**BUREAU FOR ECONOMIC GROWTH, AGRICULTURE AND TRADE**

**OFFICE OF EDUCATION**

**[CONDITIONS OF SPONSORSHIP FOR J-1 VISA HOLDERS]{.underline}**

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  1\. Name of Participant (Mr., Ms., Dr.) (Family, Given, Other)      

  2\. Name of Program      

  3\. Brief Description of Program       

  4\. Name of Activity Provider and Phone, Fax and Address of Primary
  Contact      

  5\. Start/End Dates      

  6\. Expected U.S. Address      
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**I agree that, as a USAID-sponsored Exchange Visitor, I will adhere to
my program, devote my time and attention to my program, and conform to
USAID regulations. I understand that I must return to my country
immediately upon completion of my program and endeavor to utilize the
knowledge, skills and attitudes acquired under this program for the
benefit of my country.**

Furthermore, I thoroughly understand the following requirements of
USAID: 

1\. **Two-year Home Residency Requirement:** I understand that I am
required to return home immediately (within three days) after the
Program End Date indicated on the approved Certificate of Eligibility
form DS-2019 unless circumstances arise that would preclude my departure
and that EGAT/ED approves in writing, and I must remain in my home
country for a total of two years after the completion of my program,
unless deferred by the USAID Mission. (*The two year home residency
requirement does not preclude me from traveling to the U.S. during such
period under another non-immigrant visa such as B-1/B-2 if the travel is
approved by a U.S. Consul. Instead it means that I will not be eligible
for certain types of non-immigrant visas (e.g., H-1 or L-1) or for legal
permanent residence in the U.S. until I have spent a total of 24 months
in my home country).* I will not attempt to change my non-immigrant
status in the U.S. I understand that marriage to a U.S. citizen, the
birth of a U.S. citizen child, an offer of employment or change of
sponsorship, passage of years or time spent in another country, will not
change my responsibility to return home upon completion of this USAID
program. I agree to repay all training costs plus possible penalty
charges, administrative costs, and interest in case of late payment, if
I fail to return home at the end of my program, unless deferred by
USAID. The repayment of these costs does not in any way eliminate or
waive the two-year home residency requirement. USAID will bill me for
these costs at the last known address on record. I understand that any
amounts which may be due USAID as a result of my failure to meet the
terms of this Conditions of Sponsorship may be withheld from monies owed
me by the U.S. government or may be recovered by such other methods as
permitted by law.

2\. **J-1 visa:** I will receive and must remain on a USAID J-1 visa
during my stay in the United States. I understand that I am responsible
for making certain that my J-1 visa is current, and that I notify my
monitoring contractor of any changes in my program completion. I
understand that requests for extensions of my program will only be
approved if they meet the USAID strategic objectives of my program. I
understand that if I plan to travel outside of the U.S., I must and will
immediately notify my monitoring contractor in advance since USAID is
required to report any changes to participant status, including any
changes in current U.S. address, to the Bureau of Citizenship and
Immigration Services and the Department of State via the Student and
Exchange Visitor Information System (SEVIS).

3\. **Medical Insurance:** I understand that USAID is not responsible
for any costs related to medical care while I am in the U.S. I
understand that I will be enrolled in an insurance program that is
mandatory for all USAID-sponsored participants, and I will be covered
only for the coverage/limits provided by that health insurance program.
I understand that I am responsible for paying the insurance deductible
and co-payment (if required) and for the prompt filing of medical
claims*.* I authorize the insurance company that issued the insurance
policy, the premiums of which are paid by USAID, or its stated
representative, to release all information related to such medical
claims to USAID and its stated representative.

USAID shall use such claims information for reviewing its entire
insurance program. I understand that I have the right to revoke this
authorization by providing written notice to USAID. Such revocation will
result in automatic termination of USAID's sponsorship of the program,
and will render inactive my status in the SEVIS database, unless USAID
otherwise agrees in writing. I will notify USAID immediately when I file
any claim against the insurance policy and include in such notification
the date of the claim, the nature of the claim and copies of all
documentation related to the claim. I understand that in many cases,
medical conditions existing prior to my Exchange Visitor sponsorship by
USAID are not covered by USAID\'s insurance program. 

4\. **U.S. Income Tax forms/payments:** I understand that I must file
U.S. Federal or State tax forms as appropriate, in which the sponsoring
USAID office or its contractor may assist me. I understand that it is my
responsibility to check with my monitoring contractor to see if tax
forms are prepared on my behalf. 

5\. **Dependents:** I understand that I will follow the policy on
participant dependents set by the USAID Mission in my country; that if
dependent travel is allowed, USAID provides no funds for dependent
expenses; and that I must meet USAID requirements regarding dependents,
i.e., show that funds are available in a U.S. bank equal to 50% of my
monthly maintenance for each dependent, for each month they are to
reside in the U.S., b) my dependents will undergo a medical examination
in our home country, c) I will secure medical insurance which includes
coverage for pregnancy if appropriate, and d) I will have funds
available for the purchase of my dependents round trip tickets. I
further understand that, a) my dependents may only travel on a J-2 visa
under USAID sponsorship, regardless of the length of their stay in the
U.S., b) that cancellation of dependent insurance is grounds for the
termination of my USAID-sponsored program, and that c) my dependents may
not apply or benefit from any type of U.S. public assistance, i.e.,
subsidized school lunch programs, public or subsidized housing, or food
stamp programs. 

6\. **Allowances:** I understand that I may be eligible for certain
maintenance allowances, or allowances for other program-related costs,
and that the amount of the allowance will be determined by USAID. I
understand that I may not accept any outside funds through scholarships,
assistantships, or wages, and that if I do receive any financial
compensation outside of my USAID allowances, that my monthly maintenance
allowance will be reduced accordingly. 

7\. **Termination of a Exchange Visitor Program:** USAID reserves the
right to terminate the Exchange Visitor program of those participants
who: a) change their course of study without prior authorization; b)
fail in their studies; c) fail to carry a full-time course of study,
unless specific arrangements are made with the monitoring contractor; d)
conduct themselves in a manner prejudicial to the USAID Program or to
the laws of the country; e) accept any public welfare funds; f) bring
dependents to the country without prior USAID approval or violate any of
the dependent requirements; g) obtain employment in the United States or
other country without prior USAID approval; h) are diagnosed as having
mental or physical disease, disability or disorder that will unduly
delay or prevent successful completion of the program, or render the
participant unlikely to contribute to the home country's development for
which the program was designed; and, i) revoke the authorization
provided in paragraph 3 above titled \"Medical Insurance.\" 

8\. **Legal Obligations:** I understand that USAID will not provide
funds for my legal defense, and will assume no responsibility for
expenses involved in my operating a motor vehicle, for expenses
involving criminal or civil law proceedings related to the operation of
a motor vehicle, or for any other civil or criminal action for which I
am held responsible for by local, state or Federal authorities. This
applies to arrest and detention as well as fines, taxes, legal fees, and
lawsuits and medical expenses for injuries sustained as the result of
operating a motor vehicle or any other activity. 

9\. **Automobile Ownership:** USAID policy prohibits ownership of a
vehicle without the prior approval of my sponsoring unit. If I operate a
vehicle not owned by me, I do so at my own risk and am personally
responsible for: 

Determining and complying with all state and local laws, ordinances and
requirements of the program locality.

Obtaining all necessary personal, liability and health and accident
insurance, and licenses to meet state and local requirements for the
operation of a motor vehicle.

Payment of the cost for medical treatment of injuries sustained as a
result of an automobile accident.

If I drive any vehicle while under USAID sponsorship, it will be to my
advantage to obtain the maximum personal liability insurance coverage
available, to cover possible claims against me should I ever be involved
in an automobile accident.

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  Signed:                            

  Signature of Participant:          Signature of Authorized USAID
                                     Official:

  Date:                              Title:      
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### FOR USAID STAFF ONLY

USAID has conducted a Security Risk and Fraud Inquiry regarding this
visitor.  The information used in this Security Risk and Fraud Inquiry
was:

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## **Name of Authorized USAID Official Mission/Title**

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**Signature of Authorized USAID Official Date**

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