Application to the Visiting Scholar and Research Fellow Program

Application Deadlines:

April 1st for the fall semester or academic year; September 1st for the spring semester.

Instructions:

Please complete this form and return to ColumbiaLawSchool along with a copy of your curriculum vitae, a one-page list of publications, a one-page description of your intended research project, and two letters of recommendation. All materials must be submitted in English. Please print all information.

Personal Information:

Name: First ______Middle ______Last ______

Gender: Male  Female Title at home institution: ______

Home Institution:______

Street Address*: ______City______

State/Province______Postal Code______Country ______

* Unless otherwise indicated, correspondence will be sent to home institution and fax number.

Work Telephone (+ country code) ______Work Fax ______

E-mail Addresses: ______

Home Address: ______

______

Home Telephone and fax:______

Address in New York (if available): ______

City and Country of Birth:______Date of Birth (month/day/year):______

Dates of Intended Study at Columbia:

Arrival: Day____ Month____ Year____ Departure: Day____Month ____ Year: ____

Citizenship: ______

(If dual citizenship, indicate citizenship of passport you will use to enter the U.S.)

Social Security Number (SSN): ______-______-______

If not U.S. citizen, what is your immigration status if in the U.S.?

N/A - U.S. citizenJ-1

U.S. permanent residentH-1 Temporary Worker

B-1 BusinessWB

B-2 TouristWTڤ

Timing:

Check which semester(s) you are applying for:

Fall/Academic Year (deadline April 1st) Spring semester (deadline September 1st) 

Academic Information:

Area(s) of Specialization: ______

______

Research Topic while at Columbia: ______

______

Highest Academic Degree in original language: ______

Columbia Faculty Sponsor (if unknown, please leave blank): ______

Have you been associated with ColumbiaLawSchool at a previous date? Yes  No 

If Yes, when? ______In what capacity: ______

Please indicate level of English competency:

Excellent Very Good Good Fair Poor 

Financial Information

Once accepted into the program, the International Students and Scholars Office (ISSO) of Columbia University requires all Visiting Scholars and Research Scholars to provide documentation of their ability to support themselves financially while in the U.S. Current regulations call for at least $2,000 per month per scholar, plus an additional $800 per month for an accompanying spouse and $400 per month for an accompanying child.

Please list all funding sources ______

Program Fees

Visiting Scholars and Research Fellows are charged a fee of $6,000 per academic year to participate in the Visiting Scholar and Research Fellow Program at ColumbiaLawSchool. As of July 1,2002 ISSO charges $250.00 for the processing of visa eligibility forms (the DC-2019). These fees are mandatory and will not be waived by the ISSO.

Checklist

Please indicate whether you have submitted the following materials: curriculum vitae  one-page list of publications  one-page description of research project  2 letters of recommendation

Please e-mail (preferred), fax or mail this form to:

Visiting Scholar Program

ColumbiaUniversitySchool of Law

435 West 116th Street New York, NY10027U.S.A.

E-Mail:

Fax: (212) 854-9742 Tel: (212) 854-4959