Metropolitan Transportation Authority Biographical Information ...
Biographical Information (on Passport)
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Please provide the following information: Biographical Information (on Passport): ____________________________________________________________________________________ Last Name First Name Middle Name _____________________________________________________________________________________ Gender (M or F) Date of Birth (mm/dd/yyyy) City of Birth Country of Citizenship _____________________________________________________________________________________ Country of Legal Permanent Residence Current Position Institution _____________________________________________________________________________________ Institution Department Field of Study _________________________________ ___________________________ Highest Academic Degree Received Major/field Request for Appointment Period: ______________________ to ______________________ ____________________________ Start Date (mm/dd/yyyy) End Date (mm/dd/yyyy) Faculty Sponsor Name *copy of faculty sponsor’s agreement is required Contact Information: _____________________________________________________________________________________________ Address City State/Province _____________________________________________________________________________________ Zip Code Country Phone Number Email Address Visa Status: Have you previously had J-1 or J-2 Status? NO YES (If yes, attach DS-2019s or copy of visa page from passport book from all prior J-1 or J-2 periods and complete below): J-1 or J-2 J-1 Category [Professor/Research Scholar/Short-term Scholar] Start Date MM/DD/YYYY End Date MM/DD/YYYY Sponsoring Institution *Attach a separate sheet if more space is needed.
Transcript of Biographical Information (on Passport)
Please provide the following information:
Biographical Information (on Passport):
____________________________________________________________________________________ Last Name First Name Middle Name
_____________________________________________________________________________________ Gender (M or F) Date of Birth (mm/dd/yyyy) City of Birth Country of Citizenship
_____________________________________________________________________________________ Country of Legal Permanent Residence Current Position Institution
_____________________________________________________________________________________ Institution Department Field of Study
_________________________________ ___________________________ Highest Academic Degree Received Major/field
Request for Appointment Period:
______________________ to ______________________ ____________________________ Start Date (mm/dd/yyyy) End Date (mm/dd/yyyy) Faculty Sponsor Name
*copy of faculty sponsor’sagreement is required
Contact Information:
_____________________________________________________________________________________________
Address City State/Province
_____________________________________________________________________________________ Zip Code Country Phone Number Email Address
Visa Status:
Have you previously had J-1 or J-2 Status? NO YES (If yes, attach DS-2019s or copy of visa page from
passport book from all prior J-1 or J-2 periods and complete below):
J-1 orJ-2
J-1 Category[Professor/Research Scholar/Short-term
Scholar]
Start Date
MM/DD/YYYY
End Date MM/DD/YYYY
Sponsoring Institution
*Attach a separate sheet if more space is needed.
For guidance on how to complete this section, please go to: https://blog.hawaii.edu/fsis/jinvitation/ Improperly completed forms will be returned to the applicant.
Briefly summarize your research proposal, its relevance to the field of Korean studies, and how you plan to carry out the research (100 – 300 words):
Outline how UH Manoa/Hawaii is vital to your research plans:
Outline how UH will benefit from your participation in our Visiting Scholar program:
Updated 09/19/2018
