I am the J-2 dependent of the J-1 Exchange Visitor [J-1's name] and I wish to apply for permission for employment authorization. My [spouse/parent] receives a [stipend/salary/grant] from [source] sufficient to provide for [his/her] expenses.
I wish to be employed to provide for my expenses [add: "and those of my children" if applicable] and to pursue my interests in [topic, such as American Culture, etc.] Any money which I earn from such employment will be used for my family's customary recreational and cultural activities and related travel, among other things, and not for the support of my [spouse/parent].
Please grant me permission to be employed. Enclosed are all required documents for my application.
[list of documents]
Thank you very much for your assistance.
[applicant's signature]
[applicant's name]