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ProofOfStudentStatusForm

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Proof of Student Status Form (POSS) – Summer Work Travel Program
The J-1 Summer Work Travel program is available only to foreign nationals who are bona fide foreign postsecondary
students who, at the time of application, are enrolled in and actively pursuing a degree or a fulltime course of study at a
foreign ministerially recognized post-secondary academic institution and who have successfully completed at least one
semester, or equivalent, of post-secondary academic study at the time of application. Students of a Vocational or Trade
school, in part time study or taking online studies are NOT eligible for the Summer Work Travel program.
This form must be completed and signed by an official from the academic institution.
Applicant’s Last Name: ________________________ First Name: ______________________________
Name of Academic Institution: ___________________________________________________________
Academic Institution Address: ___________________________________________________________
City: _______________________________ Country: ________________________________________
Applicant’s Field of Study/Major: ____________________________________
Current Year of Study (1st, 2nd, 3rd, etc): _________ Total Semesters/quarters of Completed Study: ___________
University Break Date Information:
(Please note the information below should be specific to the university and not the student’s personal schedule or
enrollment information. Exceptions/generous leave is not permitted)
University’s Official Academic Summer Break Date BEGINS : ________/_______/_________
(Month)
University’s Official Academic Summer Break Date ENDS :
(Day)
(Year)
________/_______/_________
(Month)
(Day)
(Year)
I certify that the above named applicant for GEC’s J-1 Summer Work Travel program is a bona fide student who is
currently enrolled and actively pursuing a degree or a full-time course of study and that the above named academic
institution is a foreign ministerially recognized degree or certificate granting post-secondary academic institution
outside of the United States.
Completed by - First and Last Name:_______________________________________________________
University Official’s Job Title/Position:_______________________________________________________
Phone: _________________________ Email: _______________________________________________
University Official’s Signature: ________________________________________________________
Date signed:______________________
** Generic address stamps on university documents will not be accepted.**
University Seal
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