OFFICE FOR INTERNATIONAL
STUDENTS & SCHOLARS
44 Kent Way
University of Delaware
Newark, Delaware 19716
Ph: 302/831-2115
Fax: 302/831-2123
E-mail: oiss@udel.edu
http://www.udel.edu/oiss
J-1 Visiting Scholar Early Departure Form
Today's Date:
Family/Last Name:
First/Given Name:
UD ID #:
Date of Birth:
E-mail Address:
DS-2019 Start Date:
Status (check one):
Current DS-2019 End Date:
Research Scholar ______ Short-Term Scholar ______
Professor ________
Department:
Last day of employment/sponsorship : ________________________________________
Reason for Early Departure/End Date


Completed J-1 program 15 or more days early*
Changed to another immigration status (H-1B, LPR, etc.)
*The J-1 program will be shortened to reflect the last day of employment and the EV will have a 30-day grace-period after this
date to remain in the U.S. and may no longer use the current DS-2019 and visa stamp to enter the U.S. If the EV is currently in
the Research Scholar or Professor category, s/he is subject to the 24-month bar; preventing him/her from obtaining another J-1
visa in the Research Scholar or Professor category for the next 24-months.
Signatures:
Department Contact (Print)
Signature
Date
J-1 Exchange Visitor (Print)
Signature
Date
Office for International Students & Scholars, 44 Kent Way, Newark, DE 19716-6410
Tel: (302) 831-2115, Fax:(302) 831-2123, E-mail: oiss@udel.edu