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  • Working Abroad Medical Report - Interexchange - Interexchange

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WORKING ABROAD Medical Report WORKING ABROAD Note: If you are applying for placement as an Au Pair in the Netherlands, please skip Pages 3-5 of this application. A separate Medical Report is included.

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How to fill out the WORKING ABROAD Medical Report - InterExchange online

Completing the WORKING ABROAD Medical Report is a crucial step for those looking to participate in international programs. This guide provides you with comprehensive and clear instructions to help you navigate through the form efficiently.

Follow the steps to fill out your medical report accurately.

  1. Press the ‘Get Form’ button to access the WORKING ABROAD Medical Report and open it in the online editor.
  2. Begin by filling out Part I, which is to be completed by the applicant. Start with your last name, followed by your first name, address, city, state or province, postal code, and country. Ensure that you include your telephone number with the area code.
  3. Next, provide your date of birth in MM/DD/YYYY format and indicate your gender. Select either 'Male' or 'Female'. Proceed to fill in your height and weight.
  4. For the primary emergency contact section, enter the name, relationship to the applicant, address, city, state or province, postal code, telephone, email, and country of your designated contact.
  5. If applicable, fill out the alternative emergency contact details in a similar manner to ensure support in case the primary contact is unreachable.
  6. Answer yes or no to the question about additional insurance coverage and provide relevant details if applicable.
  7. Review the list of medical conditions and check all that apply to you. This includes both current and past medical issues. Elaborate with details and dates where necessary.
  8. Indicate any allergies you may have and provide details where applicable. Proceed to answer the series of health-related questions regarding physical activity, mental health, medications, and any chronic conditions.
  9. Sign and date the document to verify that all information is correct, acknowledging the implications of submitting false information.
  10. After completing all sections, you can save your changes, download the form, or print and share it as needed.

Complete your WORKING ABROAD Medical Report online today!

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As a CIEE participant, you are able to work for up to four months and then, if you like, take some time (up to 30 days) to travel to the places you've always dreamed of.

InterExchange, a nonprofit organization, continues to promote intercultural awareness through offering work and volunteer exchange programs. The organization has been bridging young people all over the globe with international cultural exchange opportunities for more than 50 years.

To participate in the Work & Travel USA program, you must be: Age 18-28. A full-time student at an accredited institution. Proficient in spoken and written English.

You are insured from your arrival in the U.S. through the 30-day grace period at the end of your program. If you will be arriving more than one week early, you will need to purchase insurance for early arrival (valid for up to 30 days before program start date) for $63.

A full-time student pursuing a degree at a university recognized by the education ministry of their home nation. Willing to participate in an unskilled or service sector position. Willing and able to abide by the rules of the Work & Travel Program as well as the laws of the United States.

If your employer has questions about your eligibility to work because your card hasn't arrived, ask him or her to call InterExchange at 1.800. 621.1202. If you need to apply for a first-time Social Security card, you must first fill out the Online Social Security Number Application.

The SEVIS I-901 Fee for the Summer Work/Travel program is $35.00. This fee must be paid prior to your visa interview. The federal statute relating to SEVIS, [8 USC §1372 (e)(5)], requires that a student or exchange visitor present proof of payment before being granted a visa or admission.

Work & Travel allows you to work in the U.S. for up to 4 months, however you must abide by the date requirements (see question no.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232