J-1 On-Campus Employment Report Form

Please complete the form below to submit your J-1 On-Campus Employment Report Form

A "*" indicates a required field

(ex: Department, Library, etc.)
(ex: Jadwin Hall, etc.)
Hrs
Note: If you are unsure of the number of hours per week which you are working please check with the Student Employment Office or the Office/Department under which you are working. The Davis IC cannot confirm this information.