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    University Directory

Export Control

Academic & Immigration Review Application

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  1. Home
  2. Export Control
  3. Academic & Immigration Review Application
    • Overview
    • Training & Information
    • Noncompliance
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    • Glossary of Terms
    • Forms
    • Contact Export Control 
    • Foreign Travel Process and Guidelines
    • Foreign Travel Form
    • General Information
    • Interest Form
    • Academic & Immigration Review Application
    • Application Instructions
    • English Language Proficiency Assessment
    • Statement of Compliance with Exchange Visitor Health Insurance Requirements Form
    • Office of Research Compliance
    • Office of Research and Sponsored Programs
    • Graduate School
    • TechLaunch

Exchange Visiting Scholar Program: Academic & Immigration Review Application

UA Little Rock Departmental Information

Host Faculty Email Address(Required)
Who will be the UA Little Rock point of contact for the application process?(Required)
Point of Contact's Email Address:(Required)
Chair's Email Address:(Required)
Dean's Email Address:(Required)

Visiting Scholar's Personal Information

Current Mailing Address:(Required)
If your country does not utilize ZIP / Postal Codes, enter ‘00000’ in order to complete the form.
Address on U.S. Driver's License, if they have one:
Gender:(Required)
Marital Status:(Required)

Visiting Scholar's Citizenship Information

Does the visiting scholar have a dual citizenship?(Required)

Visiting Scholar's Accompanying Dependent(s)

Will any immediate family members be joining the visiting scholar?(Required)
Dependent Disclaimer(Required)
Please note that, according to U.S. immigration laws and the Exchange Visitor Program, only one spouse may accompany the visiting scholar as a dependent. Additionally, only unmarried children under the age of 21 may accompany the visiting scholar as dependents. For every dependent that accompanies the visiting scholar, the required health insurance will increase in price.
Drop files here or
Accepted file types: jpg, gif, png, pdf, Max. file size: 1 MB.

    Visiting Scholar's Professional Information

    Drop files here or
    Accepted file types: jpg, gif, png, pdf, Max. file size: 1 MB.
      Please attach a copy of the visiting scholar’s passport ID page, as well as a copy of the passport ID pages for all accompanying dependents.
      Drop files here or
      Accepted file types: jpg, gif, png, pdf, Max. file size: 1 MB.

        J Visa Program Information

        MM slash DD slash YYYY
        Note: This section is NOT asking for the visiting scholar’s travel dates, but for their proposed dates of research at UA Little Rock. Visiting scholars can enter the U.S. 30 days before and stay 30 days after J program dates.
        MM slash DD slash YYYY
        See note on the previous question for important details.
        Which J category will the visiting scholar be?(Required)
        There are three main categories for J visas. 1. Research scholar: the visiting scholar’’s primary activity will be research. The maximum time allowed in the U.S. on this visa is five years. 2. Professor: the visiting scholar’s primary research activity will be teaching. The maximum time allowed in the U.S. on this visa is five years. 3. Short Term Scholar: The visiting scholar’s primary activity will be lecturing, consulting, or attending seminar/conference/study tours. The maximum time allowed in the U.S. on this visa is six months. No extensions are allowed. 4. Student Intern: The visiting scholar is a student in another country who will be doing research at UA Little Rock as part of his/her degree requirements. The maximum amount of time allowed in the U.S. on this visa is 12 months.
        I acknowledge that the J-1 visa program cannot be used for tenure-track or tenured faculty appointments.(Required)
        Has the visiting scholar obtained a U.S. Visa?(Required)
        Has the visiting scholar visited the United States in the past two years?(Required)
        If yes, what best describes his/her visit?
        Verification of Past U.S. Visits(Required)
        I will have a conversation with the visiting scholar about the purpose, dates, and visa type for their previous visit to the U.S. if they have visited the U.S. before.
        Has the visiting scholar ever been a citizen or legal resident of a country besides their native country?(Required)
        Is the visiting scholar's passport or permanent residency document currently invalid?(Required)
        Has the visiting scholar applied for U.S. citizenship or permanent U.S. residency:(Required)
        Does the visiting scholar have any previous or current foreign military service?(Required)
        Has the visiting scholar been involved in any past or current foreign talents programs?(Required)

        English Language Proficiency Verification

        I have determined that the visiting scholar has sufficient English proficiency to participate in this program.(Required)
        How have you verified the visiting scholar’s English language proficiency?(Required)
        See the English Language Proficiency Assessment Form.

        Financial Support Information and Documentation

        Note: the following document(s) must be in English. Please verify this before submitting. All documents must be dated within the last six months.
        How will the visiting scholar be supporting him/herself and any dependents?(Required)
        Does the department receive funding for international exchange from one or more U.S. Government Agency(ies) that will be used to support this exchange visitor?(Required)
        Indicate all U.S. Government Agencies that will be providing international exchange funding for the scholar:(Required)
        I have verified the visiting scholar’s funding information, and it meets UA Little Rock's minimum monthly amount required.(Required)
        Drop files here or
        Accepted file types: jpg, gif, png, pdf, Max. file size: 1 MB.

          Health Insurance Verification

          Will the visiting scholar be enrolling in UA Little Rock health insurance?(Required)
          Drop files here or
          Accepted file types: jpg, gif, png, pdf, Max. file size: 1 MB.

            Scope of Work Information

            Dates of Proposed Activity.
            MM slash DD slash YYYY
            MM slash DD slash YYYY
            Does the proposed work to be done, equipment to be used, and research materials used meet the definition of Fundamental Research Exclusion and are not export controlled?(Required)
            Is the proposed activity associated with an externally funded program?(Required)
            a. Source of external funding, title of funded program, award number, and date of award: b. Description of the funded program:
            Will the visiting scholar be involved in any export control issues?(Required)

            Hosting Faculty Member Attestations

            The hosting UA Little Rock faculty member must complete the following section. These attestations are required and are considered binding by UA Little Rock.
            Drop files here or
            Accepted file types: jpg, gif, png, pdf, Max. file size: 1 MB.
              I have a working knowledge of federal, state, and university policies that govern the terms of a visiting scholar.(Required)
              I will ensure that the visiting scholar completes Export Control and the Responsible Conduct of Research CITI training prior to engaging in UA Little Rock research.(Required)
              Please send their certificates to the Export Control Officer at [email protected] upon completion.
              I will ensure there is no conflict of interest in collaborating with the visiting scholar.(Required)
              I have informed the visiting scholar in writing that UA Little Rock faculty have first rights of publication of any discovery, data, or other research‐related findings.(Required)
              I have informed the visiting scholar that UA Little Rock is not obligated to provide compensation or extensions to visits beyond the terms of the agreement.(Required)
              I understand that the department will not agree to pay any fees without the express written approval of the sponsoring dean.(Required)
              No fees will be charged by the hosting faculty or department to the scholar.(Required)
              I have determined that the visitor has the appropriate education and experience to perform and participate in the proposed activity.(Required)
              I will ensure that the availability of office space, non-export controlled equipment, materials and/or supplies, and other necessary support will be available to the scholar for the duration of his/her program at UA Little Rock.(Required)
              I will be physically present for the duration of the scholar’s activity at UA Little Rock except for short reasonable absences of time during which my on campus designee will be responsible.(Required)
              I will monitor the visitor’s progress to ensure successful completion for the program objective.(Required)
              I understand that as the sponsor of the visiting scholar, I am responsible for that individual’s conduct while on campus.(Required)
              The visiting scholar has been provided a copy of standard operating procedures for UA Little Rock laboratories and a copy of UA Little Rock policies.(Required)
              I certify that I understand all hiring rules of UA Little Rock and will comply fully with them.(Required)
              I certify that the information provided on this application is true and accurate.(Required)

              Export Control

              Contact Information

              Ottenheimer Library 525
              Little Rock, AR 72204
              501-916-6209
              [email protected]

              Key Links

              • Office of Research Compliance
              • Office of Research and Sponsored Programs

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              Contact Information

              2801 S. University Ave.
              Little Rock, AR 72204
              501-916-3000

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