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5 : SAMPLE STUDENT INTERN APPOINTMENT LETTER FROM DEANS OFFICE
(need 2 originals on Cal Poly Letterhead)
To be used for Non-Citizen J-1 Visa Appointments Only
DATE
NAME
ADDRESS
Dear _______:
Please consider this letter a confirmation of internship in the ___________________ Department, College of ________________, effective September ___, 20__ through June ___, 20__, for ___ hours per week at $____ salary. I understand you will have access to the necessary personal funds needed to support yourself during your stay in the United States (including your international travel, living expenses, and health insurance.)
This appointment has been recommended by ___________,
of the _______________ Department, on the basis that you will engage in an internship involving In performing these duties you will be responsible to __________________ and you should direct any inquiries to .
Cal Poly will be able to reimburse you for travel expenses up to a maximum of $______. We will need original receipts for these charges. Please provide us with proof of medical insurance and a photocopy of your passport and visa.
Cal Poly will provide you with Forms DS-2019 and DS-7002 to apply for a J-1 Student Intern visa at your nearest United States Embassy or Consular Office.
You must have health insurance in place upon your arrival. If you do not have insurance, you may purchase the Cal Poly international scholar health insurance plan at a cost of approximately $157 per month. See the scholars web page HYPERLINK "http://intlservices.calpoly.edu/?go=Scholars" http://intlservices.calpoly.edu/?go=Scholars for health insurance requirements, visa information, and arrival instructions.
Please indicate in the space provided below whether you accept this confirmation of this internship and return it to me as soon as possible. The duplicate of this letter is for your personal file. (Please note that you are receiving two original copies of this letter. You will need the second original when you apply for your visa at the United States Embassy.)
We appreciate your interest in volunteering for employment and welcome your contribution to Cal Poly.
Sincerely,
_______________________________________ _________________
Signature Date
___________________, Dean, College of ____________________
cc: Department Head
<>Academic Personnel
I hereby ________________ the above offer of volunteer appointment as stated above.
(accept/decline)
_______________________________________ _________________
Signature Date
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