Date: *Month* *Day*, *Year*
CERTIFICATE FOR RESEARCHERS/SCHOLARS
This is to certify that *Scholar’s First Name* *Scholar’s Family Name*, a citizen of
*Country*, is at the University of Massachusetts Amherst as a Visiting Scholar in the
Department of *department name* on the J-1 program #P-1-00157. *He/She* is
sponsored by Dr. *scholar’s Umass department sponsor’s name*.
*Scholar’s full name*’s period of stay is *start and end date from #5 on DS2019 form*.
If you should have any questions please contact Nancy Condon by phone, fax, or e-mail.
nac@ipo.umass.edu.
Sincerely,
__________________
Visiting Scholars and Researchers Advisor