HOW TO REGISTER
FOR SWAP SUMMER USA
2013
REGISTERING IS SIMPLE! Just follow the steps below.
Step 1: Review the SWAP Summer USA section of our website, the eligibility information below, and the
contents of the registration pack to ensure you meet the requirements of the program and understand
your rights and responsibilities.
Step 2:
Review the Registration Conditions listed on the SWAP Registration Form. If you have any questions,
ask before you register!
Step 3:
Take your completed SWAP Summer USA Registration pack to your nearest Travel CUTS/Voyages
ce. Our travel counsellors will
conduct a short interview, process your registration and provide you with any assistance you may
SWAP ELIGIBILITY
FULL TIME POST-SECONDARY 2013 GRADUATES ARE ELIGIBLE!
BEFORE REGISTERING, ENSURE YOU MEET THE FOLLOWING CRITIERIA:
•
•
•
•
Aged 18 years or over
A current full time student in Canadian post secondary education (college/CEGEP/university) of the 2012/2013
school year.
A Canadian citizen. International students may be eligible to apply, please contact a travel counsellor for more
information.
Have found confirmed seasonal or temporary paid employment
ADDTIONAL INFORMATION:
•
•
•
Repeat participants and former J-1 visa holders may apply to the SWAP Summer USA program
There is an additional fee of $35 USD to be paid to SEVIS (Student and Exchange Visit or Information System)
required by Homeland Security to be paid before departure to the US. Information on the DS-2019 and SEVIS
can be found on the following page, and in detail in the Welcome kit information.
All participants are required to be covered by travel insurance for their entire stay in the US, and must be covered
to the standards of the US State department which are not typical of Canadian policies. For this reason SWAP has
included the appropriate insurance in the registration.
IT’S ESSENTIAL TO PROVIDE A CORRECT PERSONAL EMAIL ADDRESS, PLEASE DO NOT USE YOUR SCHOOL EMAIL ADDRESS.
Once registered, SWAP will email you a Welcome Pack within one business day.
2013 SWAP USA REGISTRATION PACK
FREQUENTLY ASKED
QUESTIONS
Do you have questions about living and working in the USA with SWAP?
Take the time to read these FAQs.
WHERE DO I REGISTER?
Online registration is not available for this program.
After you`ll out the forms, bring your documents to
a Travel CUTS/Voyages Campus, Adventure Travel
Company, Merit or Odyssey Travel office, they will
help you coordinate your SWAP experience. There
are many locations to choose from and many of
them are located right on your campus! If you live in
an area that is not near one of our oces, you may
mail your SWAP application to the office of your
choice or call 1.800.667.2887 . See the Contact Us
page at www.swap.ca
ARE THERE ANY ADDITIONAL FEES?
In 2003, the US Government introduced a
‘tracking measure’ for students studying and working
in their country, which is known as the
Student Exchange Visito r Information System
(SEVIS). There is a charge of $35USD per participant
over and above the established SWAP USA
Registration Fee. Details about how and when this
fee will be collected will be included in your
electronic SWAP USA Welcome Pack letter and
Final Kit.
HOW DO I REGISTER?
To successfully register for the SWAP Summer USA
program, you must meet all program requirements
and submit your complete registration pack. Please
note that these forms will be used to process your
visa documents, so they must be complete on
registration, as well as neatly filed out in black or
blue ink. Missing or incomplete documents will
delay the processing of your application. Registration
is not competitive, and though we do have a
limited amount of visas, there is sufficient for all
applicants. Once registered, within one business
day an Electronic Welcome Pack letter will be
emailed to the address you provided. This letter will
expand on the rules and regulations for SEVIS and
other important issues about living and working in
the United States.
PLAN B
Before you depart it’s important to come up with a
plan B, just in case the job you have arranged in
advance falls through. Your J-1 visa allows you to
change jobs, so before you leave home take some
time to think about where else you could find work
and what types of jobs you could do. It’s important
to be prepared, flexible and persistent.
DO I NEED TO HAVE A PREARRANGED JOB?
Yes. Due to new regulations you are required to have
found work before you can apply for the Summer
Work and Travel J-1 visa. Your job must be either
temporary or seasonal and you must be making at
least minimum wage. Volunteer or unpaid work is no
longer permitted. Official internships are also not
permitted. Your employer must have Workers’
Compensation insurance and be covering you under
that insurance for the full length of your employment.
WHO ARE MY SPONSORS WHILE IN
THE USA?
IENA (International Exchange of North America)
has worked for years to provide J-1 programs for
international students. IENA issues your DS-2019,
the legal documentation that enables Canadians to
enter the US and obtain the J-1 visa classification
and is your first contact while in the United
States for any assistance needed.
WHAT IF I ALREADY HAVE
INSURANCE?
The US Department of State requires all participants
to be insu red while in the USA and has very
specific coverage requirements for all J-1 visa
holders, which are not typical of the average
Canadian travel insurance policy. Bon Voyage
insurance meets these requirements, and for this
reason we have included the cost of the insurance
in the registration fee. Should you already have
insurance coverage for your entire stay in the USA,
you are responsible to provide proof of your
coverage amounts in order to register. Should you
register and your insurance proves not sufficient,
you will be required to change your registration,
and purchase Bon Voyage. Please see the
Insurance Waiver (pg 15) for the required coverage
amounts.
WHAT IS A FINAL KIT?
SWAP prepares all necessary work documentation
with the assistance of IENA, your official US
sponsor. Once we receive your DS-2019 from IENA,
we send a Final Kit (pre-departure pack) to the
Travel CUTS once you registered at.
HOW LONG BEFORE I GET MY VISA?
SWAP requires 4 weeks to process your visa from
the time you submit your correctly completed
registration pack and all documents on the checklist.
Please take this into account when planning
your summer departure. However, please keep
in mind that Final Kits will not be available
until 2-4 weeks prior to departure.
CAN MY VISA BE MAILED TO ME
IN THE USA?
Absolutely not! Your DS-2019 (the visa
allowing you to work in the USA) must be
activated at the border by a US immigration
officer. Having your work documentation
mailed to the US is illegal. Furthermore, not
having your visa activated will mean that you
will not be able to successfully obtain a Social
Security card or be paid.
CAN I PICK-UP MY FINAL KIT AT
ANOTHER TRAVEL CUTS/VOYAGES
CAMPUS LOCATION IN CANADA?
Yes, absolutely. Just let the once you are
dealing with know at which location you would
like to collect your Final Kit.
For an additional $40 we can also courier your
predeparture kit to youe home address. Talk to
your Travel CUTS counsellor for more info.
I’VE READ THROUGH THIS
REGISTRATION PACK, BUT I STILL
HAVE SOME QUESTIONS. WHAT
SHOULD I DO?
Please review all details on our SWAP USA
Summer website page about the program and
specifically about the DS-2019 (USA VISA). If
you would like more information about SWAP,
please contact one of our shops. Our travel
counsellors are SWAP and budget travel
specialists. They can provide you with information
about working abroad and with excellent
budget travel advice. Visit our website,
www.swap.ca, for more details about SWAP
Talks and more FAQs.
2013 SWAP USA REGISTRATION PACK
SWAP USA REGISTRATION DOCUMENT CHECKLIST
Ensure to bring this checklist and ALL of these documents with you at time of
registration. Your application will not be accepted otherwise.
Completed SWAP Summer USA 2013 Registration Form, signed and dated. Please take this committment seriously.
Copy of typed resume in English.
Reference letter. You may choose to use the standard SWAP Reference Form available in this registration pack.
A readable photocopy of your valid Canadian passport picture page. Ensure your passport is valid until December 2013.
The original copy of ‘Proof of Student Status’ letter for the present semester; signed, dated and stamped by your
registrars
ce.
Signed and dated 2013 SWAP USA IENA Participant Agreement. Ensure to read this entire document an initial each
point, to fully understand your responsibilities on this program.
USA Visa Application Requirements form.
Proof of Support Funds (Bank Letter), $1500. Ensure to maintain these funds up until your departure.
Completed Employer Job Agreement Form, as well your employer is to provide a copy of their business registration
and proof of Workers Compensation Insurance (certificate of liability).
Please note, your employer must be willing to cover you under their Workers Compensation policy and provide
their policy number along with their EIN number for your application to be accepted.
INSURANCE – PLEASE TICK YOUR CHOICE OF SWAP PROGRAM
SWAP USA OPTIONS:
Option A: $650 with 4-months of Plan B Bon VoyageTravel
TM
Insurance.
TM
Option B: $500 , Bon Voyage Travel Insurance not included. If you are pu rchasing Option B you must show
proof of equal insurance coverage of signing an insurance waiver and including a copy of your existing insurance
policy.
PLEASE REFER TO THE ATTACHED SWAP USA INSURANCE WAIVER FORM FOR FURTHER DETAILS.
REMEMBER TO KEEP A COPY OF ALL DOCUMENTS FOR YOUR RECORDS!
DEADLINES:
We require a minimum of 4 weeks to process an application.
Final Kits with D S-2019 (USA VISA) will not be available until 2-4 weeks prior to departure.
Earliest work start date is April 24th, 2013
2013 SWAP USA REGISTRATION PACK
SWAP USA REGISTRATION FORM 2013
SECTION ONE
SECTION TWO
PLEASE COMPLETE IN INK USING BLOCK LETTERS. It is very important that
the information written on this page is corr ectly spelled and accurate. This
information will later transfer to vis a documents; therefore, it is important
that your name matches the name written in your passport (do not use any
nicknames). Please also verify that you have not reversed the day and
month of your date of birth.
POST-SECONDARY STUDENT STATUS. Must be a full-time student
in 2013. I am currently in my:
MS
1st
2nd
UNDERGRADUATE
SCHOOL TYPE
MR
UNIVERSITY
CAREER COLLEGE
OTHER (be spec
LAST NAME
FIRST NAME
MIDDLE NAME
SCHOOL
PERMANENT ADDRESS
COURSE NAME
STREET
CITY
PROV
TELEPHONE (
CELL (
3rd
4th
POST-GRADUATE
COLLEGE/CGEP
SECTION THREE
PC
HAVE YOU PARTICIPATED IN SWAP BEFORE?
)
)
HAVE YOU EVER HELD A JOB IN CANADA?
EMAIL (required)
It is essential that you provide your correct E-mail address. Provide an E-mail
address that you can be contacted on throughout the summer months.
MAILING ADDRESS (PO Boxes are not permitted)
STREET
PROV
TELEPHONE (
If YES, did you obtain the J-1 visa through SWAP?
If YES, list year(s):
PC
NO
YES
NO
)
VALID UNTIL
Be very s
c with your departur e date. The date you choose will be on
your USA Visa. If you do not enter the US within 10-15 days of this date, a
new DS-2019 may be required (at additional cost to you).
ANTICIPATED LENGTH OF STAY (months)
NAME
SECTION FOUR
RELATIONSHIP TO YOU
TELEPHONE (
HOW DID YOU FIRST HEAR OF SWAP? Check one
)
)
)
YOUR DATE OF BIRTH
GENDER
DAY
MALE
MONTH
YEAR
Travel CUTS/Voyages Campus
SWAP Newspaper
Teacher
Friend/Family
Media Article
Sur
School Career
FEMALE
ce
(as written in your passport)
(as written in your passport)
YES
If NO, list country
If NO, are you a permanent resident of Canada?
NO
YES
NO
DO YOU HOLD A VALID CANADIAN PASSPORT?
YES
NO
(If NO, please apply for one immediately. You may NOTl register for SWAP at this time.
If YES, please ensure that the passport is sign ed and is valid for at least one year.)
DO YOU HOLD ANY OTHER PASSPORTS?
If YES, list country
SINGLE
Other
WHERE DID YOU PICK UP A COPY OF THE SWAP BROCHURE?
COUNTRY OF BIRTH
ARE YOU A CANADIAN CITIZEN?
the Net
Government Info
The Student Traveller Magazine
CITY OF BIRTH
STATUS
YES
HAVE YOU PREVIOUSLY HELD A J-1 VISA FOR THE USA?
YES
NO
EMERGENCY CONTACT
EMAIL (
NO
DEPARTURE DATE
CITY
CELL (
YES
(If YES, list country and year)
YES
MARRIED
Travel CUTS/Voyages Campus
Friend/Family
Online @ www.swap.ca
Did not pick one up
School Career
Other
ces
Youth Employment Centre
DID YOU ATTEND A SWAP PRESENTATION/TALK?
YES
NO
HOW LONG AFTER YOU HEARD ABOUT SWAP DID YOU APPLY?
NO
Less than 6 months
DIVORCED
(If your status is not ‘SINGLE’, check with your travel counsellor to see if you meet the
visa requirements)
HAVE YOU EVER BEEN DENIED A VISA OR ENTRY TO THE USA?
YES
NO (If yes, please attach explanatory letter)
HAVE YOU EVER BEEN ARRESTED/CONVICTED OF AN OFFENCE OR CRIME?
YES
NO (If yes, please attach explanatory letter)
If you have answered YES to one of the las t two questions, contact your Travel CUTS
ce for eligibility.
over 2 years
6 to 12 months
over 4 years
HAVE YOU TRAVELLED OVERSEAS BEFORE?
1 to 2 years
YES
NO
DID YOU KNOW ABOUT TRAVEL CUTS/VOYAGES CAMPUS BEFORE
LEARNING ABOUT SWAP?
YES
NO
WHERE DO YOU CURRENTLY LIVE?
At a school residence
In a shared apt/house
I live alone
With Family
2013 SWAP USA REGISTRATION PACK
SWAP USA REGISTRATION(continued)
SECTION FIVE
AGENT USE ONLY
PARTICIPANT AGREEMENT
I certify that I meet the eligibility cr iteria listed in this online package for
SWAP USA and that I have truthfully completed this registration.
Furthermore, I have read the brochure and website information, in particular, the How to Register and Registration Condition sections, and agree to
be bound by the contents. I understand that travel medical insurance is
mandatory for the full duration of my
SWAP Working Holiday. I UNDERSTAND THAT MY REGISTRATION FEE IS NON-REFUNDABLE AND THAT ANY
REQUEST FOR A REFUND WILL BE DENIED.
NAME
SIGNATURE
DATE
If you are under the age of majority in the province in which you reside, this form
must also be signed by a parent of legal guardian.
Does this applicant understand the rights and responsibilities
as a participant?
YES
NO
Do they have the flexibility to adapt to a new environment?
YES
NO
Are they resourceful enough to resolve everyday problems
independently?
YES
NO
Are they confident enough to cope with living in the US?
YES
NO
Do they have a “Plan B” should their initial plans fall through?
YES
NO
Comments ____________________________________________
______________________________________________________
I assessed (pax name), on (date), and acknowledge that they are a
suitable participant for the Summer Work/Travel program.
NAME
SIGNATURE
Date of Interview: ______________________________________________________
Agent Name: ______________________________________________________
DATE
Signature _____________________________________________
RELATIONSHIP TO REGISTRANT
USA REGISTRATION CONDITIONS
1. If Canadian, participants must have a valid Canadian passport.
Eligibility for non-Canadians varies depending on your
citizenship. You must ask your counsellor at Travel CUTS/Voyages
Campus, Adventure Travel Company or Odyssey Travel
ce* for
advice. All participants must further meet all other eligibility
criteria spec
in this Registr ation Pack. These criteria are the
requirements of the host governments and there are no
exceptions.
2. SWAP Working Holidays will assist foreign participants to
obtain the DS-2019, however; this does not guarantee a
participant the J-1 visa from the American Embassy. The American
Embassy’s fees are payable directly to them and are over and
above the established SWAP USA Registration fee. Further
restrictions and additional fees apply.
4. The information provided at www.swap.ca is accurate as of
March 2013. Foreign governments may change regulations
that may
t SWAP after this date, and this is beyond SWAP’s
control. In such circumstances, SWAP will do its utmost to update
participants of any changes. Participants also agree to cooperate
with SWAP regarding these changes.
5. Participants agree to allow SWAP and Travel CUTS/ Voyages
Campus to represent their visa application to the appropriate
foreign government on their behalf. Participants furthermore
agree not to interfere with this process in any way. SWAP cannot
guarantee the issuance of a visa.
6. I understand I am subject to US local, State & Federal Law.
SWAP or IENA cannot intervene for participants that have legal
di culties while under the IENA sponsorship.
7.
Upon payment, registration fees are non-refundable.
Exceptions apply when the registrant is not accepted on a
program or cancels due to family death or illness (documentation
is required).
8. Because registrants are screened for their maturity and
independence, all dealings regarding the registration will be
made between the travel counsellor and the registrant.
Information will not be divulged to third parties, including friends
and/or family members.
10. Medical insurance in addition to a participant’s provincial
health insurance plan is mandatory for all SWAP destinations.
Participants are expected to have coverage for the full duration of
their travels (this includes medic al, personal accident and
repatriation of remains). Participants who are otherwise
adequately covered may be exempted from this requirement as
long as proof of coverage is demonstrated. Participants who let
their coverage lapse while overseas w aive SWAP/IENA and
Travel CUTS/Voyages Campus of any responsibility, nancial
and/or otherwise.
11. Participants understand that SWAP is not a career
counselling agency. All employment is located by the
participants themselves. Emplo yment will be similar to
temporary/casual-type work in Canada and participants should
not plan to use SWAP as a means of saving money for tuition or
nancial purposes.
18. SWAP reserves the right to alter or terminate the program at
any time. In the event of this unlikely occurrence,
participants are entitled to an immediate refund of any or all
monies paid for servi ces not rendered.
SWAP is admini stered through the cooperation and permiss ion
of the national governments in the respective countries and
operates on an exchange b asis. Cor responding numbers of
foreign students from receiving countries are eligible for
employment in Canada, thereby eliminating any adverse e ects
on domestic employment opportunities.
* The Adventure Travel Company, Odyssey Travel and Merit
are Travel CUTS/Voyages Campus
ces.
12. Participants understand that the J-I visas issued are for the
individual registrants only. Your US sponsor IENA (International
Exchange of North America. Inc) do not permit family members or
dependents to travel or work abroad.
13. All participants understand that SWAP is not a language
instruction program. Participants must have a working
knowledge of English.
14. Participants are responsibl e for reading and abiding by the
information and guidelines contained in their electronic SWAP
Welcome Pack and Final Kit prior to nalizing
t arrangements
to ensure that their trip is well coordinated.
15. Some visa issuing
ces will not grant visas to married
individuals or individuals convicted of a criminal
ce.
Participants should consult their travel counsellor in these
instances.
16. Individuals with medical conditions or those who have
travelled to countries that are considered medium to high risk,
may experience visa delays. Participants should consult their
travel counsellor in this instance to seek advice and are advised
not to book
s in such cases.
17. Registration fees cover approximately 75% of the costs
required to operate SWAP. The re maining costs are for program
administration and are provided by Travel CUTS/Voyages
Campus. SWAP does not rely on funding from any level of
government.
9. Full members of the Canadian Federation of Students (CFS)
receive a 15% rebate on their SWAP registration fees up to a
maximum rebate of $50 CAD. To
out if you are eligible for this
rebate, check with your Travel CUTS/Voyages Campus counsellor.
2013 SWAP USA REGISTRATION PACK
Summer Work Travel Program Reference Form 2013
This reference must be completed by a suitable individual – a teacher, employer or mentor who knows
you well. Friends or family are not acceptable.
Name of applicant ____________________________________________________________________
Name of referee and job title ____________________________________________________________
Referee contact details ________________________________________________________________
(company’s name and address if this is how you know the applicant)
Telephone ____________________________________Email _________________________________
What is your connection with the applicant? ________________________________________________
(personal friends, colleagues, family and family friends cannot be referees)
How long have you known him/her?
(please give dates) ___________________________________________
How would you rate his/her personality and suitability for working and traveling in the USA:
Outstanding
Good
Fair
Low
Cooperation
Communicativeness
Energy
Enthusiasm
Flexibility
Initiative
Leadership
Organization
Responsibility
Sociability
Tolerance
Level of English
Please comment on the applicant’s suitability for an exchange program in the United States.
Signature
_______________________________________________ Date ____________________
SWAP Working Holidays
Proof of Student Status
This is to certify that _____________________________ is registered as a full-time
Full name of student
student in the _______________________________________________ program
Type of program/degree
at ______________________________, located in _______________________
Name of university or college
City and province
for the 2012/2013 academic year.
____________________________________
Plea s e provide na me a nd s igna ture
of professor or re
______________________
Da te
School Seal
2013 SWAP USA REGISTRATION PACK
Summer Work Travel Program Terms and Conditions 2013
By initialing the following important Terms and Conditions I ______________________________, have read, understood and agree to the following:
Terms and Conditions
Initials
THE PROGRAM
1
I am a full-time student pursuing a university degree in my home country.
2
The passport information that I have provided is correct. If my DS-2019 is printed incorrectly due to information provided by me, I
agree to pay $50 plus courier fees for a replacement. If my passport details change, I will notify my agency and IENA immediately.
3
I possess and can show proof of at least US$800 that I will bring to the USA to be used to support myself during the first month. I
understand that this is the minimum required and that IENA recommends that I bring US$1,200.
4
I will inform my agent immediately if my planned date of entry to the US changes forwards or backwards. A change in my arrival date
may require a change in my DS-2019; if applicable, I will pay $50 plus courier fees for a new DS-2019.
5
If I cancel from the program, I agree to notify my agency & IENA and return the DS-2019 no later than the end-date of the DS-2019.
6
I understand that a pre-departure orientation is required for all first-time Summer Work Travel Program participants and I will attend.
7
I understand that IENA is my visa sponsor, issues the DS-2019 and is responsible for the program operation.
8
I understand that IENA is responsible for providing support services in the USA. If I have questions or experience problems during
the program, I can call 1-347-560-1789 for help during business hours. In case of emergency after hours I can call 1-347-221-2961.
9
I understand that IENA reserves the right to close the program at short notice or to cancel anyone from the program if a situation
arises where this is necessary. If IENA cancels an application, no charge applies.
10
I agree to behave ethically and responsibly while in the USA. I understand my DS-2019 and insurance can be cancelled at the
discretion of IENA if I behave in a way that is in violation of the program rules or can be considered to be unethical or dishonest.
11
I understand I am responsible for all travel, personal or incidental expenses related to the program and otherwise.
12
I understand I am subject to all US local, state and federal law and I agree to abide by them. I am aware that stealing/shoplifting is a
serious offense that can and does lead to possible jail time. IENA will provide advice and support if you are arrested, but any and all
legal fees are my responsibility.
13
Cancellations: refunds will be coordinated though my sending organization and require a written letter explaining the cancellation and
DS-2019.
14
I understand that if I am terminated (removed from the program), I will lose permission to work and my insurance coverage will be
cancelled. I will need to leave the USA immediately.
15
Despite reasonable efforts made by IENA to provide for a positive program experience, IENA cannot guarantee that I will not
experience problems or difficulties; these may be temporary or may require me to return to my home country. Such problems may
include but are not limited to job loss, firing, SEVIS termination, housing problems or Social Security related problems. IENA will
make all reasonable efforts to assist me, but they cannot guarantee a positive outcome.
16
I understand that I am required to create an on-line account at www.iena.org where I am required to update my information, monitor
communication with IENA, respond to surveys, and access important information. I am required to monitor my account weekly.
WORK
1
I understand that my acceptance to the program is based on having a pre-arranged job. I further understand that when I accept a job
with an employer, I agree to do my best, abide by the terms of my contract, to comply with the employer rules and company policies
and behave honestly, courteously and responsibly.
2
If I want to take a second job or change jobs, I must receive permission from IENA before starting the job. Details at www.iena.org. If
I work in any job without IENA permission, IENA is required to terminate sponsorship of my visa.
3
If I have difficulties or problems with my job/employer, I will contact IENA immediately. I will also do my best to work my problems out
with my employer. I understand I do not have permission to leave a job until it has been given, in writing, by IENA.
4
I understand I may ONLY work in the USA between the dates in section 3 of the DS-2019. I agree not to work outside those dates.
SEVIS and VISA REQUIREMENTS
1
I will go online to www.iena.org to ‘Validate’ (i.e. provide accurate details of my American residential address, phone number and email address – even if temporary) as soon as possible, but no later than 10 days after my arrival in the U.S. or 30 after the startdate in section 3 of my DS-2019, whichever arrives first. I understand that I may be unable to obtain a Social Security Number
unless I have validated. If I fail to do this, I understand I may be terminated from the program. This will end my DS-2019 and
insurance.
2
I understand that I will receive monthly correspondence from IENA. I will complete all required surveys and evaluations. If I fail to do
this, I understand I may be terminated from the program.
3
I understand the US government requires that SEVIS has my correct details on file and that I must update www.iena.org each and
every time that my address or contact details change. If I fail to do this and my details in SEVIS are incorrect, sponsorship of my
program may be terminated.
4
I understand that my J-1 visa cannot be extended. I declare that I have no intention of staying in the USA after the final date allowed
by this program.
5
I understand that I may remain in the US for 30 days after the end of the DS-2019. However, the local US Embassy may require me
to return to my home country by the DS-2019 end date. I have discussed this issue with my sending organization.
6
I know of no reason why I may be refused a visa (a: arrest or conviction of a crime; b: applied to migrate to the US; c: previously
experienced US visa/immigration problems; or d: overstayed on a previous visit). If I suspect I may have problems, I have disclosed
these reasons in writing to my recruiter. If a visa is refused for reasons previously undisclosed, no refund will be given.
I declare that all statements on this application are true; any false declaration may result in forfeiture of my place on the Summer Work Travel
Program with no entitlement to any refund or of consequent expenses. I promise to act ethically and responsibly at all times while I am a
participant on this program and I understand that any problems caused through my deviation from these and other Sponsor instructions are my
own responsibility.
Signature:
Date:
Updated Sept 2012
SWAP USA Visa Application Requirements
JOB OFFER AND AUTHORIZATION DATES
I have found work and have included the completed 2013 Employer Job Agreement form and
supplementary documents from my employer with my application.
I confirm I will be beginning work on _____________________________________
BE VERY SPECIFIC WITH YOUR WORK START DATE. You may not work prior to the start
date, and the date that you choose will be the start date listed on the DS-2019 (Visa document).
If you do not enter the US within 10 days of this date, your DS-2019 will need to be reissued, at
a reprint cost of $75.00.
US ADDRESS
Please indicate your temporary US address if known. Hostel/hotel addresses are acceptable
(PO Boxes are not).
Address___________________________________________________________________
City ______________________________State_____________ Zip ____________________
Ph (
) ___________________________________________
You are required to update your US address on SEVIS whenever it changes. If not providing an
address with your application, be sure to update it as soon as it is known.
INSURANCE
Check the box that applies. I have purchased SWAP USA Option:

Option A : $650 with 4 months of Plan B Bon Voyage Travel Insurance and have
ATTACHED A COPY of the Bon Voyage Travel receipt to these application forms.
Bon Voyage Insurance Policy # ______________________________________

Option B: $500 without Bon Voyage insurance. I have sufficient insurance coverage
which meets the US State Department requirements as outlined on the SWAP USA
Insurance Waiver, completed signed and attached to my application. I have also
attached proof of my existing coverage, which states my name and amount of coverage
on the policy.
Refer to the SWAP USA Insurance Waiver form for full details.
SWAP Working Holidays
SWAP Vacances-Travail
www.swap.ca
BANK CONFIRMATION LETTER
Dear Bank Representative,
The client presenting this note and attached form letter to you will be participating in the
SWAP Working Holidays program and the Visa and Immigration post of the foreign
embassy concerned requires a letter indicating the amount of funds in this young persons
account prior to issuing the necessary visa to allow them to work in the country in question.
You may complete the attached by hand but we ask that you print clearly when doing so.
We also ask that you include the bank’s stamp in the area indicated.
All of the Ottawa based embassies have agreed to the use of this form letter in establishing
the participants level of personal support funds. And as the attached should facilitate this
exercise, it would be greatly appreciated if any bank service charges might be waived or
reduced. We thank you for any cooperation that you can extend to this participant.
SWAP Working Holidays
DEMANDE DE CONFIRMATION BANCAIRE
Madame, Monsieur,
Le client qui vous présente cette lettre et le formulaire ci-joint participera au SWAP
Vacances-Travail. Les services de l’immigration de l’ambassade étrangère concernée exitgent de connaître le montant des fonds dont disposent ces jeunes personnes avant d’émettre
le visa nécessaire pour qu’elles puissent travailler dans ce pays. Le formulaire ci-joint peut
être rempli à la main, mais nous vous demandons d’écrire clairement et en lettres
d’imprimerie.
Toutes les ambassades situées à Ottawa ont accepté d’utiliser ce formulaire destiné à établir
l’état des finances personnelles des candidats. Nous apprécierions par conséquent, que ce
service vistant à faciliter cet excercice n’entraîne que peu ou pas de frais de gestion.
Nous vous remercions de votre coopération et de l’aide que vous pouvez apporter à ce
participant.
SWAP Vacances-Travail
2013 SWAP USA REGISTRATION PACK
SWAP Working Holidays
SWAP Vacances-Travail
www.swap.ca
To whom it may concern,
A qui de droit,
This letter certifies that ___________________
Cette lettre certifie que __________________
Name du participant
SWAP PARTICIPANT ‘S NAME
___________________ holds an account(s) at
this bank branch is located at
___ ______ ___
______________________________________
___________________ possède un (ou des)
compte(s) à la succursale de la banque située
au ___________________________________
Adresse de la banque
BRANCH ADDRESS
______________________________________.
As of today’s date _______________________,
_____________________________________.
En date d’aujourd’hui le __________________,
Date
DATE
the account balance(s) total(s) _____________
____________________ and the account(s)
le montant du solde total du (ou des) compte(s)
est de _____________________ et la situtation
Solde
ACCOUNT BALANCE
is/are in good standing.
finacière de ce client est satisfaisante.
BANK STAMP/ CACHET DE LA BANQUE
___________________________________________
SIGNATURE of Bank Official, du représentant de la banque.
2013 SWAP USA REGISTRATION PACK
SWAP Summer USA 2013 Employer Job Form
As an applicant for the Summer Work and Travel J-1 visa it is your responsibility to find
work before you apply and to ensure that your employer both meets the program criteria
and completes the 2013 Employer Job Form in full.
Participants may work in temporary or seasonal work and be paid at least minimum
wage in order to qualify. Volunteer positions, internships or unpaid work is no longer
permitted.
Participants on the SWT J-1 may not work in the following fields:
Teaching, working with children, Camp counselling, work for temp agencies,
domestic employment, medical work which involves patient care, door to door
sales, work that requires participants to drive, manufacturing, factory or
warehouse work, jobs on the Dept of Labour hazardous list (construction,
roofing, farming/ranching), gaming jobs (dealer/game operator), work that
involves sustained contact with other people (massage, tattooing, piercing etc). *
Employers are required to both have Worker’s Compensation Insurance and be
covering you under their policy for the entire length of time you will be employed by
them.
Employers are to provide:
 2013 Employer Job Agreement, completed in full, including EIN number and
Workers’ compensation policy number
 A copy of their Business Registration
 A copy of the certificate of liability insurance showing current Workers’
Compensation insurance coverage
Don’t forget! You are to print your name, sign and date the 2013 employer Job
Agreement as well as your employer– under ‘Participant Agreement’.
Please advise your employer that they will be contacted by the visa sponsor, IENA, to
confirm your job information as part of the document processing.
If your employer has any questions or concerns about the 2013 Employer Job
Agreement form or the required documents, they are welcome to contact the official visa
sponsor, IENA, directly.
IENA (International Exchange of North America)
Scott Curry, Program Liaison
[email protected]
347-560-1789
*subject to change
2013 Employer Job Agreement
This form is a contractual confirmation to IENA of employment details for the participant named below. ALL FIELDS
MUST be completed by the employer. Incomplete documents will not be accepted.
The following documents MUST be attached to this form:
1) A copy of the business registration showing that the company is authorized to do business in state(s) where
participant(s) will work and/or provide a link to a web site (e.g. Secretary of State) of such documentation; and
2) Certificate of liability insurance showing current Workers’ Compensation insurance coverage.
Participant Name ________________________________________
Company Information
Name of Company _____________________________________________________ EIN _________________
Doing Business As (DBA) ____________________________________ Web URL ________________________
Name of Owner/Manager ____________________________________ Title _____________________________
Company Physical Address (not a PO Box) ________________________________________________________
City _______________________ State ____ ZIP _____________
Telephone Number _____________________________ Email ________________________________________
Name of Immediate Supervisor _____________________________ Title ________________________________
Telephone Number _____________________________ Email ________________________________________
Job Site (if different from above)
Address (not a PO Box) ________________________________________________________________________
City _______________________ State ____ ZIP _____________
Telephone Number _____________________________
Job Information
Employment Dates (max 4 months)
from __________ to __________
Employee’s Job Title __________________________________________________________________________
Brief Job Description __________________________________________________________________________
Required Skills _______________________________________________________________________________
Wage per hour $ __________ Hours/Week __________ Bonus $ _____________________________________
Is overtime available? __________ Wage/Hour $ __________
Housing and Transportation Information
Is housing provided? ________ Cost of Housing $ __________ per __________ Deposit (if any) $ __________
Complete Address ____________________________________________________________________________
What is included? _____________________________________________________________________________
What is not included? __________________________________________________________________________
Is transportation provided? __________ Cost of Transportation $ __________ per __________
Other details regarding transportation _____________________________________________________________
Is the cost of housing and/or transportation deducted from participant’s wages? __________
If housing and/or transportation is part of compensation, what is the value of housing in accordance with the Fair Labor
Standards act? $ __________
Other Information
Will you hire and pay wages before a Social Security number/card has been issued?
Yes
No
Important Note: It is legal to hire and pay workers who do not have a Social Security Number but have proof they have applied for the card. See
26CFR3.6011(b)-2 of the Internal Revenue code. The DS-2019 and I-94 card prove work authorization.
List cultural activities available in the community. _______________________________________________________
_______________________________________________________________________________________________
………………………………………………………………………………………………………………………………………………
Employer Agreement
I understand that the purpose of the Summer Work Travel Exchange Visitor Program is to provide foreign college and university students with
opportunities to interact with U.S. citizens, experience U.S. culture, share their own culture, and work in seasonal jobs to help defray a portion of their
expenses. Our company will provide advice on local cultural opportunities and/or directly provide such opportunities to participants.
I understand that the participant must have contact with American customers and/or employees on the job.
I certify that the participant named above has been offered a temporary position with our company, will be paid by our company, and will be directly
supervised only by an employee or employees of our company.
I understand that participants may not work: in positions that bring notoriety to the Summer Work Travel Exchange Visitor Program; in positions that
require pre-purchasing inventory; as domestic help; as pedicab or rolling chair operators; in positions that require a license, including a drivers license; in
positions that require driving; in positions that require direct physical contact with medical patients; in the adult entertainment industry; in hazardous jobs;
in positions that provide direct physical contact services such as tattoos, pedicures, and massage; in the gaming or gambling industry; in the chemical
pest control industry; in warehouse or distribution centers; with traveling or itinerant concessionaries; or NAICS goods-producing industries sectors 11,
21, 23, and 31-33 (see http://www.census.gov/eos/www/naics/).
I understand that IENA will contact me to verify information in this Agreement and confirm that the job complies with U.S. Department of State
regulations governing the J-1 Summer Work/Travel Program.
I certify that compensation meets all Federal, State, and Local Minimum Wage requirements including overtime and that pay and benefits are
commensurate with those offered to participant’s similarly situated U.S. counterparts.
I certify that the work hours will not fall predominantly between 10:00 pm and 6:00 am and will not work more than 4 hours between 10:00 pm and 6:00
am in any given shift.
I certify that the position offered is temporary and/or seasonal in nature and will not displace U.S. workers.
I certify that there have been no layoffs at our company in the last 120 days and that there are no workers on lockout or on strike.
I agree to make a good faith effort to provide the number of hours of paid employment as written in this agreement.
I agree to immediately notify IENA if there is any change of position location, requirements, or description.
I agree to immediately notify IENA of any problems during the program or in the event of an emergency.
Print Name ___________________________________ Signature _______________________________________
Title
___________________________________ Date
________________________________________
………………………………………………………………………………………………………………………………………………
Participant Information (complete only if you are currently in the U.S.)
I wish to take a second job.
I wish to leave my current job and take a new job with this employer.
SEVIS ID N000 ____________ U.S. Address (not a PO Box) __________________________________________
City _______________________ State ____ ZIP _____________
U.S. Phone ____________________ Cell ____________________ Email _______________________________
Participant Agreement (all participants must sign))
I agree to work the dates in this agreement and to fulfill my obligations to the employer to the best of my ability, I understand that I may not change
employers or take a second job without prior written consent from IENA and the above employer. I understand that my job is considered at will and that
my hours of work, duties, and responsibilities may change at the sole discretion of my employer. I understand that IENA is required to terminate
sponsorship of my program if I work in a job without IENA’s written authorization.
Print Name ___________________________________ Signature ______________________________________
Date _______________________
October 2012
SWAP USA INSURANCE WAIVER
(Complete only if you already have pre-existing medical coverage)
I, the undersigned, acknowledge that as a participant in the SWAP Working Holidays program, that in
order to work and travel abroad I must have the fo llowing insurance coverage for the full duration of
my participation in that country.
MEDICAL EXPENSES UP TO $1,000,000.00 CAD
PERSONAL ACCIDENT UP TO $50,000.00 CAD
*REPATRIATION OF REMAINS UP TO $10,000.00 CAD
* IMPORTANT: While most insurance companies provide enough medical and personal coverage, most
copy of your policy at time of registration, your registration will not be accepted.
Working Holidays, which meets the minimum coverage as indicated above. I am attaching a copy of
this polict which does indicate the leve of insurance coverage.
Dates of Participation:
Name of my Insurance Company:
Policy Number:
My Name:
Signature:
Date:
Please keep in mind that SWAP is ering two options for SWAP USA Summer:
Option A: $650 with 4-months of Plan B Bon Voyage Travel Insurance
Option B: $500 with no insurance.
2013 SWAP USA REGISTRATION PACK