J-1 Work Travel Program Application

Participant Terms & Conditions

IMPORTANT: THIS IS A LEGALLY BINDING Jobs NOT Allowed Under the Program I understand that GeoVisions sends program updates,
evaluations, and other important messages to the email
AGREEMENT. PLEASE READ THOROUGHLY. ADD I understand and agree that I will NOT work the following jobs address that I have provided in my application. I agree to check
YOUR INITIALS AT THE BOTTOM OF EACH PAGE during my program: my email regularly and respond to GeoVisions within 48 hours
WHERE REQUESTED AND SIGN YOUR NAME AT • As a camp counselor, nanny, au pair, or in any position or within time requested. If I have a cell phone number in the
THE END OF THE AGREEMENT. for which there is another category of J-1 visa. U.S., I must provide GeoVisions with this information promptly.
• In any position that could bring shame, notoriety, or I understand that I will receive at least a monthly inquiry from
This Exchange Program Agreement disrepute to the Exchange Visitor Program. GeoVisions regarding the status of my program experience,
(hereinafter, the “Agreement”) is entered this • In a job that requires me to invest my own money for the and I am required to respond to the monthly inquiry in the
purpose of door-to-door sales. manner requested by GeoVisions. My monthly check in can be
____ day of ______________ 20___, between
completed online in my Hanover portal.
GEOVISIONS, INC., a Delaware corporation • As a pedi-cab driver, rolling chair driver or operator, as a
driver/operator of vehicles/vessels that carry passengers I understand that GeoVisions is the sponsor of my visa and is
("GeoVisions"), Alliance Strategies Ltd of
for hire and/or for which drivers’ licenses are required. here to support me throughout my program. If I am having any
Dublin, Ireland (“OpCo”)] (together referred to issue with my program that is affecting my health, safety, or
• In any position related to clinical care that involves
in this Agreement as "GeoVisions"), and patient contact. welfare, I will contact GeoVisions’ Emergency Line
____________________________ from (1.866.622.7623) immediately. I can also reach GeoVisions via
• In any position in the adult entertainment industry.
email at [email protected].
________________________, (referred to in this • In positions which require work predominantly from
Agreement as the “Participant”), individually “a By accepting a position, I am making a commitment to my Host
10:00 pm to 6:00 am.
Organization. If I leave before my commitment has ended
Party” and together “the Parties." • In positions deemed hazardous to youth as declared by without written permission from the Host Organization and
the Secretary of Labor.
WHEREAS OpCo is the international principal and operating GeoVisions, I may not be allowed to continue my program or
company in relation to the GeoVisions global group and • In positions that require sustained physical contact with participate in future programs with Geovisions.
business, and GeoVisions and OpCo, along with other other people and/or adherence to the Centers for
Disease Control and Prevention’s Universal Blood and I understand that all photos or testimonials provided to
GeoVisions affiliates, work together to provide certain services
Body Fluid Precautions guidelines. GeoVisions during my participation in the program become the
and support to such global business, customers, and
property of GeoVisions and can be used by GeoVisions for
GeoVisions international affiliates and subsidiaries. • In positions that are substantially commission-based and promotional or other business purposes unless I expressly,
WHEREAS, the Participant acknowledges, understands, and thus do not guarantee that I will be paid minimum wage previously decline and provide prior written notification.
agrees that certain services and operations shall be performed in accordance with federal and state standards. GeoVisions may disclose a participant’s information to third
by OpCo in furtherance of this Agreement. • In positions involved in gaming and gambling that parties for marketing or other business purposes.
WHEREAS, GeoVisions assists Exchange Visitors include direct participation in wagering and/or betting.
GeoVisions may provide a participant’s information to third
(“Participants”) in finding and securing a position with a Host • In positions in chemical pest control, warehousing, parties for marketing purposes.
Organization in the United States (U.S.) and supports the catalogue or online order distribution centers.
application for a J-1 visa for the development of the Program.
• In positions with traveling fairs or itinerant
Application and Visa Process
And WHEREAS, the Participant, a non-United States Citizen, concessionaires. I understand that I should submit a complete application and
wishes to engage GeoVisions to secure a J-1 Cultural Exchange full payment prior to the date I plan to arrive in the U.S. to
• In positions in the North American Industry Classification
opportunity (the “Program”) according to the terms defined begin my program. The process length may vary, but for
System’s (NAICS) Goods-Producing Industries
by the United States Department of State (“USDOS”) applications and/or payments submitted late, GeoVisions will
occupational categories industry sectors 11, 21, 23, 31-33.
NOW, THEREFORE, in consideration of the mutual promises not be held responsible for any delay in the visa process or
• For my family or relatives in the U.S. cancellation of the program position.
and representations set forth herein, the parties, intending to
be legally bound, agree as follows: • In new or second jobs until they have been screened and
I agree that all of the information provided in my application is
approved by GeoVisions.
If you have any questions, please ask your GeoVisions true to the best of my knowledge and acknowledge that any
representative or local agency before you sign these Terms & General Agreements false or misleading information may lead to immediate
Conditions. Voluntary or willful ignorance of the content of this dismissal from the program. A cancellation fee will apply.
I acknowledge that providing GeoVisions with any false or
document will not release you from your responsibilities.
misleading information may lead to immediate dismissal from I understand my DS-2019 Form is NOT a visa, but is required for
Program Purpose the program. my ability to participate in the program in the U.S. I understand
The purpose of this program is to provide foreign college and I agree not to start my program prior to the start date on my that I must take the DS-2019 Form and other required
university students with opportunities to interact with U.S. DS-2019 or work beyond the end date on my DS-2019. documents to the U.S. Embassy or Consulate to apply for a J-1
citizens, experience U.S. culture while sharing their own visa in my home country.
I understand that I must return home within 30 days after the
cultures with Americans, travel in the U.S., and work in jobs
end date on my DS-2019 and will not work during that time. I am responsible for my DS-2019 form and for the cost of
that require minimal training and are seasonal or temporary in
replacing a lost or damaged form ($100 but subject to change).
order to earn funds to help defray a portion of their expenses. I will do my best to complete the Program successfully and to
I will notify my home agency or GeoVisions immediately if a
take the necessary steps to keep in good standing with
replacement DS-2019 form is needed. Once I arrive in the U.S.,
Eligibility GeoVisions. If I do not comply with my program rules and
GeoVisions cannot amend the program dates as listed on the
regulations, GeoVisions will not allow me to continue to
I affirm that: DS-2019 form for any reason, and it is my responsibility to
participate and may shorten or terminate my program. If that
• I am or will be at least 18 years of age at the time my check prior to travel that all information is correct.
occurs, I must return home immediately at my own expense.
program begins. I have a valid passport that will not expire within the first six
I will obey all U.S. federal, state, and local laws. If I break the
• I am a full-time student at a post-secondary (college or months after the start of my program and understand that I
laws, I understand that GeoVisions cannot help me and that I cannot participate in the Program without a valid J-1 visa.
university) institution outside the U.S.
will be terminated from my program.
• If I am in my last year of studies, I will graduate no more If I need to leave the U.S. at any point during my Program,
I understand that although GeoVisions will provide me with
than 6 months before I participate in the program. prior to my departure I must have the Travel Validation section
support, orientation, program monitoring and evaluation, I am of my DS-2019 form signed by one of GeoVisions’ Alternate
• I will have successfully completed at least one semester, primarily responsible for the success of my program.
Responsible Officers. I will send the DS-2019 form to
or equivalent, of post-secondary academic study.
I will cooperate fully with those supervising the program on GeoVisions at least three weeks prior to travel and provide a
• I understand I must be on my official university holiday behalf of and in correspondence with GeoVisions and agree to prepaid envelope with shipment for return of the DS-2019 form
to participate; I am not allowed to leave school early or abide by all reasonable instructions that I may be given. If I do to my U.S. address. I understand that failure to provide a pre-
return to school late to participate in the program. not do so, I understand that I may not be allowed to continue paid envelope may result in delays in the return of my DS-2019
• I speak and understand English at an intermediate or my program or participate in future programs with GeoVisions. form. I understand that I must retain and protect this
higher level so that I will be able to succeed on my document in order to be able to return to my program in the
If my placement is self-arranged or requires that I locate my
program. This will be determined by an interview with USA, if applicable.
own housing, I must submit proof of my housing address to
my agency, sponsor, and/or future host company. GeoVisions at least 30 days prior to my arrival in the U.S. I have read and agree to all sections of terms on
• I will participate in cultural activities while living in the page 1.
U.S. and will provide documentation of my participation
to my sponsor. Initial here: _________

Revised on 10/21/2022 ©2022 GeoVisions J-1 Work Travel Program Participant Terms & Conditions Page 1 of 3
 J-1 Work Travel Program Application
Participant Terms & Conditions

Insurance I understand that while participating in the program, no Arrival and Orientation
change in circumstances exempts me from upholding the spirit
I understand that: and purpose of the Program, and I agree that I will return If I have a GeoVisions job placement, I will contact my Host
• I must maintain appropriate medical and travel insurance home after the program ends to share my cultural exchange Organization according to the instructions in my job offer.
while I participate in the Program and agree to accept the experiences with friends and family from my home country. I agree to confirm my travel plans and exact date of arrival to
insurance plan provided by GeoVisions, which is included in GeoVisions and my Host Organization at least two weeks
the program fee. Participant Expenses before my arrival in the U.S.
• GeoVisions will provide health insurance coverage for the I affirm that I understand my financial obligations and I will report my arrival to my Host Organization within 2 days of
duration of my Program, beginning on the start date on my estimated expenses incurred as a result of participating in this arriving in the U.S., unless otherwise approved by the Host
DS-2019 form. Information on this insurance policy, exchange program as outlined in my program disclosure and Organization and GeoVisions.
including coverage, deductibles, and claims process can be that such obligations and expenses may include but not be I agree to follow arrival instructions provided by GeoVisions.
found on the GeoVisions website limited to the following:
(https://www.geovisions.com/us-work-and-travel/student- I will review the orientation and arrival materials provided to
• Housing Costs me by GeoVisions.
resources/insurance-information/) • Transportation Costs
I agree to participate in all scheduled orientation sessions held
• I must call the insurance company for pre-approval prior to • Personal expense money for initial costs I may incur upon
by GeoVisions and my home country agency.
going to any doctor or hospital and prior to seeking arrival in the U.S. prior to receiving my first paycheck
treatment. In an emergency situation, I must call the I understand that I may arrive at my Host Organization no
I understand that I am responsible for all of my own travel
insurance company within 48 hours after seeking treatment more than one week prior to the start date on my DS- 2019, but
expenses, including domestic travel in the U.S.
in order to seek payment/repayment for my medical bills. that I must have permission from the Host Organization to
In addition to travel expenses to my final destination in the arrive early.
• My GeoVisions-provided medical insurance does not cover
U.S., I agree to bring a minimum of $1,500 USD and, whenever
any conditions for which I am currently receiving treatment I understand that scheduled orientations may be held either in
or which I had prior to the program (preexisting possible, a valid credit card.
my home country, in the U.S. or online according to
conditions), including any medication I am currently taking. I understand that I may not receive my stipend for up to four GeoVisions’ schedule.
• I have no preexisting or known medical or psychological to six weeks (or longer) from the date at which my
Prior to arrival in the U.S., I will confirm my temporary living
condition which will prevent me from fully participating in employment begins. I must bring enough money to cover my address in the U.S. with GeoVisions.
the Program. This includes allergies or injuries. If I cannot expenses (including housing) until I receive my first stipend.
I certify that I have received all of the following information
complete my Program due to a preexisting condition, I will I agree to provide proof of my financial ability upon request, prior to departure from my home country:
be required to return home immediately. I will comply with
which may include but not be limited to copies of bank account
all vaccination and immunization requirements prior to my • The Department of State’s toll-free help number (1-866-283-
statements, pay stubs, deposit slips, or traveler’s checks.
arrival in the U.S. 9090), the Office of Designation’s address, phone number,
If my Host Organization provides housing, I understand that I website, and email address, a copy of the Exchange Visitor
• Failure to maintain continuous insurance coverage that
must respect the property of my Host Organization and Program brochure, and a Wilberforce Pamphlet on the
meets above stated U.S. Department of State requirements
housing facilities and agree to pay for any damage I may cause. Rights and Protections for Temporary Workers;
is in violation of program regulations and may result in the
termination of my program. I understand that if I am evicted from my housing or move out • A copy of the Department of State’s Summer Work Travel
Participant Advisory Letter;
• I am responsible for paying all medical bills incurred prior to of housing offered by my Host Organization, I may not be
returning to my home country. allowed to continue my Program. • GeoVisions’ address and the name, email address, and
telephone number of the Responsible Officer and Alternate
• If walking or biking in the U.S., I understand the need to SEVIS Responsible Officer, as well as GeoVisions’ 24/7 Emergency
follow the rules of the road, posted signs and to take all the
I understand that: Support Line: 1-888-830-9455;
necessary safety measures.
• I must pay a separate SEVIS fee of $35 USD (subject to • Information advising me of my obligation to notify my
• The medical coverage provided by GeoVisions covers me in
change) to the U.S. government to cover the cost of the sponsor: (i) Within three calendar days after I arrive in the
accidents from participation in snow skiing but no other
SEVIS tracking system. After my DS-2019 form is issued, this United States (ii) Within ten calendar days after I initially
extreme sports. If I plan to participate in extreme sports, I
fee is not refundable for any reason, including visa denial. secure or change residences, if there are any changes to my
understand that I need to purchase additional insurance
• The SEVIS fee payment receipt (I-901) must be presented to telephone number, email address, and/or site of activity;
that will cover me for these activities.
consular officers during the visa application process. • Information advising me that I may not begin working at
• My insurance policy covers only the period of time listed on
• I MUST contact GeoVisions within 3 days of my arrival to the initial or replacement position until my sponsor has verified
my DS- 2019 (five days before and five after) and that I am
U.S. by calling 1-888-830-9455 or emailing the terms and conditions of such placement and fully vetted
responsible for contacting GeoVisions at least extending my
[email protected] in order to report my arrival and my Host Organization;
insurance if I wish to travel for up to 30 days after the
period on my DS-2019 form. current residential address, including apartment or unit • Documentation explaining the terms and conditions of my
numbers if applicable (the physical address where I live in the job as well as information about available housing and
Program Interruptions U.S.) to SEVIS. Failure to do so may result in your program transportation to and from work;
I understand that the primary purpose of this program is to being shortened or terminated and may cause delays in • Information explaining the cultural component of the
promote cultural exchange through work and activities in the processing my social security card. exchange Program, including guidance on Department of
United States and that unforeseen circumstances may • I must report any changes to my physical address, telephone State requirements for cultural exchange, how to best
temporarily interrupt a cultural exchange experience. As a number, email address, and/or site of activity to GeoVisions experience U.S. culture and/or descriptions of cultural
result, I understand I must notify GeoVisions of any change within ten calendar days. opportunities arranged by the sponsor;
that impacts my ability to fully participate in the program.
• If my program is terminated, it may negatively affect future • Information explaining sponsor rules that participants are
Such changes may include, but are not limited to: visa requests. required to follow while participating in their Program.
• Pregnancy and/or childbirth Sponsors may terminate the programs of participants who
fail to comply with program requirements including:
• New chronic or terminal illness diagnosis
• Family illness or death • Reporting arrivals;
• Reporting changes of residence;
I understand that should widespread catastrophic events • Responding to sponsor’s monthly outreach efforts;
outside the control of GeoVisions, my Host Organization, • Starting work at unverified jobs;
and/or myself cause disruption to my Program, GeoVisions, in • Failure to settle any open account balances with
its sole discretion, and in the interest of my and/or public safety GeoVisions within allotted deadline after 3 written
and welfare, may find it necessary to delay, interrupt, and/or notifications from GeoVisions
cancel my Program. Such events may include, but not limited
to: natural disasters, terrorist attacks, and pandemics. In such • Information on local community resources (e.g., public
cases, I agree to adhere to any and all directives provided by transportation, medical centers, schools, libraries,
GeoVisions, including returning home at my own expense. recreation centers, and banks), to the extent possible.

I understand that should such events negatively impact my I have read and agree to all sections of terms on
ability to fully participate in the program, GeoVisions may page 2.
determine it is in my best interest to return home, and I agree
to comply with the determination reached by GeoVisions.
Initial here: ______________

Revised on 10/21/2022 ©2022 GeoVisions J-1 Work Travel Program Participant Terms & Conditions Page 2 of 3
 J-1 Work Travel Program Application
Participant Terms & Conditions

Work I understand that working for my family or relatives in the U.S. Agreement to Solely Use Alternative Dispute
is not allowed.
I understand that Work Travel participants are required to be Resolution
paid the same amount as U.S. workers in the same jobs, GeoVisions is not responsible for loss of wages, location
including meeting federal, state, and local minimum wage transfer costs, or any other transportation or accommodation I agree that any dispute, claim, controversy or other matter in
laws. Federal, state, and local law dictate when I must be paid expenses incurred due to placement cancellation. question between the parties hereto arising out of, or in any
a different pay rate for overtime work, and I agree to contact If my position was arranged by myself or my home country way related to this agreement or any breach or termination of
GeoVisions if I suspect my employer is not abiding by its agency, and my placement is cancelled, I will be offered this agreement, any dealings or relationships between the
overtime pay obligations. support to assist with finding a new placement, but I may not parties, whether past or present shall be settled by binding
I understand that I must comply with my Host Organization’s be offered a GeoVisions placement. arbitration administered under the rules of the American
drug testing policy, if applicable. I also understand that if the Arbitration Association. The laws of the State of Texas, U.S.
Fees Refunds and Deposits
results of a drug test are positive (indicating drug use), the shall govern the construction of this agreement. The locale of
host organization may not continue my employment. If I Program Fee Disclosure the arbitration proceeding shall be Austin, Texas. A demand for
cannot continue my job as a result, my program may be arbitration shall be made within a reasonable time after the
I have paid the following fee for participation in the J-1 Work
shortened or terminated, and I will return to my home country dispute, claim, controversy, or other matter in question has
Travel Exchange program to my home country agency:
within two weeks at my own expense. arisen. In no event shall the demand for arbitration be made
I will not be allowed to continue my program or participate in 1885
$ ______________________________________ after the date when institution of legal or equitable
future GeoVisions programs if I break the contract between Please list amount in USD and local currency.) proceedings based on such claim, controversy, dispute or
myself, GeoVisions, and/or my Host Organization, or if I leave other matter in question would be barred by the applicable
my job placement without prior authorization from GeoVisions. I understand that the program fee includes fees for DS-2019, statutes of limitations. There shall be only one arbitrator. The
I understand that I must follow my Host Organization’s visa sponsorship, SEVIS fee, 24 hour support while in the U.S., decision of the arbitrator shall be final and binding on both
handbook guidelines and general rules and policies. orientation, medical coverage, and other associated services. parties and the award of the arbitrator shall be enforceable
If I work outdoors, I may not be scheduled to work in times of according to law. Any award issued by the arbitrator shall be
Refunds after Arrival in the United States enforceable by any competent court having jurisdiction over
bad weather and agree to arrive with sufficient funds to cover
my expenses. There are generally no refunds of any fees made to the party against which it is enforced in accordance with the
Participants upon arrival in the U.S. Any exception will be terms of the NEW YORK (UN) CONVENTION FOR THE
If I am fired from my Host Organization for any reason
reviewed on a case-by-case basis. RECOGNITION, AND ENFORCEMENT OF FOREIGN ARBITRAL
concerning my English level, attitude, or actions, I may not be
allowed to continue my program, may have my program AWARDS. The terms and provisions of this paragraph shall
Refunds prior to Arrival in the United States survive any breach or termination of this agreement.
shortened or terminated, must return home within 2 weeks at
my own expense, and may not be able to participate in future If you or your agency notify GeoVisions of the cancellation or
programs with GeoVisions. visa denial 30 days or more before the program start date on
the DS-2019 form (if issued), a refund or credit will be issued
It is my responsibility to contact GeoVisions immediately if I am
according to our agreement with you or your agency. The
having problems at my placement that may lead to me being cancellation fee amount depends on the reason for
fired or breaking my agreement. cancellation and the return of the original DS-2019 form.
I agree to participate to the best of my abilities and
communicate with my supervisor if I do not understand Additional Fees
something or require additional resources or support. The following fees may be billed to you or your agency should
If I am not able to solve any issues or problems with my the services be requested in writing to GeoVisions:
supervisor or a Human Resources representative of the host
• DS-2019 Re-Issuance Fee: $100 USD
organization, I will contact GeoVisions for assistance.
• Travel Validation Shipping Fee (if pre-paid envelope is NOT
I understand that if my Host Organization is not satisfied with included): $30 USD
my performance and/or progress, they reserve the right at any • Expedited Shipping/Processing Fee: $50 USD
time to end my employment. If GeoVisions determines that I • Additional Shipping Fee (if DS form is requested to be
am at fault for said termination, my program may be ended, shipped to a location other than a partner agency): $30 USD
and I will return home within 7 days at my own expense. • Program Extension Fee: $200/month extended
I understand that GeoVisions reserves the right to determine if
I may change my Host Organization during the program. I I agree to pay all Invoices issued by GeoVisions within 14 days. I
understand that any claims made against my Host Organization understand that failure of paying outstanding invoices within
must be investigated by GeoVisions before making a decision thirty (30) days of issuance will result in my inability to
about continuing my program or changing organizations. continue my program and/or termination and may prevent me
from participating in future programs with GeoVisions.
I must contact GeoVisions immediately if I am not receiving the
hours confirmed on my job offer, am not being paid correctly,
if overtime payment is required, or if I have any other concerns Visa Status Change
related to the conditions of my job offer not being met. I will not accept or apply for a visa status change during my
program in the U.S. My program is a cultural exchange
I understand that no position can be guaranteed and that from
program, and I must return home upon its completion.
time to time, Host Organizations may cancel or reduce the My initials on each page above and my signature
number of participants they can welcome, either before or I understand that a change in visa status that keeps me in the
after I leave my home country. GeoVisions will make every
below confirm that I have read, understand, and
U.S. beyond the end of my program does not align with the
effort to communicate any changes to me and my home purpose of the J-1 visa and violates program rules. agree to abide by the rules, terms, and
agency as quickly as possible. In this circumstance, GeoVisions conditions of the GeoVisions Work Travel
will make an attempt to find another placement for me as I understand that if I pursue, seek, or apply for a change in visa
close as possible to my original placement, in terms of type of status during my program, my program will be immediately Exchange Program. In signing these terms and
position, pay, location, and conditions. However, GeoVisions terminated or shortened in SEVIS. Effective upon the date that conditions, I acknowledge that I have read,
cannot guarantee an equivalent placement, or similar my program is terminated or shortened, I am no longer eligible
to work and must immediately depart the U.S.
understood, and agree to all the terms and
placement in the same region as any cancelled or lost
placement. In cases where a similar placement cannot be conditions with my own free will as stated
offered by GeoVisions, I will be offered the option of accepting I understand that if my program is terminated or shortened in
SEVIS due to a change of status, I will not be eligible for a
above.
a different placement or finding my own placement within 2
weeks. GeoVisions will provide resources to assist me with refund on any of the fees paid to GeoVisions.
Name (printed): ________________________________
finding my own placement, if that is the option I choose. I understand that my Host Organization or any other entity
I understand that it may take 4-6 weeks to receive my Social should not encourage or support a change in my visa status, Date of Birth: (MM/DD/YY): _______________________
Security card, but that my Host Organization will make and any such attempts should immediately be reported to
reasonable efforts to start my program immediately if I have GeoVisions. I understand that should my Host Organization
Signature: _____________________________________
applied for a Social Security card. I will contact GeoVisions become aware of any efforts made by myself to change my
immediately if I have any problems with applying for Social visa status, they are obligated to notify GeoVisions.
Security or receiving payment from my Host Organization.
Date: _________________________________________

Revised on 10/21/2022 ©2022 GeoVisions J-1 Work Travel Program Participant Terms & Conditions Page 3 of 3