NewYork_Pre-Arrival Form_The Intern Group

THE INTERN GROUP NEW YORK

PRE-ARRIVAL FORM
To prepare for your arrival in New York, kindly fill out this form once you secured your internship and visa. It should take about 10 minutes to complete. Thank you.

Please make sure you have the below information ready before filling in this form:
- Insurance details
- Flight details
- Address of your accommodation (if you will not be using the program's accommodation)
Name: *

First NameLast Name
Email*
Phone Number:

Area CodePhone Number
WhatsApp Number*

Area CodePhone Number
Your Current Home Address
*Not your program accommodation
Insurance:

You must possess an effective travel insurance (which must at least contain health and accident coverage, emergency medical evacuation and repatriation of remains as well as political and security risk coverage, and COVID19) before arriving in New York.

If you are arriving on a J1 visa, this is included in your CIEE visa services. You may leave blank the file upload space below.

*Please note if you are unvaccinated, insurance provided through CIEE services will not cover treatment for COVID-19 related treatment and thereofe you should purchase & upload an additional copy of insurance that covers for this form of treatment.

If you are arriving on a B1 visa or ESTA, you need to arrange this yourself. If you do not have insurance yet, you may arrange it with our suggested partner Compass Benefits HERE.

If you are a US Citizen, please upload a prood of your current health insurance.

By uploading your insurance copy below, you understand and agree that your chosen plan has the sufficient coverage as indicated above.

* Please upload your proof of purchase and the insurance coverage summary
Insurance Copy:

Choose File
Note: Multiple files are accepted. PDF format only. Cancelof
Passport Copy:

Choose File
Note: Multiple files are accepted. PDF format only. Cancelof
Your Program Type:*

Standard package (Accommodation Inclusive)Non-Accommodation package

Non-Accommodation Package
Your program package does not include the following:

- Accommodation

and includes the following:

- Internship
- Airport Transfer from the airport
- Professional Development Tools
- Expert Training Materials
- Inclusive Events & Excursion
- Professional Workshop
- 24/7 Emergency Assistance
- Welcome Pack
- Visa Assistance (where required)
- Academic Credit Assistance (where required)
- Assistance in Booking Flights (as per request)
Acknowledgement - on non-accommodation program package inclusive*

I understand
Your Accommodation Address in New York (for airport pickup arrangement)*

Flight Details
NOTE: please only purchase flight ticket once your internship role and visa (if you need visa) is confirmed.

Please ensure you book your flights to arrive on the Saturday of your program start date between 8am to 8pm. Any airport pick-up arrangements outside of these hours will incur in extra fees.
Arrival Airport/Station
If arriving at other airports than listed above, you must take a train from the airport to either NY Penn; OR Grand Central Station for a pick-up service (please select the station you wish to be picked up).
Arrival Flight Number*
e.g. CX 123/ AA123
Airline*
Arrival Date/Time (NY time): *

MonthDayYear
DateHourMinutesAM/PM Option
For pick-up at New York Penn, or Grand Central train stations, please put the esimated date and time you get off the trains and arrive at the station's arrival hall.
I need airport pickup*

On my Start Date, to my accommodationBefore my Start Date, to another placeI do not need airport pickup, I will make my own arrangements
If you are arriving before your Start Date you must arrange your own accommodation until Saturday. Let us know where you should be dropped off upon arrival.
Departure Flight Confirmed?*

YesNo

Health & Safety
Do you have any existing medical conditions that we should know about? This is only for us to accommodate if there are any special needs. Include any mental health conditions.*

YesNo
If yes, please detail, along with any medication you are taking (please include any allergies):
Do you have any learning disabilities?*

YesNo
If yes, please detail, to help us assist at your internship (this may be disclosed to your future employers).
Emergency Contact (name, relationship, telephone number and email address).
Terms & Conditions
Please read through and acknowledge the Terms & Conditions and Covid-19 Safety and General Agreements of The Intern Group program.
Covid-19 Safety and General Acknowledgement*

I have understood and agreed to both Terms and Conditions and Covid-19 Safety and General Acknowledgement

COVID-19 Liability Waiver Agreement
The World Health Organization has declared the novel Coronavirus (COVID-19) a worldwide pandemic. Due to its capacity to transmit from person-to-person through respiratory droplets, the government has set recommendations, guidelines, and some prohibitions which The Intern Group (the "Organization") adheres to comply.
In consideration of my participation in the foregoing, the undersigned acknowledge and agree to the following:
- I am aware of the existence of the risk to my physical appearance at the venue and my participation in the activity of the Organization that may cause injury or illness such as, but not limited to Influenza, MRSA, or COVID-19 that may lead to paralysis or death.
- I have not experienced symptoms of fever, fatigue, difficulty in breathing, or dry cough or exhibiting any other symptoms relating to COVID-19 or any communicable disease within the last 14 days.
- I have not been, nor any member(s) of my household, diagnosed to be infected with the COVID-19 virus within the last 30 days.
Following the pronouncements above I hereby declare the following:
- I don't require The Intern Group assistance to clarify my insurance coverage. I confirm that I hold an active insurance policy that covers COVID-19 treatment, medical treatment, and catastrophe coverage during the current travel warnings and for my full duration on The Intern Group International Program.
- I am fully and personally responsible for my own safety and actions while and during my participation and I recognize that I may be in any case at risk of contracting COVID-19.
- With full knowledge of the risks involved, I hereby release, waive, discharge the Organization, its board, officers, independent contractors, affiliates, employees, representatives, successors, and assigns from any and all liabilities, claims, demands, actions, and causes of action whatsoever, directly or indirectly arising out of or related to any loss, damage, injury, or death, that may be sustained by me related to COVID-19 while participating in any activity while in, on, or around the premises or while using the facilities that may lead to unintentional exposure or harm due to COVID-19.
- I agree to indemnify, defend, and hold harmless the Organization from and against any and all costs, expenses, damages, lawsuits, and/or liabilities or claims arising whether directly or indirectly from or related to any and all claims made by or against any of the released party due to injury, loss, or death from or related to COVID-19.
By signing below I acknowledge that I have read the foregoing Liability Release Waiver and understand its contents; that I am at least eighteen (18) years old and fully competent to give my consent; That I have been sufficiently informed of the risks involved and give my voluntary consent in signing it as my own free act and deed; that I give my voluntary consent in signing this Liability Release Waiver as my own free act and deed with full intention to be bound by the same, and free from any inducement or representation.

This waiver will remain effective until laws and mandates relevant to COVID-19 are lifted.
Acknowledgement

I have understood and agreed to Covid-19 Liability Waiver Agreement
Name:

First NameLast Name
Signature

Clear
Date Sign

YearMonthDay
Social Media and Others

Stay in touch with us and see all the fun things that interns are up to! Follow us and we will follow you back.
Instagram @theinterngroup

TikTok @theinterngroupint

YouTube @TheInternGroupINT

LinkedIn The Intern Group
Your Instagram (if you would like to be tagged)
Your TikTok
Any other social media handles you would like to share
E.g. YouTube, Threads, Twitter, LinkedIn, Website, Blog, Vlog, etc.
Do you have a Reddit account?
Yes / No
Are you interested in becoming a Social Media Ambassador?*
Our Ambassadors create content for The Intern Group to share in social media channels which include but are not limited to Instagram, TikTok, YouTube, Threads, LinkedIn. If you select "Yes, I'm interested", the Marketing Team will be in contact with you. You can show to the world what living this experience is all about and we tag you in all your posts!
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THE INTERN GROUP NEW YORK

Non-Accommodation Package

Flight Details

Health & Safety

Terms & Conditions

COVID-19 Liability Waiver Agreement

Social Media and Others