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Get Division Of International Services Request For Outside Activity Form

Ivity with your IC's ethics officer. If you have already received a determination from your ethics officer, please attach a copy to this request. ** ATTESTATIONS: I attest that I will: l l l l Notify the DIS if anything described on this form changes (e.g. new begin and end date) Only begin the activity when cleared by the DIS For those sponsored as J-1 Exchange Visitors: Maintain health insurance for myself and my J-2 dependents (if any) during the proposed activity. I understand that J-1 r.

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