Visa Questionnaire

Please give detailed responses to the questions below, including dates of last contact with the embassy or consulate as it is relevant.

Personal Information

1. Applicant Surname/Family Name: *This question is required.

2. Applicant First/Given Name(s): *This question is required.

3. Email Address: *This question is required.

4. If you are affiliated with the National Academies, please indicate your connection:

Please enter an 'other' value for this selection.

5. Are you the visa applicant? *This question is required.

Please fill in your name:

Surname/Family Name:
First/Given Name(s):

7. Visa applicant's date of birth: *This question is required.

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8. Passport Number: *This question is required.

9. Application ID: *This question is required. (e.g., AA0020AKAX)

10. Country of citizenship: *This question is required.

11. Country of legal residence: *This question is required.

12. Discipline or field of expertise: *This question is required.

If "Other", please specify:

13. Category that best describes the individual: *This question is required.

Please enter an 'other' value for this selection.

14. Has this applicant previously been denied when applying for a visa to come to the United States?

Please enter an 'other' value for this selection.

Visa Application Specifics

NOTE: If the applicant has not yet applied for a visa, please do not complete this form. Send us a description of your problem at: visas@nas.edu

15. Type of visa requested: *This question is required.

Please enter an 'other' value for this selection.

16. Purpose of visit (include name of meeting, university, institute, program, etc.) *This question is required.

17. Date visa application submitted (either by mail or in person) (MM/DD/YYYY): *This question is required.

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18. Date of visa interview at consulate (may be same date as above) (MM/DD/YYYY): *This question is required.

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19. Start date of scheduled activity in the U.S. (i.e. meeting, employment, school, internship, etc.) (MM/DD/YYYY): *This question is required.

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20. End date of scheduled activity in the U.S. (i.e. meeting, employment, school, internship, etc.) (MM/DD/YYYY): *This question is required.

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21. Date applicant is/was planning to travel to U.S. (MM/DD/YYYY): *This question is required.

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22. Where was the visa application filed? *This question is required.

City: *This question is required.

Country: *This question is required.

23. Has the visa been granted?

Was the visa:

When was the applicant notified of the denial?

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What reason was the applicant given for the denial?

Please enter an 'other' value for this selection.

What was the reason given for the delay?

Please enter an 'other' value for this selection.

On what date did the consulate issue the visa?

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Did the applicant receive the visa in time to participate in the planned activity in the U.S.?

Additional Comments

24. Describe any specific effects the delay or denial has had on research, if applicable (i.e. scientific research delayed or stalled, major scientific meeting missed, courses missed, etc.)

25. Additional details or comments about the applicant's experience with the visa process (i.e. details that do not fit into the questions above, organizations contacted regarding the visa, experiences at the consulate or U.S. port of entry, etc.)

27. Please write which search engine you used (For example, Google, Yahoo!, etc.)

28. Please write which website featured the IVO (For example, applyabroad.com, etc.)

29. Please write how you learned about the IVO

Visa Questionnaire

International Visitors Office Information Form