Download J-1 Application Form C (Tufts-New England Medical ... - tufts 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the Hiring Department and the Hiring Faculty Member's name and title. This information is crucial for identifying the responsible parties.
3. Fill in the Family Name, First Name, and Middle Name of the Exchange Visitor. Ensure accuracy as this will be used for official documentation.
4. Provide the Current Residential Address of the Exchange Visitor. This should be their current living address for correspondence purposes.
5. Select the Position by checking one of the options: Professor, Research Associate, or Other. This helps categorize the role of the exchange visitor.
6. Enter the Extended Dates of Employment by specifying both start and end dates in MM/DD/YY format.
7. Indicate Salary details including amount and frequency (Week, Month, Year). Also specify who will issue paychecks.
8. Complete any additional funding sources if applicable, along with amounts for personal funding.
9. Confirm whether continued health insurance benefits will be provided by checking YES, NO, or OTHER.
10. Document any changes in personal status on the back of this form if necessary. Ensure that all required signatures are obtained before submission.

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