All applicable questions must be answered. In addition, copies of the following documents must be attached to the completed Foreign National Information Form:
This form must be printed, signed & dated, and returned to the sponsoring CSU department, along with all applicable documents listed above, before payment can be issued by Accounts Payable or Travel. Please note: This is a 2 page form - use to the 'Print Preview' button at the bottom of the form to print the form - or Browser's 'Print Preview'.
(13) What is the actual date you entered the United States for the 1st visit? (mm/dd/yy)
(14) CSU Department Information
1. Name. List full name and birthdate. 2. Enter SSN or ITIN. 3. Enter your current e-mail address. 4. Local Street Address. List your local US address. 5. Residence. List your non-US address. 6. Country of Citizenship(s). 7. Country that issued Passport. List country in which you were issued your passport - not the country where it was issued. 8. Passport #. Enter your passport number. 9. Visa #. Enter your Visa number (the Control Number). 10. Immigration Status. Check the type of immigration status that you currently hold. If you check US Immigrant/Permanent Resident, holder of a "green" card, you may proceed to the bottom of the form. Sign and Date. 11. Immigration Status for J-1. Check the appropriate J-1 subtype. 12. Actual Primary Activity. Check one activity. 13. Actual Entry Date into the United States (your very first visit). Must include month, day and year -approximate if you don't know. 14. Department. Describe in general the service you will perform. 15. Consultants/Self-employed Individuals (Honorariums). Check the appropriate boxes - this includes any office at any location specifically identified with you. 16. The country of residence where you last resided - can be different from your legal residence - do not include the USA. 17. Have you visited the U.S. previously? If you answer yes, please provide data for each prior visit in the fields provided - approximate if you are not sure.