documents, you must have the
Adobe Acrobat Reader software. If your computer does not have a copy of the
program, you may download a free copy by clicking on the "Get Acrobat Reader"
icon to the right. Once you download Adobe Acrobat, click on the appropriate link to
access your forms.
FORMS YOU MUST COMPLETE BEFORE YOUR DEPARTURE:
Please download the appropriate language version, if available. Unless noted otherwise, these forms should be submitted by the date indicated in your email notification. It is not necessary to send any of the documents by express mail or fax. If you are sending forms to LASPAU, please send them to the following address:
LASPAU - Notification Documents
25 Mt. Auburn Street
Cambridge, MA 02138-6095
USA
- Release of Application and Academic Information Form: Sign this form to authorize LASPAU to request information from your U.S. host institution pertaining to the admissions process and your subsequent academic progress: English
- Certificate of Health: This form is to be filled out by a physician in your home country and returned to LASPAU. Make a copy of this form as you will need it to enroll at your U.S. university: English | Spanish
- Dependent Visa Information Form: This form allows LASPAU to initiate the processing of J-2 Family Visas for the family members who will be joining you in the United States at the beginning of your academic program. Along with the requested information on the form, we require documentation confirming you have funds and insurance coverage for your family during their stay in the United States. Please fax the completed form and supporting documentation to LASPAU no later than three months before your family's planned arrival: English
FORMS YOU MUST COMPLETE AFTER YOUR ARRIVAL:
- Confirmation of LASPAU Grantee Presence at Host Institution: Have your international student advisor or the appropriate official sign this form indicating your date of arrival at the university, and return the completed form to LASPAU within 15 days of your arrival. We need this form in order to maintain your legal status in the United States and issue you further maintenance payments. Click here to access a PDF version of this form.
- Information Sheet: This sheet includes three forms: 1) the Grantee Information Form provides LASPAU with information about you, your university, and your home institution; 2) the Program Planning Form provides confirmation that your academic program meets the requirements of your LASPAU-administered grant; 3) the Academic Information Release Form authorizes LASPAU to obtain your academic information from your university in the event of your absence. Complete and return the Information Sheet to LASPAU within 30 days of starting your academic program. Click here to access a PDF version of this sheet.
FORMS YOU MUST COMPLETE DURING YOUR ACADEMIC PROGRAM:
- Summer Planning Form: Complete and return this form to LASPAU by mid-April to avoid problems with tuition coverage or delays in maintenance payments. Click here to access a PDF version of this form.
- Academic Progress Report: Twice a year, you will be asked to report electronically on your grades and enrollment plans. The electronic report will, in turn, be sent to your program sponsor. You will be notified when this form is available on the LASPAU website.
FORMS YOU MUST COMPLETE AT THE END OF YOUR ACADEMIC TRAINING:
- Confirmation of Academic Training Completion Form: Fill out this form with your academic training supervisor. Please return the completed form to LASPAU before the end of your academic training. Click here to access a PDF version of this form.
FORMS YOU MUST COMPLETE AT THE END OF YOUR ACADEMIC PROGRAM:
MEDICAL INSURANCE FORMS:
- If you are enrolled in LASPAU's insurance plan, your insurance carrier is Virginia Surety Insurance Company and all of your claims will be handled through Seven Corners Inc.. You will receive a Virginia Surety insurance card from LASPAU. The coverage, provided at no cost to you, is only for you and does not include any of your dependents with you. Please contact LASPAU if you have any questions after reading over the Virginia Surety frequently asked questions (FAQ) and the Virginia Surety plan summation (PDF), which describe the benefits and coverage in detail. If you are covered by Virginia Surety and need to be reimbursed for medical expenses, you can download a Virginia Surety claim form (PDF) and send it to Seven corners :
Seven Corners, Inc.
303 Congressional Boulevard
Carmel, IN 46032 USA
Phone: 800-683-1427
Collect call: 317-818-2806
Fax: 317-575-2652
Email: claims@sevencorners.com
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