J-1 On-Campus Work Authorization Request Form

After you submit this form, please allow 2-3 business days for processing of your J-1 Work Authorization Letter. ISS will email you when this letter is ready for you to pick up in the ISS office. You cannot begin your work until you have received this letter.

Student's First Name

Student's Last Name

Student’s Email

University ID Number

Employer Name

Employment Department (ex. Food Services)

Nature of Employment

Number of Hours Per Week*

Employment Begin Date

Employment End Date

Employment Type

* Please note that on-campus employment is limited to 20 hours/week maximum while school is in session. Full time during official school breaks. Academic Training can be authorized on a full time basis for Co-op positions, or post-graduation positions.

Supervisor's Name

Supervisor's telephone number

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