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Salt Lake Community College Certification of Academic Activity by Nonresident Alien

Visitor Information

Name:______(as it appears on your U.S. Social Security (SSN) card or Individual Taxpayer Identification (ITIN) card.)

SSN or ITIN: ______(In order to receive an honorarium payment you must have a SSN or ITIN.)

The dates of my activity at Salt Lake Community College will be from ______to ______. (Please note that academic activity at Salt Lake Community College cannot exceed nine days.)

Acknowledgement

I arrived in the United States bearing a B-1 or B-2 visa, or under the Visa Waiver Program, or I was exempt from documentary requirements for entering the United States. I will perform the following academic services

______for which I will receive an honorarium payment and /or reimbursement for incidental expenses.

I have not accepted honoraria and/or incidental expense reimbursements within the prior six-month period from more than four institutions of higher education, a nonprofit organization affiliated with an institution of higher education, or a nonprofit or a governmental research organization. (Please note that Salt Lake Community College cannot make an honorarium and/or incidental expense payment to you if you have received such payments from more than four of these organizations within the past six months.)

Certification

I certify that the information contained on this form is to the best of my knowledge and belief, true and complete.

Signature: ______Date: ______

The American Competitiveness Workforce Improvement Act of 1998 allows payment of honoraria and associated incidental expenses to B-1, B-2, WB and WT visa holders for “usual academic activity”, if paid by a United States institution of higher education, a nonprofit organization affiliated with an institution higher education, or a nonprofit or a governmental research organization. Under the Act, an academic activity may not exceed nine days at a single institution. In addition, such visa holders cannot accept honoraria and/or incident expenses from more than five such institutions or organizations in the previous six-month period. The provision is effective for activities occurring on or after October 21, 1998. CCB 1/2001 Additional information needed for entrance into the United States

Visitor Documents needed:  Official invitation letter from SLCC. The letter must include details of stay, statement that he will receive compensation for “Academic Activity” such as lecture, teaching, or research.  Passport

Entrance into U.S  Obtain INS Form I-94 from airline upon arrival. Complete it and present to INS or border official.  Present letter from SLCC regarding details of stay and that you will be receiving compensation.  The INS or border official should identify I-94 with correct visa status (B-1).