MEMORANDUM TO: Alberto Castillo Program International Specialist I (Alternate Responsible Officer) FROM: Prof. Host, Dept. of ……………… DATE: 9/7/01 SUBJECT: Request for Issuance of “Certificate of Eligibility” (Form DS2019) on behalf of: Scholar, …………………………. Last name, First Middle ……….. Country This department… wishes to invite the above visitor for participation in a J-1 Exchange Visitor Program for the time period… and under the terms stated, in the attached “J-1 Exchange Visitor Program Information Sheet.” ………. (Name of J-1 Exchange Visitor) will be compensated $ /year or semester. The department of……. will not request appointment to a permanent or tenure-track position of the above person without ascertaining to the current status of the visitor with reference to the two-year home residency requirement under the Exchange Visitor regulations. For the Department Title For the School or College * Dean Date Date * This signature is required ONLY if the University will provide funding