I understand the objectives of the CIEE Work & Travel USA program as a U.S. Department of State authorized Exchange Visitor
Program. I attest that I am applying for this program with the intent to participate in American cultural activities and to interact
with American citizens. I will, to the best of my ability, participate in any cultural activities arranged by CIEE or my employer, and
will actively seek out opportunities to interact with Americans and participate in cultural activities independently. I understand that
failure to uphold the intent of this cultural exchange program and comply with program rules and regulations could result in the
withdrawal or termination of my J-1 visa status, which would require my immediate return home