Other Status Scholar Registration

Family/Last name:
Given/First name:
San Diego residential address: San Diego residential address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Date of birth: Date of birth: / MM / DD YYYY
Country of citizenship:
E-mail address:
Phone number:
Must be 10 characters. Currently Entered: 0 characters.
A U.S. phone number is required. If you do not have a U.S. phone number yet, please list the phone number of a contact you have here in the U.S. (e.g. friend, department facilitator)
Immigration status:

Immigration status: J-1 (non-UCSD sponsored; for example Fulbright) J-2 F-1 (OPT/STEM) Pending Lawful Permanent Resident TN (not processed by IFSO) B1/B2 WB/WT Other
UC San Diego Sponsoring department:
Job title:
Other job title:
Emergency contact: Emergency contact: First Last
Relationship to you:
Emergency contact phone: Emergency contact phone: - ### - ### ####
Emergency contact address: Emergency contact address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Upload a File

Attach Files
Instructions: Upload your passport biographical page, I-94, visa, and entry stamp for your most recent entry to the United States. Also include any immigration documents relevant to your current status (e.g. Employment Authorization Card, DS-2019, or I-20).
By submitting this form I authorize the International Faculty & Scholars Office to retrieve the I-94 record and travel history for myself and my dependents(s) (if applicable) from https://i94.cbp.dhs.gov/I94/ while I am affiliated with UC San Diego.