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Ployment Verification Form 1. Summer Work & Travel Applicant Information and Agreement Applicant Last Name Birth Date Applicant First Name Nationality The Applicant hereby certifies and agrees that he/she has reviewed all of the information provided in this and other Work and Travel documents, and that the Applicant accepts these terms and conditions and agrees to work for the Host Company for the time period described to the best of his/her ability, and should either the Applicant or the Ho.

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