Professional Documents
Culture Documents
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Greenheart Exchange • 742 North LaSalle Drive, Ste 300, Chicago, IL 60654, USA • Tel: 1.866.684.9675 • Fax:1. 312.577.0692
W: www.greenheartexchange.org • E: workandtravel@greenheart.org
TERMS AND CONDITIONS (updated November 2021) https://docs.cci-exchange.com/work-programs/swt-participant-code-of-conduct
Greenheart Exchange Work and Travel
Participant Code of Conduct
sponsorship, I will not receive a refund for my 10. I may use tobacco, alcohol, and marijuana only in
program. accordance with local, state, and federal laws, and
8. If my program sponsorship is terminated, it will the rules of my workplace and housing.
negatively impact my chances (and the chances of
my family members) to receive a visa to return to the MONEY:
United States. 1. I will bring a minimum of 1,000 USD (one thousand)
9. Greenheart Exchange is obligated to report any to survive in the U.S. without a steady income for the
activities that are interpreted as being in defiance of first month of my program.
visa or program regulations to the U.S. Department 2. I am responsible for any program-related fees charged
of State and/or Homeland Security. by the U.S. Department of State, SEVIS, or
Greenheart Exchange.
HEALTH AND SAFETY: 3. I will reimburse all outstanding debts incurred while on
1. I am aware of the details of my health insurance the program even if they are discovered after I return
policy, including all coverage, limitations, and to my home country, including housing bills (e.g.,
exclusions, such as pre-existing conditions and security deposit, rent), medical bills, and telephone
pregnancy. I have read the insurance brochure to charges.
review the full list of limitations and exclusions. 4. Certain tax deductions are required by U.S. and state
2. I must have medical insurance coverage during the laws. I understand that the net amount of pay that I
entire time that I am in the U.S. Greenheart Exchange will receive, after taxes, will be less than the gross
provides emergency medical insurance coverage for amount that my employer agreed to pay.
the dates of my program (from the program start date 5. U.S. law requires that I file my tax forms by the
until the program end date as indicated on my DS- specified deadline following the end of the
2019 form). I am responsible for purchasing calendar year(s) in which I worked in the U.S.
emergency medical insurance for my travel period
and if I arrive to the U.S. before my program start MEDICAL RELEASE:
date. I know that I may choose to purchase additional 1. I authorize Greenheart Exchange and its
insurance through Greenheart Exchange. representatives to consent to any X-ray examinations,
3. If I am found to be unable to work and therefore anesthesia, medical or surgical diagnosis rendered or
unable to participate in and fulfill the purpose of the treatment or hospital care for me, which is deemed
program but I am medically cleared to travel, I will advisable by, and is rendered under the general
return to my home country at my own expense supervision of any licensed medical professional. This
immediately. authorization is given to provide authority and power
4. I understand that I must abide by local, state, and on the part of the aforementioned agents to give
federal laws and orders regarding public health consent to any and all such diagnosis, treatment, or
and safety, including but not limited to mandatory hospital care which the aforementioned medical
evacuation, and stay-at-home or quarantine professional, in the exercise of his/her best judgment,
orders. may deem advisable. I further agree to hold
5. I understand that I have to follow the U.S. federal, Greenheart Exchange, its staff, and representatives
state, and local mandates regarding vaccination harmless for its actions relating to my treatment.
and other health-relevant matters. 2. I am responsible for paying for any medical
6. I understand the importance of bicycle safety while in treatment administered that is not covered by
the United States, and that it is my responsibility to insurance, even if the bill comes after I have returned
wear a helmet and to abide by local bicycle laws and home.
by rules of common sense. 3. I authorize Greenheart Exchange to access my
7. To drive a car, I must secure motor vehicle medical information should I be hospitalized for any
insurance coverage and I must have a valid driver’s reason.
license. I have communicated with Greenheart Exchange
8. I will not operate any motor vehicle after using any about all pre-existing medical conditions, and I
legal or illegal drug that may impair my ability to have secured additional insurance that will cover
operate a motor vehicle safely. any medical expenses incurred due to my pre-
9. I will not occupy any motor vehicle being operated by existing conditions.
a person who has used any legal or illegal drugs that 4. I will communicate information about any
may impair their ability to operate a motor vehicle medical issues with Greenheart Exchange
safely. throughout the duration of my program.
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Greenheart Exchange • 742 North LaSalle Drive, Ste 300, Chicago, IL 60654, USA • Tel: 1.866.684.9675 • Fax:1. 312.577.0692
W: www.greenheartexchange.org • E: workandtravel@greenheart.org
TERMS AND CONDITIONS (updated November 2021) https://docs.cci-exchange.com/work-programs/swt-participant-code-of-conduct
Greenheart Exchange Work and Travel
Participant Code of Conduct
can safely do so, and that I will report my cultural monthly check-ins.
interactions to Greenheart Exchange in my
FORCE MAJEURE
In signing this Agreement, I thereby acknowledge, understand, and accept that certain unforeseeable circumstances beyond
Greenheart’s right or ability to control and/or prevent may result without notice in the delay, disruption, and/or termination
of certain programs, the cancellation or suspension of planned activities within such programs, and/or otherwise
render Greenheart’s reasonable and good faith performance of its contractual obligations impractical and/or impossible to carry
out. Examples of such circumstances include, but are not limited, to: (1) acts of God, such as severe acts of nature or weather
events including, but not limited to, floods, fires, earthquakes, hurricanes, tornadoes, explosions, and similar acts and/or events.
(2) war, acts of civil or military authority, national emergencies, insurrection, riots, and/or acts of terrorism; (3) epidemics,
pandemics, and/or similar widespread public health phenomena; (4) strikes, labor disputes, and/or work stoppages; (5) acts or
events that disrupt channels of communication and/or power supply; and/or (6) any other acts, events, or circumstances not
within Greenheart’s reasonable right or ability to control and/or prevent that would render Greenheart’s reasonable and good
faith performance of its contractual obligations impractical and/or impossible. I appreciate and accept the risk that in the event a
program or element thereof is disrupted due to unforeseeable circumstances beyond Greenheart’s reasonable right or ability to
control and/or prevent, I may be requested and/or required to return to my home country early at my own expense. I agree to
review all Greenheart program disruption and cancellation policies prior to agreeing to participate in
any Greenheart program. I further agree to renounce any and all legal claims against Greenheart and/or its representatives that
may arise from the occurrence of unforeseeable circumstances beyond Greenheart’s reasonable right or ability to control and/or
prevent, including, but not limited to, claims for the costs of repatriation, loss of income, loss of academic credit, unanticipated
housing expenses, program fee refunds, ground transportation costs, etc.
RECOGNITION OF AGREEMENT:
By submitting this form as part of my application, I have read, understood, and agree to abide by the conditions above. I confirm
that there is no reason (e.g., pre-existing health condition, emotional or behavioral problem) why I should not be able to
participate in the program. I confirm that I have not been convicted of any felony. I confirm that I am aware that falsifying or
withholding any information on the application could result in program dismissal. I agree to print this form and to sign it in front of
a representative of my sending organization.
Participant Signature:
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Greenheart Exchange • 742 North LaSalle Drive, Ste 300, Chicago, IL 60654, USA • Tel: 1.866.684.9675 • Fax:1. 312.577.0692
W: www.greenheartexchange.org • E: workandtravel@greenheart.org
TERMS AND CONDITIONS (updated November 2021) https://docs.cci-exchange.com/work-programs/swt-participant-code-of-conduct