Work and Travel: Arrival Check-In

Summer Work & Travel: Arrival Check-In

Participants must check-in with United Studies, Inc. within 3 days of their arrival in the U.S. Failure to do so will result in termination of program. Do not check-in until you have arrived in the U.S.

Enter the following information exactly as it is on your passport and DS-2019.

Last Name (Surname)*

First Name (Given Name)*

DS 2019 Number*

Date of Birth (MM-DD-YYYY)*

Date

Home Country Agency

Arrival Date (MM-DD-YYYY)*

Date

Arrived at Employer (MM-DD-YYYY)*

Date

Please provide your U.S. residential address (where you will be living). If you are still looking, please complete this with where you are currently staying; you will need to change this when you reach your permanent address:

Address:*

Unit/Apt Number:

City:*

State:*

Zip/Postal Code:*

Please provide your U.S. employment information (where you will be working). You must go to your pre-arranged employment. If you do not, you may be terminated from the program. You are allowed to change jobs, but you must contact United Studies, Inc. at least 72 hours prior to starting your new position. United Studies, Inc. must vet and approve all employment.

Employer:*

Work Address:*

Work City:*

Work State:*

Work Zip/Postal:*

Work Phone:*

Do you have a U.S. cell phone?*

YesNo

Please provide your U.S. telephone number and email address:

Phone:*

Email:

Email*

example@example.com

I certify that I have completed this myself and that all information provided is accurate.*

true

I will contact United Studies, Inc. with any change in my residential location.*

true

I will contact United Studies, Inc. at least 72 hours before changing or accepting different employment. If United Studies, Inc. does not approve this job, I will not accept it.*

true