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J-1 Applicant's Checklist – Delta Regional Authority J-1 Waiver Sponsorship

	Completed applicant information sheet
	U.S. Dept. of State J-1 waiver file number (if applied for)
	Signed J-1 Affidavit and Agreement Form
	Notarized Dept. of State Exchange Visitor Attestation Form
	Personal statement providing (a) the reasons for not wanting to fulfill the 2-year home residency requirement, (b) reasons for practicing in this specific field of medicine, (c) how your expertise could impact the patients in this locality, and (d) specific reasons for accepting the employment contract offered by the University of Mississippi Medical Center
Provide photocopies of the following:
	Medical school degree/diploma
	Residency/Fellowship certificates
	Evidence of completion of Steps 1, 2, and 3 of the U.S. Medical Licensing Examination
	ECFMG certificate
	Curriculum Vitae
	Social Security Card
	All pages of passport*
	Copy of Form I-94*
	All receipts and approval notices from USCIS*
	All copies of Form DS-2019 issued while participating in "J" status*
	Medical license
	Check for $3,000 made payable to the Delta Regional Authority to cover J-1 waiver application fee (Please do not submit until requested)
*Include copies of documents of spouse and children if applicable