J-1 Exchange Visitor Extension Request

Please complete the form below to request a program extension for a J-1 Exchange Visitor.

This form may be used for exchange visitors in the categories of Research Scholar and Short-Term Scholar.  Extension requests should be submitted as soon as the appointment is confirmed, approximately 2-3 months in advance of the program expiration, but at least 30 days before the current DS-2019 expires.

The UAMS Responsible Officer will review the request and determine whether the visitor is eligible for the requested extension.  Separate requests are not required for spouses or children on J-2 visa, their stays will be extended upon approval of the primary J-1 extension.

Upon approval of the request, the exchange visitor will be issued a new DS-2019 Form. The individual submitting this form will be notified when the DS-2019 form is prepared.

J-1 Research Scholars

  • This category is limited to a total of 5 years in J-1 status.

J-1 Short Term Scholars

  • This category is limited to a total of 6 months in J-1 status.  Extensions beyond 6 months are not permitted.
J-1 Exchange Visitors sponsored by ECFMG should visit or contact their program coordinator to request an extension.

J-1 Exchange Visitor Program Extension Request

Sponsors: Please complete this form to request a program extension for a current J-1 exchange visitor. Extensions should be requested at least 30 days before the end date as noted on the current DS-2019 form to ensure proper processing time. (J-1 Exchanges participating in training/clinical programs will request extensions through
  • Exchange Visitor Information

    Please provide the following information about the J-1 Exchange Scholar, Researcher or Professor.
  • The SEVIS record number can be found in the top, right-hand corner of the DS-2019 form. The SEVIS number will begin with an "N".
  • Program Details

  • If other than the individual submitting this form.
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Financial Support

    Provide total funding amounts from each applicable supporting entity to be received by the Exchange Visitor for this program. A minimum of $18,000 a year ($1,500/month) is required to support a single visiting scholar at UAMS; an additional $3,600 a year is required for each accompanying dependent ($300/month). In order to generate the required visa documents, UAMS is required to obtain documentation proving that the visitor has adequate financial resources to provide for estimated expenses (and the expenses of dependents) for the duration of the program.
  • If a UAMS department is not sponsoring the visa holder, please enter "N/A".
  • Please enter "N/A" if sponsored by UAMS or another entity.
  • If not sponsored by home country government, please list "N/A". Any scholarships given from home country government should be listed here.
  • If not sponsored by home institution, please list "N/A".
  • Please use this field for any other sponsorship you might be receiving, such as family, etc. If you do not have any other sponsors please list "N/A".
  • Briefly describe the purpose for this request. Please include program location and duties for the duration of the period requested.