Foreign National Information Form for Scholarship/Fellowship Recipients

This form needs to be completed by May 1, 2015 by all foreign nationals who will receive Amherst College Fellowships for the 2015-16 academic year.

If J-1, what is your visa subtype?
Please enter the country that you are liable for taxes,if different from your country of citizenship.
What is your initial entry date into the U.S. on your current visa status? *
What date do you anticipate leaving the U.S. after the completion of your graduate studies ? *
Were you present in the U.S. for any other days during the current or previous 7 years ? *
If yes, please list the date(s) and visa status and indicate whether you claimed treaty benefits, including the relevant treaty
Enter your latest entry first.
By clicking Submit I hereby certify that all of the above information is true and correct. I understand that if my status changes from that which I have indicated on this form, I must submit a new Foreign National Information Form to the Fellowship Office.
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Converse Hall

Office of Fellowships
213 Converse Hall
Amherst College
Amherst, MA  01002

Fax. 413-542-8555

Denise Murphy Gagnon
Director of Fellowship Advising

Suzanne Fogel Spencer
Fellowships Coordinator