Your Name: Host Organization:
The purpose of International Educational Exchange’s (IEE) exchange visitor program is to enhance the skills and knowledge of qualified interns in their field of study through participation in a structured internship program. The program is designed to strengthen international understanding by creating an opportunity for both the intern and the Host Organization to increase their knowledge of diverse cultures and business practices. IEE, Inc. is dedicated to providing meaningful programs and cultural experiences to our participants. In order ensure that your program meets your expectations and professional goals, and to ensure that you have been fully prepared for your program, we have prepared this participation agreement form for each participant to complete as part of your required documents. This form must be returned to us prior to your arrival to the United States.
I certify that I have read, understand and agree to comply with the following guidelines, understanding that failure to comply could result in my program termination.
•I must submit my contact and arrival information to IEE, Inc. within 72 hours of arriving in the United States. Failure to do so could result in program termination. •Should my program be terminated for any reason, I need to notify International Educational Exchange within 24 hours.
•This program is site specific. I understand that I am only allowed to be participating with one Host organization for the duration of my program. I understand that I will not be able to accept secondary employment outside of my Host Organization. Regardless of the circumstances, I understand that if I leave my host organization without approved prior notice from IEE, my program will be cancelled and I must return to my home country immediately. Additionally, if my program is cancelled by either IEE or my Host organization due to failure to comply with company rules and regulations, or rules and regulations set forth by IEE and the U.S. Department of State, my program will be terminated and I will be required to return to my home country immediately. IF MY PROGRAM IS TERMINATED, I UNDERSTAND THAT I WILL NOT BE ELIGIBLE FOR THE 30 DAY GRACE PERIOD. Note: Failure to return to your country immediately will result in being reported to Homeland Security and could affect future visa issuances.
• I understand that I must be covered by health and accident insurance, at minimum levels or better as determined by the Federal Regulations concerning the J-1 Exchange Visitor visa, during the entire length of the program. Failure to maintain health insurance could be cause of immediate program cancellation. •I agree to abide by all U.S. laws and regulations governing exchange visitors while residing in the United States, and to abide by the rules and regulations of International Educational Exchange’s exchange Program. Failure to do so could result in cancellation of my program. Examples of reasons for cancellation: 1) Convicted of a crime, 2) Disciplinary action, 3) Engaging in unauthorized employment, 4) Failure to maintain health insurance, 5) Failure to pursue EV program activities, 6) Failure to submit change of current address to Sponsor within 10 days, 7) Involuntary suspension of program, 8) Violating Exchange Visitor program regulations, 9) Violating sponsor rules governing the program, 10) Failure to submit required program evaluations in a timely manner, and 11) Failure to maintain communication with Sponsor. This list does not encompass all causes for program cancellation. •I agree that I will abide by the terms of the stated agreement and Contracts established by International Educational Exchange and the host company, and will only remain in the U.S. for an agreed upon period of time. •I understand that I am to contact IEE should my host company not follow the training plan assigned to me. •If I have any concerns/issues with my host company, I will contact IEE to assist in resolving them. •If I do not fulfill the expectations of my internship requirements and lose my placement, IEE is not responsible for finding another internship. I understand that depending on the circumstances of losing my placement, I may not be eligible for re-assignment. •In order to ensure the quality of the program, I will be required to complete a mandatory midpoint and final program evaluation report and submit them to International Educational Exchange on a timely manner. Additionally a cultural essay will be required to be submitted prior to the completion of the program. Failure to submit the required evaluations is a program violation and will result in program cancellation. •I agree not to pursue a change in visa category during or upon completion of my program. •I agree that I will remain with my host organization until the end of my program (Dates stated on my DS2019 form). •I understand that I must depart the U.S. on or before the last day I am authorized to be in the U.S. based on the specified end date on my arrival/departure record I-94 form and DS-2019 form which is to be no longer than 30 days after the completion of my program. I understand that staying past the period of time authorized by the DHS will cause me to be out-of-status in the United States, which is a violation of U.S. immigration laws. I understand that this may cause me to be ineligible for future visa issuances for return travel to the U.S. •I understand that if my DS-2019 form is lost or stolen, a fee of $250.00 + postage and handling will be required for a new DS-2019 form. •I understand that if it is necessary for me to leave the country during my program that I will need to submit my DS-2019 to my sponsor for travel validation. A fee of $50 will be required along with a letter from my human resources department or my direct manager indicating I am eligible to travel and the dates that I will be away from my internship. NOTE: Extended time away from your internship is not permitted. Vacation travel needs to occur during the 30 day grace period. •I understand that if my contact details change while in the United States (change in apartment, phone number or host organization) I am required to notify IEE within 24 hours to report my new contact details. This is a matter of national security. Failure to comply will result in program cancellation and my immediate return to my home country. •In case of a visa denial, I understand that I must return my DS2019 form to IEE within 10 business days of denial in order to receive a refund. Failure to submit the un-used DS-2019 form within 10 business days will result in forfeiture of your denial refund. I understand that no refunds are issued after I have arrived in the United States. •I understand that IEE will send me important information through the email address I provided with my application. I agree to check my email at least once a week for important communication from IEE. If I change my primary email address, I agree to contact IEE immediately to update my contact information. Failure to respond to correspondence with my sponsor could result in program termination. •I understand that my internship training outline may be adjusted during my program based on language level, attitude, placement comprehension and requirements of the placement. •I certify that I have thoroughly researched my internship location and host organization. Based on my personal research, I have accepted the internship with full knowledge of the area and the type of property that will host my internship. I accept the internship that has been offered to me and I agree to honor the dates on my offer letter. I understand that IEE does not approve host organization transfers except under extreme circumstances and no transfer can be secured without IEE’s approval.
I certify that I have been provided with the following information:
•The purpose of the J-1 Exchange Visitor Program •An overview of the J-1 Program •SEVIS information •A copy of my signed training plan which outlines the training objectives and all significant components of my program. •Instructions for travel and entry into the United States •Instructions for locating and securing housing (if not pre-arranged/provided by host employer) •Expected living expenses and other costs likely incurred during program
• Program fees and any additional fees associated with the program (transfer fees, extension fees, DS replacement fees, travel validation fees, etc.)
•Life and customs in the United States •How to access local community resources and public services •Available healthcare •Safety information •Rules and guidelines that I am expected to follow while participating in the J-1 Program sponsored by IEE, Inc. •Emergency contact information for IEE, Inc. including the 24 hour toll free emergency hotline number. •Address and telephone number of IEE’s Responsible Officer (to be used for ANY and ALL issues related to your exchange visitor program) •Address and telephone number of Exchange Visitor Program Services of the United States Department of State •Information regarding IEE’s overall refund policy
Cancellation of program participation: Intern acknowledges that their program may be cancelled for (but not limited to) the following conditions: A sponsor shall terminate an exchange visitor's participation in its program when the exchange visitor:(1) Fails to pursue the activities for which he or she was admitted to the United States;(2) Is unable to continue, unless otherwise exempted pursuant to these regulations;(3) Violates the Exchange Visitor Program regulations and/or the sponsor's rules governing the program, if, in the sponsor's opinion, termination is warranted;(4) Willfully fails to maintain the insurance coverage required under § 62.14 of the regulations; or(b) An exchange visitor's participation in the Exchange Visitor Program is subject to termination when he or she engages in unauthorized employment. Upon establishing such violation, IEE shall terminate the exchange visitor's participation in the Exchange Visitor Program and notification will be sent to the Department of State. If terminated, participant must leave the country immediately. No refunds will be issued. Additionally, if IEE determines the host organization is not fulfilling their obligation of the exchange program, we reserve the right to end the program. Depending on the circumstances, IEE will do our best to find another appropriate host organization for you, but we cannot guarantee a transfer. If this occurs there will be a fee of $350.00 that is due to IEE prior to transfering your program to another Host Organization.
Once you have entered the country, there will be no eligible refunds.
Note: If you have any questions about your internship, location of your internship or permitted activity while on your internship, you should contact IEE prior to accepting your internship or your travel to the United States. If you are using an agency in your home country to assist you prepare for your internship and you have any questions regarding information they may have told you, please contact IEE to verify what you have been told. Your agency is there to assist you but is not responsible for your internship when you arrive, so it is important that you understand your obligations and what may or may not be allowed prior to your arrival. Please do not accept an internship just to get to the United States and think that you will be able to transfer to another location once you have arrived. This will not be approved.
I understand that the purpose of the J-1 internship program is for me to have an opportunity to gain valuable hands on experience in my field of study, not to “make money”. I understand that there may be times during my internship that I will be scheduled for more hours than others based on business levels but I will be scheduled for a minimum of 32 hours per week. I fully understand that I will not be granted a transfer to another location just because my host organization is experiencing a slow period and I am only receiving 32 hours per week.
I certify that I understand the IEE, Inc. is my J-1 visa sponsor and primary contact while in the United States. I understand that if I have any questions or concerns regarding my J-1 program that I am to contact IEE, Inc. immediately. By signing below, I agree to the conditions stated above and agree to abide to the obligations and responsibilities as stated above. IEE will not continue its sponsorship of any participant who does not abide by the spirit of the J-1 exchange visitor program.