ASSE ASPIRE Work Travel Student Rules and Regulations 2S?" 22> STUDENT RULES AND REGULATIONS FOR ASSE ASPIRE SUMMER WORK TRAVEL PROGRAM ‘The following Rules for ASSE ASPIRE Worldwide Summer Work Travel Program ("Rules") have been established by ASSE ASPIRE Worwide a: minimum standards of participant conduct forts Summer Work Travel rogram "Progrem") You must agree in writing to adhere to these Terms and Conditions prior to final program acceptance. Please initial next to each item and sign at the bottom of this document to confirm that you have read and will adhere to the rules and regulations of the program. Program Terms and Conditions: tnitiatx_£A_1.1am between the ages of 18 and 28, n good health, have 2 valid passport and enrolled asa fulltime student at a postsecondary level college or university, intial EA _ 2.1 wit bring at east $1,000 USO to cover intial costs upon arial inthe USA inwitx EA _ 3. swit obey its 4 federal state and local vs iniiatx EA 4,1 wi cooperate fully with those supervising the program on behalf of and in correspondence with ASSE ASPIRE iniia'x_E As 1understanethatany illegal use of rugs or alcohol, or abuse of harmful controle substances or legal possession args lana or corres substances wl resin emediate epeiation. ven though Marvara snow wee etsectes ow meetin state tsi LEGAL under federal lnwshould not constr tat am Ste {rem nw enforcemon jst because a USstae where Mariana hasbeen egalizd nor am exempt rom Werkplce du testing understand that my employer hols the ih to amiss me | a shown to be Toking drut ncuing Marueno, reerless of satelbw. inwiatx_£ A. wi complete orientation sessions in my home country prior to departure and inthe USA following myarrval iniiatx_EA_ 7 1witleomplete the anline‘Artiva Checkin’ with my program sponsor ASSE ASPIRE within 10days of arrival. Failure ocheskin win 10 coy arvalwlest internation rm the pogram and wilimpede mefrom geting 2 Uswisain the are. inniatx_E A 5.1 wit cary out the duties and responsbltes ofthe postion which ASSE ASPIRE has arranged, Not reporting to orimary ste of activity, as per OS-2019 Form, uson rival in the US wil resultin program termination intiatx EA», is myresponsibity to advise ASSE ASPIRE of any signfican problems, including but not limited to my health, safety, or welfare and my adjustment to the job, culture, or language. tntatx_EA 30 tagretotean active and congenial prt ofthe Host Employer and understand that wilreeive baie entry-evel ‘work experience addition to gaining cultural experience from the program. vritatx_E A 111 wit espet he pracy of information learned during work experience. tntiatx EA _ 12 | understand there se minimum 2 months’ work commitment requirement and agree to work the entire period fr stated onthe lob Offer. Not working through the perio indicated constitutes a violation ofthe agreement withthe Host Employer and may lead t program termination. iitiatx_€A 13 understand that the work assignment sternporary and rns forthe duration ofthe work authorization a stated ‘othe D$-2019 Form ASSE ASPIRE Werke iisao.4 228 Noh Coast Highoay- Laguna Bene CA 92681“ Fx (04) 494-4280 - Phone (29) 4973310,ASSE ASPIRE Work Travel Student Rules and Regulations 9 S-S?* RED CULTURAL ACTIVITIES Inaddition to work-based cultural exposure, itis intended that students should learn about and experience American culture firsthand, As @ program component, the United States Department of State requires each student to use local resources to parlepate in activities which ‘Would expose them to components of American life or history ‘xamples of such actvtes, sites, or event ae national an state or county parks, historic sites, sports event, local government vss, family meals or celebrations, museum vss et. Note: Photostaken to document cultura activites shouldbe taken inside of museums, amusement parks, theaters and other cutral activity focations. Decument photos taken at parties, while drinking, at work, relaxing on the beach, eating at restaurants, and seis with mo ciscerable activity background will nat be accepted as valid cultura activities. snot EA 26, wi take perin at last one cltral actity per month during my program and provide documentation ofthese “ctivties on a monthy bass Failure to participate in and provide documentation ofsuch activites once month snay sult in my termination, EVEN AFTER MY PROGRAM HAS ENDED, and may impede me from geting visa Inthe future. tnwiatx_E A 27,1 i avis ASSE ASPIRE anc when change my housing by completing the nline“US. Address Change’ within 1 days, Fallre to report a change of address may result in program termination sntatx £ A 26, sunderstand that after the ‘Arrival Checkin’ I must complete te online ‘Monthly Checkin’ every 304ay5, Faluretocheccn vith ASSE ASPIRE every month may result in program trnination, intisx_£A 95, 1undertand ht am seeking new epeince and | wil ot tun ta Hest Employer oct rma previous ya nes was preva laced wih an ASSE ASPIRE employe. inet £A sp sunderstand thatthe following may result in program termination and the immediate return omy home country: Not reporting to primary sit of activity, as per DS-2019 Form, upon arrival in the US, with intent to work at another location. > Breach of housing agreement, including but nat limited to violating lease terms, non-payment of rent and eviction from housing. > allure to comply with any program rules or giving misleading information. > Failure to provide 2 weeks’ notice to my Host Employer prior to leaving the placement. by soning tis document, Jindcot thot I have rea, understand and agree to comply wit the above Rules and Regulations for ASSE ASPIRE Worlowie Summer Werk Trovel Program. ond that the information! have provided to ASSE ASPIRE, including information on ths for, is true “nd compete. Toso ceknowledge the receipt of 0 copy of he U.S. Department of State Summer Work Travel Pragram Brochure and Partcpant etter, ASPIRE Student Handbook, ASPIRE Student 1 Cord, Job Offer, ASSE Sponsor Letter, Information about fees poi ond other costs during the progrom, Sudent insurance Brochure, ASSE ARO Contoct information, Wilberforce Pamphiet, Department of stote The Exchange Vistors Welcome Brochure, the Department of State's tollfee helpline, and the email address ofa designated contac inthe Office of Private Sector Exchange inthe Deportments Bureau of Educational and Cultural firs. x___ EDVARD ANTON Full Name of Student (Please Print) x_ Hap pax_04/40/ 2020 Signature of Student ASSE ASPIRE Wore aasa01s 228 Noth Coast Highway Laguna Bene CA 9268 - Fs (64) 494-4280 - Phone: (949) 4973810,ASSE ASPIRE Work Travel Student Rules and Regulations -2-S-?* #2 tnitiatx_E JA _ 14.1 wi not terminate my agreement with Host Employer without consulting with ASSE ASPIRE staff fr assistance frst | must have waltten authorization from ASSE ASPIRE in order to leave the placement. After receiving, Authorization from ASSE ASPIRE to leave the placement, | vil be required to provide two weeks’ notice to the Hast Employer prior to leaving the placement. snwa'x A 15.1 understand thatthe assigned host company holds the right to dismiss me i my work performance i not satstsctry, aafor'ascey the Hox Employer's employee res or codes of conduct feuding the Host Erploer ress code am combed bythe ost Employer, most ontct SSE ASPIRE mediate tnwatx_EA 6.1 wit secure approval foray change or dation of Hos Employer pio commencing work wth tat Hos Employer 1 must allo 3 busines dys for ASSE ASPIRE to carte the new Hox Employer nd ery the rably of my new fob! Bepn working th 2 new Host Employer oUt gang approval Wom ASSE ‘ie ibe emits rom the progam initia £ A 17.1 wit not accept any form of assignment other than what is authorized by the signed Job Offer. tnivatx EA 1p, sundestand that cannot hang the wa toa ferent ater. tniiatx EA _ 19,1 pay for any property damages cause by myset snvatx EA 201 agree to return home no later than 30 days after my 052019 program end date and prior omy Univers Sort date This 30-day grace period maybe used for travel within the USA tnwatx_E A 21 1understand that leave the USA within those 30 days, il not be ale to return on your Sv, innitx £4 20s understand that cannot work during the 30-day travel race period. tnitatx_E A 23.1 understand that tam termite rom the program fr vlan of ules governing the program | must ‘ctu home immediately, and am not gie or the 2-day Wael grace ered tnvatx £4 n,m aSetlced student understand thatitismy repo to ensures he Set ace 0 fe fxm \ctompete cea an signed by ath mse and my Het Epp Lundttnd tat hsb Fer form tusrbesubrtedwa eher apical decmeraton requred by SSE ASPIRE belore the ceptance of mnyeronon 1x E 9 25 tama pretiaced student an for any reason my Pre-Paced job placement does workout through no fault of ‘ny oun, ASSE ASPIRE wld al possible thin Rs resources to place me na suitable postion ASS ASPIRE Tr bbe to find »rew postion, aut notable to locate potion in the same ares as my previous positon | “nderstand that | would be responsible to secre my own vansporation tothe new te ASSE ASPIRE Werdwide wang 228 Neeh Coast High: Laguna Bench CA 92651 "Fa (48) 44-4280 - Phone: (948) 497-3310Please fill in the following information All boxes must be completed Incomplete applications will not be accepted ASPIRE Student Application T, General Information (as it appears on your passport) Family Name Given Name Middle Name Gender | ANTON EDVARD i 2. Criminal Background Have you ever been convicted ofa crime? If yes, please explain Oves [No 3. Health Background Yer Ye Ne Yee Allergy (if serious) Q Eczema, DB Rheumatic Fever oO 8 | ‘Asthma Q Hepatitis Sh Rubella Qo Cancer Tumors Q Measles Q ‘Scarlet Fever oO ‘Chicken Pox a Migraine Headaches: Q ‘Substance Abuse Qa Convulsive Disorder O Mumps ia Thyroid Disease Q Diabetes Q Physical Handicap Q Uker Q Dyslexig G Psychological Disorder Urological Problems — Eating Disorder Oo Rheumatic Fever BH whooping Cough Oo (Other Conditions Tf yes o any of the above, are any of the conditions serious enough to warrant treatment or require special consideration? LLyes (please explain below) [3] no ‘Will you be required to take any prescription medication(s) during your stay? Tra plese apain ino Please specify which medieation(s) and for what condition(s) x. EDVARD ANTON Fail name of Student (Please print) x__ Aron Signature of Student pate_04/ 10/2020