Department Form-Short Term Resident Instruction

This form is to be completed by departments who need to invite international students come into the United States for short term resident instruction. (Example: Mandatory residency instruction for a world campus student, other short term students with no LionPATH records.) There are multiple purposes for this form:

1.  To alert DISSA/Pre-Arrival Advising of a student need for a non-immigrant document for visa eligibility (I-20/DS-2019). 

2.  To inform DISSA/Pre-Arrival Advising of the estimated expenses for which the student will be responsible.  (These estimated expenses will be reported on the I-20/DS-2019).

Master Information Architecture: 
Who should we contact if there are questions about this request?
This is the first day the student will be in class.
This is the last day the student is expected to attend class.
Will this course require an orientation period for which the student is expected to attend? Please enter the orientation date here, if there is one.
How many hours per week of in-class instruction will the student receive?
$
The estimated cost for housing and food, and personal care items.
$
Are there any other costs the student will encumber? (eg: transportation, books, lab fees, etc.)
$
Please give a short explanation of the expense type. (eg. transportation, books, materials, etc.)
Are there any other costs the student will encumber? (eg: transportation, books, lab fees, etc.)
$
Please give a short explanation of the expense type. (eg. transportation, books, materials, etc.)