Monthly Contact --- Thanks for checking in!

Today's date *

MM
/
DD
/
YYYY
Name *

First

Last
Your SEVIS number (found on your DS-2019 form) *
Your Program is: *
 Summer Work and Travel 
 Intern 
 Training 
IF you are a Summer Work and Travel participant AND have taken an additional job since your last contact, provide name of new employer, full address, phone, and supervisor's name.
Your current email address (please check your email daily) *
You may contact me at this phone number *

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My current living address *
  has not changed since our last contact. 
 has changed - I will provide it below. 
My living address has changed since our last contact. This is my new address (leave blank if your address has NOT changed).

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
My current host company *
  has not changed since our last contact. 
 has changed - I will provide it in the three sections below. 
I have a new Host Company since our last contact. This is the new information. (leave blank if there has been no change)

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
I have a new Host Company since our last contact. This is my supervisor's name.

First

Last
I have a new Host Company since our last contact. This is the phone number.

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My program expectations: *
 are being met. 
 are not being met. 
If your program expectations are not being met, what is the problem? Have you spoken to your supervisor about this? We want to help.
Please name a few activities you have participated in during the past month which allowed you to experience the American culture (it can be something simple like "I went to the mall" -- or something big like "I went to a professional baseball game." *
It is very important for you to get out of your routine to really experience the American way of life. For ideas, check DGE's Facebook page, Twitter feed, monthly newsletter ... or talk to your American co-workers and supervisors.
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