Request for DS-2019

VLI & VLC DS-2019 Request Form

DS-2019 Certificate of Eligibility of J-1 Exchange Visitor Status Request Form for Visiting Language Instructors and Coordinators
  • Enter your name as it appears on your passport.
  • Select your country of citizenship.
  • Select your current country of legal residence.
  • Enter the address to which you would like your documents mailed.
  • Enter your current e-mail address.
  • Expenses

  • J-1 Exchange Visitors are required to have health & medical insurance for the duration of their program dates. The estimated cost of insurance is based on your age. The cost per month is $38.75 for up to 24 years of age, $61.69 for ages 25-29, and $105.40 for ages 30-65. Please show proof of finances for the amount needed to cover you for the duration of your program. CIE will e-mail you instructions on how to self-enroll. If you do not provide our office with proof of enrollment by August 16, 2017, CIE will enroll you and charge the amount to your UMW account. You will then be responsible for paying this amount by the deadline established by UMW Student Accounts.