Maryland Conrad 30 (J-1 Visa Waiver) Program

​​
J-1 Visa Application


Starting ​with the 2024 application cycle, MDH will no longer require hard copy applications.  In order to apply for a Conrad 30 (J-1 Visa Waiver) Program recommendation from MDH, an application package must be submitted to the following address by the application closing date (12/1/2024; 11:59 p.m.):  Maryland Conrad 30 (J-1 Visa Waiver) Program Application.

Complete the form on the electronic platform completely and accurately and then upload the Physician's application packet, according to Maryland Policy/Procedure. This is similar to the emailed electronic version required in prior years.

As a reminder, all required documentation must be included in the PDF upload, in the order listed below and in the Policy/Procedure. The Physician Applicant’s last name and case number must be typed on the lower right hand corner of every page of the upload.​

​J-1 Visa Checklist

The following information must be submitted as an uploaded attachment through the on-line applicationprocess throught the Application Materials link above.

  1. Cover Letter from the employer wishing to hire the J-1 physician for three years, stating:
    1. Physician's name (consistent with each page of application packet)
    2. J-1 Visa Waiver application case number of the physician (consistent with each page of application packet)
    3. Home country of the physician
    4. Type of provider
    5. Why the physician is needed by the employer
    6. The types ofservices that the physician will be providing to the community
    7. That the physician will work a minimum of 40 hours a week, of which at least 32 will be in direct patient care
    8. Every site location where the physician will work
    9. Whether each site is in a federally designated shortage area or not (as appropriate, indicate the HPSA ID number and/or MUA/P ID number, the FIPS County Code, and Census Track Number) and
    10. That the employer accepts all patientsregardless of ability to pay
  2. HPSA/MUA/P evidence documents (as applicable)
  3. Employment agreement or contract between the J-1 physician and an eligible practice. (See section C (3) for details)
  4. J-1 physician's curriculumvitae
  5. Exchange Visitor Attestation (signed)
  6. Copies of all DS-2019 forms
  7. Form G-28/Letter of Representation
  8. Completed Data Sheet (DS3035)
  9. Statement of Reason
  10. Third Party Barcode page
  11. Waiver Division Barcode page
  12. Proof of at least six-month's efforts by employer within the last year (does not have to be continuous) to recruit a U.S. citizen or a permanent resident physician. (See section D (11) for details)
  13. Copy of all physician diplomas
  14. Copy of all physician licenses and/or proof of paid application for Maryland licensure
  15. Copy of Educational Commission for Medical Graduates credentials
  16. Copy of U.S. Medical Licensing Examination Score Reportsfor Steps 1, 2 and 3
  17. Letter(s) of recommendation supporting the J-1 physician's waiver application
  18. Sliding Fee Scale and Sliding Fee Scale Policy for medical practice
  19. J-1 Site Application(s) with required attachments. One application for every site, hospital or private practice, is needed where the J-1 physician will be required to work. Must include attachments:
    1. Background information/ brochure about the practice site
    2. Copy of site sliding fee scale/ financial aid policy
    3. Copy of posted public notice at the practice site indicating availability of the sliding fee scale/financial aid policy
  20. Employer Attestation (signed by employer President/CEO)
  21. Signed J-1 Visa Waiver Policy and Procedure requirements signifying agreement by the J-1 physician applicant and medical practice representative
  22. Statement of Financial Obligation in lieu of No Objection Letter (signed)​​​

​​
To Be Completed by J-1 Physician after waiver is received



​​​
Additional Forms and Information






​------------------

Updated 09-26-2024