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Click here to download Adobe Acrobat!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:

  • Dependent Visa Information Form (for grantees study in the United States only): This form allows LASPAU to initiate the processing of J-2 family visas. It outlines required information and should be completed and sent to LASPAU with all required documentation three months before your family's planned arrival. Click here to access a PDF version of this form.

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 within 14 days of your arrival, indicating your date of arrival at the university, and return the completed form to LASPAU promptly. LASPAU requires this form in order to issue you further subsistence 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: The OAS scholarship generally does not include funding during the summer or during official breaks of more than two weeks.Use the Summer Planning Form (PDF) to let LASPAU know about your plans and to apply for funding during the summer or break.

  • 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 the OAS. You will be notified by email when it is time to fill out this form. Click here to access this form.

  • Application for Renewal of Scholarship: If you need to apply for an extension (second year) of your OAS scholarship, please complete the Application for Renewal of Scholarship at least two months before the end date of your initial contract. Click here to accessa PDF version of this form.

  • Post-Completion Academic Training Checklist: If you are applying for post-completion academic training, please submit the Checklist (PDF) along with all other required documents. For more information on required documents for post-completion academic training, please see the Employment Section.
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


Last revised: December 3, 2007

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