Sponsor Attestation
To invite a guest speaker from abroad, the chair of the department or director of the office must complete the form and attestation statement below. The form should be downloaded from the web, completed, and faxed to International Students and Scholars at 503-768-7301.
Name of Guest Speaker: _______________________________
Date(s) of Activities: __________________________________
Total Amount of Compensation in US dollars: ______________
Brief Description of Activity:
Statement of Department Chair/Director of Office
As sponsor of the above guest speaker, I attest that the individual will be engaged in the activities described above for the benefit of Lewis & Clark College for nine days or less. I attest that the activities for which the individual is being paid or reimbursed are within the broad realm of customary academic activities associated with teaching, research, public service, academic administration or academic operations.
Further, I attest that I will obtain a photocopy of the guest speaker's I-94 form (front and back of the form) once the speaker is in the US and submit the photocopies to International Students and Scholars.
_________________________ ___________
Signature and Date of Signing
International Students and Scholars (ISS) is located in Fowler Student Center on the Undergraduate Campus.
MSC: 192
email iso@lclark.edu
voice 503-768-7305
fax 503-768-7301
Associate Dean of Students and Director Brian White
International Students and Scholars (ISS)
Lewis & Clark
615 S. Palatine Hill Road
Portland OR 97219