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!ceo
ICEO ll^SA Summer Wo^c / Travel Program
Participant's A|:^ication 2019

Terms and Conditions

B) !f p a r t i c i p a n t d e c l d - i t e s p s n d th-s r í ; m c i n d a r of the ir^/Glvs-d 40. "^hs card-jct. sperstion ana ruíeo of ^.t ICEO USA Summer ev-?nt t h d t 3 p a r t i c i p a n t hg? í a ü e d t o ^ r u r e sdequate ínstirance.
in C u l t u r a l E x c h a n g e A c t i v i t t e s ( i n c l ü d i n g t r a v e i ) , p s r t i c i p a n t m u s t p r o v i d e W o r k / T r a v e i P r o g r a m is s u b j e c t t o U.S, g o ' i / e r n m e n t a p p r o v a ! a n d m a y information on insurance provisions can be obtaíned from ICEO.
ICEO within 7 2 hours from the íast date of e m p i o y m e n t wíth the change without natice. 51. Under the U.S, gcvernment's Health Insurance Portabilíty and
foflowing Ítems; proof of suffictent financia! resources to support 4 1 . Any and ai! entities (other than iCEO) which provides a n y goods or A c c o u n t a b í l i t y A c t ( H I P A A ) , I C E O is r e s t r í c t e d i n its a c c e s s t o c e r t a í n
h i m s e i f / h e r s e l f d u r i n g t h e C u l t u r a l E x c h a n g e A c t i v i t i e E , a n d a pían o f S e r v i c e s t o or f o r a p a r t i c i p a n ! w í t h r e s p e c t to t h e P r o g r a m i n d u d i n g i C E O m e d i c a l i n f o r m a t i o n o r f e c o r d s i'n t h e e v e n t t h a t a p a r t i c i p a n t h a s a n
C u l t u r a l E x c h a n g e A c t i v i t í e s i n d u d i n g p a r t i c i p a n t ' s travef i t i n e r a r y . )f Partner (e.g. or^nízatians pravídíng housíng arrangements, transporta- a c c i d e n t in t h e U.S.. In o r d e r for iCEO to assíst p a r t i d p a n t t o t h e fullest
p a r t i d p a n t ¡s u n a b i e t o p r o v i d e t h e r e q u i r a d i n f o r m a t i o n w i t h i n the tion c o m p a n i e s and food service or e n t e r t a í n m e n t providers) are e i t h e r extent possíble w i t h a n y questions or issues w h í c h m a y arise relating t o
a i b U c d 7 2 h o ü r s , i C C O w ü i ccCTípieie p a r ü c i p a n i s Progr-gm 5 l i h e s n d o í mdepenrífrií cortiracíors oí y-ZZO o r hgve c D f i L ' ó c i e d d i r e c U y wilh psrtícipant's h s a i í h c r insursncs, ICEO n s s á t e h s v e a r-igned P r ñ j s c /
the allotted 7 2 hours. M á x i m u m d u r a r o n of t h t M e Cultural Exchange p a r t i c i p a n t a n d a r e n o t o w n e d by, r e l a t a d t o o r u n d e r t h e c o n t r o l o f I C E O . and Confidentiality Reléase Form from tiie partidpant This form is
A c t i v í t i e s a n d t r a v e l is 2 1 d a y s . I C E O w í t l c o m p l e t e p a r t i c i p a n f s P r a g r a m As a r e s u l t . I C E O is n o t liabte f o r a n y n e g l i g e n t o r w i l l f u l a c t o r feilure t o optional and t h a participant c a n c h o o s e w h e t h e r or not t o grant ICEO
a t t h e e n d o f 2 1 d a v s . if a p p l i c a b l e . a a o f a n v s u c h p e r s o n o r e n t i t y , o r o f a n y t h i r d paríV: access to this i n f o r m a t i o n . This reléase fc^m a n d additional i n f o r m a t i o n

3 4 . tf a f t e r t h e a r r i v a l t o t h e U n i t e d S t a t e s p a r t i d p a n t d o e s n o t r e p o r t t o 4 2 . I C E O is n o t r e s p o n s i b l e f o r a n y i n j u r y , l o s s , o r d a m a g e t a p e r d ó n o r a b o u t t h e H I P A A r e q u i r e m e n t s a r e i n d u d e d a s p a r t of t h e Program

h i s / h e r origina! ICEO a p p r o v e d U.S. employer, traveis to a different p r o p e r t y , d e a t h , d e l a y o r i n c a n v e n i e n c e r e s u i t i n g f r o m a n y a c t b e y o n d íts application packet. If y o u did n o t receive this information or reléase

location in t h e United States or a t t e m p t s to i m m e d i a t e l y c h a n g e U.S, direct control induding, without Ümitation, a n y acts of God, forcé form please c o n t a d the (CEO Partner.

e m p i o y e r s , i C t ü wjii t e r m í n a t e p a r t i c i p a n f s P r o g i ' a m . m d j e u r e , a c t s of w a r o r c i v i l unrest^ i n s u r r e e t i o n o r r e v o í t , s t r i k e s o r o t h e r 5 2 . i C t O r e s e r v e s ^ l e ñgúi to d í s r í i í ü fíofñ í h e riogic¡m auy patlricípaní

3 5 . P a r t i d p a n t w h o is a nationat o f Visa W a t v e r P r o g r a m c o u n t r y and w h o labor activíties, c r i m i n a l or terrorist activíties o f a n y k i n d , o v e r b o o k i n g or w h o is d e e m e d b y i C E O t o be a d a n g e r t o h í m s e l f / h e r s e l f o r o t h e r s o r
h a s n o t s e c u r e d a J o b p r i o r t o a r r f v í n g in t h e U . S . m u s t n o t i f y I C E O a f t e r downgrading of accommodations, structura! or other defective w h o s e c o n d u c t is d e e m e d t o be d e t r í m e n t a ! t o t h e P r o g r a m . !n t h e e v e n í
ar>e w e ? k o f c o m r n e n c l n s j c b ^ ^ a r c h , íf p a r t i c í p a n í ; n o t f o t ' n d ?-i.;it?b!e •rcnditíorí^ h o ü ? ? $ , - i p ü r t m e " ? ? o r o í h e r loñ^\n,^ fsdütleí (-or i r -^ny o f s u c h a d i s m i s s a l o r t e r m i n a t i o n o f t h a p a r t i c i p a n t in t h e P r o g r a m f o r
empioyment. In s u c h c a s a ICEO wíll offer reasonabie assistance to h e a t i n g , p l u m b i n g , eiectrical or structura! p r o b í e m t h e r e l n ) , m e c h a n f c a l a n y reason o n c e the participant h a s ieft h i s / h e r h o m e country, iCEO shall
p a r t i c i p a n t in t h e t r e f f o r t t o i d e n t t f y 3 P r o g r a m s u i t a b l e empioyment or o t h e r failure of a i r p l a n e s or o t h e r m e a n s of t r a n s p o r t a t i o n or for a n y n o t b e h e l d r e s p o n s i b l e fc«" a n y a i r f a r e , c h a r g e s o r a n y o t h e r e x p e n s e
p o s i t i o n . If s u c h p a r t i c i p a n t is u n a b i e t o i d e n t i f y e m p i o y m e n t a n d h a v e failure of any transportation mechanism í o arrive or depart timely, f'ncurred b y t h e p a r t i c i p a n t , a n d s h a l l n o t b e r e q u í r e d t o r e t u r n a n y f e e s
the ennpjoyment a p p r o v e d by ¡CEO w i t h i n 2 1 days f r o m arrival in t h e d a n g e r s associated w i t h d o m e s t i c or wiid a n i m á i s , sanitation p r o b l e m s , paid b y t h e participant.
United States the following rules wÜ! apply: f o o d p o l s o n i n g d i s e a s e , lack of, a c c e s s t o o r q u a i i t y o f m e d i c a l c a r e , 5 3 . I C E O d o e s n o t p r o v i d e h o u s í n g f o r p a r t i d p a n t ñ o r ís I C E O r e s p o n s i b l e
A) Participant m a y c o n t i n u a s e a r c h i n g for s u i t a b l e e m p i o y m e n t for a n difficulty in e v a c u a t i o n in case o f m e d i c a l or o t h e r e m e r g e n c y . f o r p a r t i c i p a n t ' s h o u s í n g . If a U . S . e m p l o y e r d o e s o f f e r h o u s í n g to
4 3 . T h ¿ p d i t i c i p á n t a g i á £ s ; h ¿ í e n y d U p ü t e t&t^¿¿n p¿i-ticip¿iit ¿níJ tSlO p2rtic!p-3nt, th-5 h o u s í n g s r r ^ n s s í r i s n t \z b s f A ' s s n p a r t i c i p a n t 2 n d t h e
m u s t be a b l e to approve both the U.S. empioyer and the offered arisíng o u t o f or retating to p a r t i d p a n t ' s i n v o l v e m e n t i n t h e Proff-am, U.S. employer and ís usually on a first-come, fírst-served basis.
e m p i o y m e n t p o s i t l o n w i t h i n t h i s a d d i t í o n a l 2 1 d a y s . !f p a r t i c i p a n t f a i l s t o Program Participant Application, these t e r m s and conditions, or any P a r t i d p a n t m u s t n o t i f y I C E O i m m e d i a t e l y if h e / s h e h a s a n y c o n c e r n s
i d e n t i f y a n e w U . S . e m p l o y e r o r í C E O is u n a b i e í o a p p r o v e ths identified o t h e r literatura c o n c e r n i n ? t h e P r o g r a m . m u s t be b r o u g h t or filed ín regarding t h e safety or suítability of t h e housíng províded by his / h e r
n e w U.S. e m p l o y e r o r o f f e r e d e m p i o y m e n t p o s i t i o n w i t h i n t h e a l l o t t e d e i t h e r a s t a t e or federal c o u r t iocated in California, a n d e a c h of t h e U.S. employer. if U.S. e m p l o ^ r d o e s n o t provide h o u s í n g for p a r t i d p a n t
additjonal 2 1 days. ICEO will complete partidpant's Program a t the end of p a r t i e s c o n s e n t s to t h e j u r i s d i c t i o n o f s u c h c o u r t s a n d w a i v e s any o r if p a r t i c i p a n t r e j e c t s U . S . e m p l o y e r - o f f e r e d h o u s í n g , I C E O w i l l o f f e r
t h e a l í o t t e d a d d i t i o n a l 2 1 days, if a p p t i c a b i e . In a d d í t i o n , w i t h i n t h e f i r s t o b j e c t i o n t o v e n u e íaid t h e r e í n . P r o c e s s m a y b e s e r v e d o n a n y p a r t y reasonabie assistance to participant ín locating Program suitable
24 d a y s f r o m t h e a r r i v a i t o t h e ü n i t e d S t a r e s , p a r t i c i p a n t m u s t p r o v i d e a n y w n e r e in t h e w o r i d . h o u s í n g í h o u e h p a r U c í p a n í ¡hdW ái aií ü m e s be .••cspünsibíe ÍÜÍ s e c u n n g
ICEO with prdof of sufficient finandai resources to support housíng whíle ín the U.S, If the partidpant arranges housíng
h i m s e i f y h e r s e i f d u r i n g t h e s s a r c h for e m p i o y m e n t . If p a r t i d p a n t is u n a b i e ICEO Prognim-R»lated Conditions í n d e p e n d e n t i y , h e / s h e a g r e e s t o u s e h í s / h e r b e s t j u d g m e n t in s e c u r i n g
to provide proof of rufficient f u " d s w í t h í r t h e süotted t i m e . ICEO wiii h o u s í n g t h a t ís s a f e a n d s u i t a b l e . H o u s í n g a r r a n g e m e n t s t h a t I n u o l v e
4 4 . i C c O ( C i c í v e i í r i c t i g n í lu lef'üuc ü u u f í t t j r i n i p u f ¡ii'.y eippíítridi zhal
• complete partidpant's Program at the end of the aibtted t i m e . Qvercrowding a n d / o r h o t - b u n k í n g ( m ú l t i p l e i n d i v i d u á i s u s i n g o n e b e d
ICEO d e e m s d o e s n o t m e e t t h e P r o g r a m eligibiiity r e q u i r e m e n t s o r a n y
a n d s i e e p i n g in s h í f t s ! a r e s í r i c t i y p r o h i b í t e d . If t h e p a r t i c i p a n t h a s a n y
B ) tf p a r t i c i p a n t d e c i d e s t a s p e n d t h e r a m a i n d e r o f t h e P r o g r a m i n v o l v e d
a p p l i c a n t t h a t i C E O d o e s n o t d e e m a p p r o p r i a t e t o a c c e p t in t h e g e n e r a l
d o u b t a b o u t t h e s u í t a b i l i t y o f h i s / h e r hcrijsíng, h e / s h e m u s t n o t i f y ! C E O
i n C u l t u r a ! Eiurhange A c t i v í t i e s ( i n d u d i n g t r a v e l ) , p a r t i c i p a n t m u s t p r o v i d e
íntorest*; n f Míe Prngr?im i n t h e p.vsnt thnt \C.fC¡ rofu?;es s c c e t i t a n r e o f a n
immediately, Whetfier íhe paiticípant arranges housing Índependentiy
I C E O w i t h i n 2 4 d a y s f r o m t h e a r r i v a l to t h e U n i t e d S t a t e s w i t h the
a p p l i c a n t to t h e P r o g r a m , a n y avaílafaie r e f u n d w i í i be m a d e v i a t h e I C E O
or through t h e U.S. employer, t h e participant should be a w a r e that
foilowing ítems: proof of sufficient financia! resources Í D support
Partner through w h o m the original application w a s s u b m i t t e d .
h e / s h e w í l i líkely b e r e q u i r « d t o s í g n a l é a s e w i t h t h e l a n d i o r d o r U . S .
hímself/herself during the Cultural Exchange Activíties and a plan of
45. Partícipation ín the P r o g r a m begins w h e n tiie participant legally '?rr.p\o\'^r '?nú p-^y t o tt>í? innólorá o - U . S , ? f r p í n y e r g depo-^'t in
CuSturül Cv;ch.-3fiec ;\ct1vir;ea I n d u d i n g p ü r t í d p a n í ' s ; t r ^ y s ! m n e f ü r y . if
enters the U.S. a n d termtnates o n the day ot d e p a r t u r e f r o m the U.S. a n a m o u n t e q u a l to the first a n d Iast month's rent. The deposit aiso m a y
p a r t i c i p a n t is u n a b i e t o p r o v i d e t h e r e q u i r e d i n f o r m a t i o n w i t h i n the
( w i t h i n t h e legal P r o g r a m d a t e s ] u n l e s s t e r m i n a t e d o r c o m p l e t e d e a r l i e r ínclude an additional security deposit,
a l l o t t e d t i m e , I C E O w i l l c o m p l e t e p a r t i c i p a n t ' s P r o g r a m a t t h a e n d of t h e
by I C E O . T h e m á x i m u m P r o g r a m d u r a í í o n Is 4 m o n t h s . P a r t i c i p a n t c a n
a l l o t t e d t i m e . M á x i m u m d u r a í i a n of t h s s e C u l t u r a ! E y i c h a n ^ A c t i v í t i e s 54. Notwithstandlr^ any other provisión of these terms and conditions
arrivc 3 0 dsyc prior t h d r D S P r c g r a r r í s t a r t d s t : =nd r c m = : n ir; í h c U . S ,
a n d t r a v e l is 2 1 d a y s . I C E O w ü i c o m p l e t e p a r t i d p a n t ' s P r o g r a m a t t h e e n d or t h e application, participant ís n o t a n d n e v e r shall be a n e m p i o y e e of
up to 3 0 d a y s beyond theír DS P r o g r a m e n d d a t e , a s long as participant's
o f t h e s e 2 1 d a y s . if a p p l i c a b l e . i C E O , U.S. e m p l o y e r s h a ! ! b e t h e e j a : i u s i v e e m p l o y e r o f p a r t i c i p a n t , A n y
stay in the U.S. d o e s not e x c e e d the shorter of (a) a total of 5 m o n t h s , or
empioyment questions, concarns. issues or problems should be
{b} participant's officia! summer break from their home country
C u l t i ; r s ! Ex-changs A c t i v í t i e s 5ddr¿55¿d by psiticiparit díréctly with U.S. employer !f luch
uníversity. Participant u n d e r s t a n d s t h a t h e / s h e is e x p e c t e d a n d must
questions, concerns, issues or problems are not resolved w i t h U.S.
3 5 . P a r t i d p a n t m u s t actively particípate in cultural activíties d u r i n g the r e t u r n t o t h e i r h o m e c o u n t r y in t i m e f o r t h e s t a r t o f t h e i r university
e m p l o y e r , p a r t i d p a n t shcHJÍd r w t i f y I C E O . ICEO shall í n n o e v e n t or
P r o g r a m i n d u d i n g , b u t n o t Ü m i t e d t o , d a i l y interacticMis w í t h U S c i t i z e n s d a s s e s . E x t e n s i o n s o f Progj-am p a r t í c i p a t i o n a r a n o t p e r m i t t a d .
circumstance be rssptKisibfe for any actions or ínactions of U.S.
d u r i n g a n d o u i s i a e o f worK, /ocal c o m m u n i r y i n v G i v e m e n t , si^tseeing 4u. ( C E O m a y ¡saue a D S - 2 D 1 9 í o r m íf a p a r t i c i p a n t m e e t s t h e P r o g r a m
employer.
a n d p a r t í c i p a t i o n in c u l t u r a l e v e n t s . P a r t i c i p a n t m u s t d o c u m e n t all o f r e q u i r e m e n t s , but c a n n o t g u a r a n t e e t h a t t h e U.S. E m b a s s y o r Consulate
5 5 . ICEO reserves t h e r i ^ t to provide p a r t i d p a n t w i t h information iCEO
h i s / h e r c u l t u r a l a c t i v í t i e s a n d r e p o r t t h e m t o I C E Q as a p a r t o f the ín a p a r t i d p a n t ' s c o u n t r y o f residence will íssue a J - 1 v i s a e v e n if
d e e m s useful to p a r t i d p a n í s , Induding but not límited t a tax, travei and
M n n t h l y MeFrHng": ^nñ t h p M n n t h l y A r í i v i t i / Repr^.'t.'í. P3rrif:!p3nt m s i s t o a r t i d o a n t m e e t s t h e P r o p r a m r e q u i r e m e n t s o r ff p a r t i c i p a n t h a s h e e n
reiated services. in s í ^ i n g beicw, partscípantauthorízes i C t U to provide
teke part i n at l e a s t o n e s e l e c t e d I C E O o r g a n i z a d c u l t u r a l a c t i v t t y , if accepted into t h e Program by ICEO.
the partidpant's contact information to third parties w h o provide useful
a v a i i a b l e in t h e l o c a t i o n o f p a r t i c i p a n t ' s P r o g r a m . ü s í of I C E O o r g a n i z e d 47, O n c e a participant has c o m m e n c e d hisAier travel to the U.S., ICEO
services to participants. Third parties recaívlng this information will be
c u l t u r a l a c t i v í t i e s w i l l b e p r o v l d e d to p a r t i c i p a n t b y e i t h e r i C E O P a r ü i e r o r c a n n o t a m e n d t h e P r o g r a m d a t e s a s Usted an t h e D S - 2 0 1 9 f o r a n y r e a s o n .
r e c u i r e d t o p r o y i d e t h e p ^ r í í d p a n t with t h e o p p o r t u n f t y t o o p t o u t s f t e r
ICEO. it is t h e p a r t i d p a n t ' s r e s p a n d í b i i i t y t o c h e c k p r i o r to t r a v e i t h a t t h e d a t e s
t h e first c o n t a c t . T h e participant gives ICEO p e r m i s s i o n to use any
are correct.
w r i t t e n , p h o t o g r a p h i c , o r v i d e o i m a g e s o f h i m s e l f / h e r s e l f ín t h e c o u r s e
GeneralTerms 4S. Once the p a r t i d p a n t received the J-1 visa associated with the
of reporting o n and/or promoting ICEO p r o g r a m s .
Prosram, ^ e r e wÜ! be n o r e f u r d by i C E O for a r y rs3scn indudíns,
37. f i l i s E n g i i s h l a n g u a g e y e r s i o n of í h e T e r m s S C a n d í t i a n s í s t h e b í r d í n g 5 6 . If i C c Ü d e e m s , in íts s o i s d í s c r e t i o n , o r if ít is a d v i s e d by t h e S t a t e
w i t h o u t ü m i t a t i o n , s h o u l d t h e participant leave t h e P r o g r a m or s h o u l d
contract b e t w e e n the partidpant and iCEO and shall control over a n y Department that a partidpant's housíng and/or work piacement is
I C E O w l t h d r a w íts s p o n s o r s h i p .
t r a n s l a t i o n o f t h e s e T e r m s & C o n d i t i o n s i n t o a n o t h e r l a n g u a g e e v e n ff unsafe ar unsuitable, p a r t i d p a n t agrees t o cooperate fully w i t h ICEO to
49. Applícants w h o have recently held a J - 1 visa for the U.S. m a y have t o
3uch trsndatícr, w a s providcd í c p a r t i d p s n t by iCEO c r !CEO Paríncr. re!íjC3te í^j ítew h o u d r i g a n a / o r w o r k pIsceíT^ení »í<-ith.:>ut d e l á y . r a i l u r e
r e m a í n in t f i e i r h o m e c o u n t r y for a m í n i m u m o f 9 0 d a y s b e f o r a i C E O c a n
3 S . I C E O m a k e s n o r e p r e s e n t a t i o n or w a r r a n t y of a n y k i n d , e x p r e s s e d o r to cooperate may result ín action by ICEO up to and induding
íssue a D S - 2 0 Í 9 F o r m for the P r o g r a m . Any such applícants should
i m p l i e d , as t a t h e s u í t a b i l i t y of t h e Pro&"3m f o r a n y p a r t i c i p a n t a n d I C E O t e r m i n a t i o n of a p a r t i d p a n t ' s P r o g r a m a n d r e q u í r í n g t h e p a r t i d p a n t t o
í m m e d f a t e l y c o n t a c t t h e l o c a l ¡ C E O P a r t n e r a n d local U . S . E m b a s s y f o r
d i s d a i m s all s u c h w a r r a n t i e s t o t h e fuil e x t e n t o f t h e taw. return home immediateiv-
ütíídiij.
3 9 . The p a r t i d p a n t u n d e r s t a n d s t h a t p e r c e i v e d or actual epEdemics ( s u c h 57. ICEO r e s e r v e s í h e right t a utilize p u b i i d y availabte information,
S Ü . I n s u r a n c e is p r o v í d e d f o r e a c h p a r t i c i p a n t f o r t h e d a t e s c o n f i r m e d b y
a s , b u t n o t Ü m i t e d t o , S A R S or bird f i u j c a n s e r i o u s l y d i s r u p t , i n í e r r u p t , o r induding social media, w h í c h has not b e e n direcfiy províded to ICEO by
iCEO, by a n outsíde insurance company, a s a m a n d a t o r y part of t h e
c a u s e t h e c a n c e l l a t i o n of e n t i r e p r o g r a m s . T h e p a r t i c i p a n t a g r e e s to t h e participant. Information obtaíned t h r o u ^ these m e a n s c a n be u s e d
Program, I t i s t h e responsibitityof e a c h partidpant to purchase additional
a s s u m e elí r i s k s a n d i o s s e i { ¡ n d u d i r i g f i r ; a n c í a ¡ ) i h t i i rs^uit f r o m a n y s u c i i oS a I j d i i s fof a n y d e u s i c n s m a d s by i C E O a n e c L i n g Lne p a n ' f c i p a n l s
i n s u r a n c e s h o u l d t h e y e x t e n d their period a b r o a d for a n y r e a s o n . ICEO
occurrence. Program.
c a n n o t be h e l d r e s p o n s i b l e f o r a n y i n j u r y , i o s s o r i n s u r a n c e c l a í m I n t h e

Applicant Signature

I have read, understood and agreeto all terms outiined intiie ICEO USA Summer Work/Travel Program partícipation Terms and Conditions.
Additionally, by signing below, I aiso confirm that, to the best of my knov\/ledge, all information contained in this Program Application is true
and accurate.

p,¡„t Ñame: P E B E T E L L O J E A N f A U L N I C O L A S
Signature: .Date (month/day/vear) :JLl^/_2_l_Í./J_IJLlJ_l2.

international Cultura! Exchailge^rEanizationrlnc. / 11931 FoundatiQn Place, Suite 220, Gold Rróer, CA 95670 / Phone: (916) 985~Í826 / Fax; (916) 985-9922 / waw.iceoinc.org Page 6