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Foreign National Information Form
Foreign National Information Form
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Title
This form must be complete by every new hire/rehire foreign national employee.
Foreign National Information Form
Employee/Student ID
Social Security Number (SSN) or Temp SSN
Phone
Current Local Address (in U.S.)
(Do not use Campus address unless you currently live on campus)
Street Address
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
Address where you lived
for at least 183 days
immediately before coming to the U.S.
Street Address
City
Province
Zip/Postal Code
Country
United States (USA)
Afghanistan (AFG)
Aland Islands (ALA)
Albania (ALB)
Algeria (DZA)
American Samoa (ASM)
Andorra (AND)
Angola (AGO)
Anguilla (AIA)
Antarctica (ATA)
Antigua and Barbuda (ATG)
Argentina (ARG)
Armenia (ARM)
Aruba (ABW)
Australia (AUS)
Austria (AUT)
Azerbaijan (AZE)
Bahamas (BHS)
Bahrain (BHR)
Bangladesh (BGD)
Barbados (BRB)
Belarus (BLR)
Belgium (BEL)
Belize (BLZ)
Benin (BEN)
Bermuda (BMU)
Bhutan (BTN)
Bolivia (BOL)
Bosnia and Herzegovina (BIH)
Botswana (BWA)
Bouvet Island (BVT)
Brazil (BRA)
British Indian Ocean Territory (IOT)
Brunei Darussalam (BRN)
Bulgaria (BRN)
Burkina Faso (BFA)
Burundi (BDI)
Cambodia (KHM)
Cameroon (CMR)
Canada (CAN)
Cape Verde (CPV)
Cayman Islands (CYM)
Central African Republic (CAF)
Chad (TCD)
Chile (CHL)
China (CHN)
Christmas Island (CXR)
Cocos (Keeling) Islands (CCK)
Columbia (COL)
Comoros (COM)
Congo (COG)
Congo, The Democratic Republic (COD)
Cook Islands (COK)
Costa Rica (CRI)
Cote D'Ivoire (CIV)
Croatia (HRV)
Cuba (CUB)
Cyprus (CYP)
Czech Republic (CZE)
Denmark (DNK)
Djibouti (DJI)
Dominica (DMA)
Dominican Republic (DOM)
East Timor (TLS)
Ecuador (ECU)
Egypt (EGY)
El Salvador (SLV)
England (ENG)
Equatorial Guinea (GNQ)
Eritrea (ERI)
Estonia (EST)
Ethiopia (ETH)
Falkland Islands (Msectiontotalas) FLK)
Faroe Islands (FRO)
Fiji (FJI)
Finland (FIN)
Fmr Yugoslav Rep of Macedonia (MKD)
France (FRA)
French Guiana (GUF)
French Polynesia (PYF)
French Southern Territories (ATF)
Gabon (GAB)
Georgia (GEO)
Germany (DEU)
Ghana (GHA)
Gibraltar (GIB)
Greece (GRC)
Greenland (GRL)
Grenada (GRD)
Guadeloupe (GLP)
Guam (GUM)
Guatemala (GTM)
Guernsey (GGY)
Guinea (GIN)
Guinea-Bissau (GNB)
Guyana (GUY)
Haiti (HTI)
Heard and McDonald Islands (HMD)
Holy See (Vatican City State)(VAT)
Honduras (HND)
Hong Kong (HKG)
Hungary (HUN)
Iceland (ISL)
India (IND)
Indonesia (IDN)
Iran (Islamic Republic Of) (IRN)
Iraq (IRQ)
Ireland (IRL)
Isle of Man (IMN)
Israel (ISR)
Italy (ITA)
Jamaica (JAM)
Japan (JPN)
Jersey (JEY)
Jordan (JOR)
Kazakhstan (KAZ)
Kenya (KEN)
Kirbati (KIR)
Korea, Democratic People's Rep (PRK)
Korea, Republic of (KOR)
Kosovo (KOS)
Kuwait (KWT)
Kyrgyzstan (KGZ)
Lao People's Democratic Rep (LAO)
Latvia (LVA)
Lebanon (LBN)
Lesotho (LSO)
Liberia (LBR)
Libyan Arab Jamahiriya (LBY)
Liechtenstein (LIE)
Lithuania (LTU)
Luxembourg (LUX)
Macao (MAC)
Madagascar (MDG)
Malawi (MWI)
Malaysia (MYS)
Maldives (MDV)
Mali (MLI)
Mala (MLT)
Marshall Islands (MHL)
Martinique (MTQ)
Mauritius (MUS)
Mayotte (MYT)
Mexico (MEX)
Micronesia, Federated States (FSM)
Moldova, Republic of (MDA)
Monaco (MCO)
Mongolia (MNG)
Montserrat (MSR)
Morocco (MAR)
Mozambique (MOZ)
Myanmar (MMR)
Namibia (NAM)
Naura (NRU)
Nepal (NPL)
Netherlands (NLD)
Netherlands Antilles (ANT)
New Caledonia (NCL)
New Zealand (NZL)
Nicaragua (NIC)
Niger (NER)
Nigeria (NGA)
Niue (NIU)
Norfolk Island (NFK)
Northern Ireland (NIR)
Northern Mariana Islands (MNP)
Norway (NOR)
Not Applicable (NAP)
Not Reported (NRE)
Oman (OMN)
Pakistan (PAK)
Palau (PLW)
Palestinian Territory, Occupie (PSE)
Panama (PAN)
Papua New Guinea (PNG)
Paraguay (PRY)
Peru (PER)
Philippines (PHL)
Pitcairn (PCN)
Poland (POL)
Portugal (PRT)
Puerto Rico (PRI)
Qatar (QAT)
Republic of Montenegro (MNE)
Republic of Serbia (SRB)
Reunion (REU)
Romania (ROU)
Russian Federation (RUS)
Rwanda (RWA)
Saint Barthelemy (BLM)
Saint Helena (SHN)
Saint Kitts and Nevis (KNA)
Saint Lucia (LCA)
Saint Martin (MAF)
Saint Pierre and Miquelon (SPM)
Samoa (WSM)
San Marino (SMR)
Sao Tome and Principe (STP)
Saudi Arabia (SAU)
Scotland (SCT)
Senegal (SEN)
Seychelles (SYC)
Sierra Leone (SLE)
Singapore (SGP)
Slovakia (SVK)
Slovenia (SVN)
Solomon Islands (SLB)
Somalia (SOM)
South Africa (ZAF)
Spain (ESP)
Sri Lanka (LKA)
St Vincent and the Grenadines (VCT)
Sth Georgia & Sth Sandwich Is (SGS)
Sudan (SDN)
Suriname (SUR)
Svalbard and Jan Mayen (SJM)
Swaziland (SWZ)
Sweden (SWE)
Switzerland (CHE)
Syrian Arab Republic (SYR)
Taiwan (TWN)
Tajikistan (TJK)
Tanzania, United Republic of (TZA)
Thailand (THA)
Togo (TGO)
Tokelau (TKL)
Tonga (TON)
Trinidad and Tobago (TTO)
Tunisia (TUN)
Turkey (TUR)
Turkmenistan (TKM)
Turks and Caicos Islands (TCA)
Tuvalu (TUV)
US Minor Outlying Islands (UMI)
Uganda (UGA)
Ukraine (UKR)
United Arab Emirates (ARE)
United Kingdom (GBR)
Uruguay (URY)
Uzbekistan (UZB)
Vanuatu (VUT)
Venezuela (VEN)
Viet NamVNM)
Virgin Islands (British) (VGB)
Virgin Islands (U.S.)(VIR)
Wales (WAL)
Wallis and Futuna Islands (WLF)
Western Sahara (ESH)
Yemen (YEM)
Yugoslavia (YUG)
Zambia (ZMB)
Zimbabwe (ZWE)
Entries to the U.S.
Did you work for another US employer this calendar year?
No
Yes
Date you left the other employer
(mm/dd/yyyy)
Have you applied for Permanent Residency
No
Yes
Date of Receipt Notive
(mm/dd/yyyy)
Most recent entry into the United States
(mm/dd/yyyy)
Most recent visa Type
F-1
F-1 (OPT)
F-1 (CPT)
J-1 (Student)
J-1 (Teaching)
J-1 (Research)
H-1B
J-2
O-1
H-4
A-2
E-2
G-2
L-2
O-2
TN
Other
Immigration Status Expiration Date:
(mm/dd/yyyy hh:mm)
Other
Attach copies of I-20/DS-2019, passport, I-94 Form, and US Visa, Green card/
permanent resident card
, EAD, I-797 (when applicable)
Attachments
Attachments
I-20
I-94
Passport
U.S. Visa on passport
DS-2019
I-797
Employment Authorization Document (EAD)
I-20 (Page 1 & 3)
Attachments:
You can upload multiple attachments by selecting all the documents you are uploading (Either click-and-drag or use the Ctrl Key and click on the files you would like to upload).
Browse...
Travel History
List all entries and exists to/from the U.S.
Do not include entries on tourist visas (B1/B2).
Do not enter dates of exits if you did not stay away for 6 months or longer, unless you left the country to change status.
You can review your Arrivals and Departures on the
CBP site
:
Date of Entry 1
(mm/dd/yyyy)
Date of Exit 1
(mm/dd/yyyy)
Visa Type 1
F-1
F-1 (OPT)
F-1 (CPT)
J-1 (Student)
J-1 (Teaching)
J-1 (Research)
H-1B
J-2
F-2
O-1
H-4
A-2
E-2
G-2
L-2
O-2
TN
Other
Other (Do not include B1/B2)
Date of Entry 2
(mm/dd/yyyy)
Date of Exit 2
(mm/dd/yyyy)
Visa Type 2
F-1
F-1 (OPT)
F-1 (CPT)
J-1 (Student)
J-1 (Teaching)
J-1 (Research)
H-1B
J-2
F-2
O-1
H-4
A-2
E-2
G-2
L-2
O-2
TN
Other
Other (Do not include B1/B2)
Date of Entry 3
(mm/dd/yyyy)
Date of Exit 3
(mm/dd/yyyy)
Visa Type 3
F-1
F-1 (OPT)
F-1 (CPT)
J-1 (Student)
J-1 (Teaching)
J-1 (Research)
H-1B
J-2
F-2
O-1
H-4
A-2
E-2
G-2
L-2
O-2
TN
Other
Other (Do not include B1/B2)
Date of Entry 4
(mm/dd/yyyy)
Date of Exit 4
(mm/dd/yyyy)
Visa Type 4
F-1
F-1 (OPT)
F-1 (CPT)
J-1 (Student)
J-1 (Teaching)
J-1 (Research)
H-1B
J-2
F-2
O-1
H-4
A-2
E-2
G-2
L-2
O-2
TN
Other
Other (Do not include B1/B2)
If you have additional entries, please include as an attachment with entry, exit and visa information. This information can be found in the
CBP I-94 Travel history page
Other Fields
Your name
Your first name
Your last name
Your email address
Verification Code