Application for Listing Advisory List

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Page 1 of 5 Application for Listing 2017-2018 Advisory List Please fill out the required information into the gray shaded areas.

1 Page 1 of 5 Application for Listing Advisory List Please fill out the required information into the gray shaded areas. Print all eleven pages of the document and have the Chief Executive Officer of your organization sign the Terms & Conditions (bottom of page 4). All documents and payment must be submitted to CSIET no later than Friday, December 2, A late fee of $75 will be assessed for applications received after this date. *Please note that new programs and I-20 certified schools/districts (see page 4) have until January 16, 2017 to submit Listing Application materials for the Advisory List. Name of Organization: Mailing Address, line 1: Mailing Address, line 2: CONTACT INFORMATION City: State: Zip code: - Website: Chief Executive Officer: Point of Contact to whom evaluation correspondence should be directed: Phone Number: Fax Number: Address: Program(s) to be Evaluated: (Check all that apply) PROGRAMS J-1 Inbound Program F-1 Inbound Program Outbound Program Short-Term Program *Submission of a compliance audit required for F-1, Outbound, and Short-term programs. Name of Program(s) Evaluated: Date Organization was founded: Organizational structure (for-profit corporation, not-for profit corporation, partnership, sole proprietorship, etc.): Comment on significant changes in the organization s governing structure during the past year (e.g. affiliated with a profit company, mergers, etc.): Has the applicant or any member of its staff been investigated by any government agency for alleged improprieties related to operations/oversight of international student exchange programs (including any notice of intent to sanction in the form of probation, forms reduction, or suspension from the U.S. State Department) since the previous listing application or within the last three years (for new or returning applicants)? Yes No If yes, when? Also, please provide a copy of the correspondence. 1

2 Programs must inform CSIET if they: Application Form for the Advisory List Page 2 of 5 cease operation; merge with or become acquired by another organization; have/received sanctions by the U.S. Department of State (including but not limited to letter of reprimand, probation, suspension, and/or forms reduction). Currently listed organizations will be sent a copy of their previous program description and new organizations will be sent a description template to edit for inclusion in the Advisory List. NUMBER OF PARTICIPANTS Please list the actual number of students for each type of program listed below including only students of programs for which compliance audits will be submitted as indicated on page 1. For programs that take place during Spring 2017, give your best projections. The numbers you list here must match the numbers you report on the Placement forms found in the Appendix. Once you have filled out those forms, please cross-check those numbers with the numbers you list here to ensure consistency in numbers reported. Type of Program (Long-Term) Academic Year Program or Fall Semester 2016 Program Inbound (J-1 Visa) Inbound (F-1 Visa) Outbound Spring Semester 2017 Program or Calendar Year 2017 Program Type of Program (Short-Term) Inbound Outbound Short-Term Program during 2016 Summer Program Cycle Short-Term Program during the 2016 Spring/Fall Semester Program Cycles TERMS AND CONDITIONS In consideration of the payment of an application fee by the applicant and the review and evaluation of such application by the Council on Standards for International Educational Travel (hereafter referred to as the Council), the parties agree to the following: The applicant voluntarily seeks evaluation by the Council and understands and agrees that: a. The burden is on the applicant to prove by the greater weight of evidence to the Council that it is in compliance with the standards published by the Council; b. The Council reserves the right to make additional inquiries and request additional materials during the review process, to which the applicant is expected to respond in a timely fashion; c. The decision by the Council is reviewable only in accordance with the By-laws; d. The applicant is free to review its evaluation file at the offices of the Council at any time during the evaluation process and may direct inquiries to the CSIET Board of Directors. The applicant agrees that this right of review and right to inquire gives the applicant full and adequate notice of the issues of concern to the Council in regard to its application. Reviewers may make notes/memoranda based upon their review of an applicant s file and/or based on their deliberations. These notes and/or memoranda are deemed to be confidential and the applicant does hereby waive under any and all circumstances any right to review such notes/memoranda. e. All materials and documents provided to the Council by an applicant shall be maintained confidentially in the Council s office. Each applicant acknowledges that the file contents of every other applicant is confidential and proprietary and it has no right to review the file contents of other applicants and does hereby expressly waive any such right under any and all circumstances. f. Requests for information about organizations that have applied for but have not been accepted for listing, will be responded to by divulging the content of the letter denying listing and such other relevant information as is in the possession of the Council. 2

3 Page 3 of 5 g. Any applicant having the same or similar names, using the same or similar logos to that of an affiliate organization (regardless of whether the logo is used or not), or indicating a relationship with another organization, will have a disclaimer printed at the beginning of the program information in the Advisory List, as follows: NOTE: [ORGANIZATION 1] and [ORGANIZATION 2] are separate organizations. [ORGANIZATION 1] has been evaluated by CSIET, and its listing in the Advisory List should not be construed to suggest or include listing of [ORGANIZATION 2] which has not been evaluated. h. The applicant acknowledges that, if it is accepted for listing, its listing may be provisional or conditional as more fully set forth on the memorandum of Application Procedure, of which the applicant acknowledges receipt. i. When the evaluation process is completed and the advisory listing prepared for the current year, the specific listing status for each organization (accepted for full listing, provisional listing or conditional listing) will be published. j. The governing body and/or authorization of the applicant has reviewed the standards which have been adopted by the Council. These standards are accepted by the applicant as guidelines with which its programs will comply. k. The applicant expressly agrees that by participating in the Council s Evaluation Process, consisting of the presentations to CSIET, the Accreditation Committee and the Due Process Committee that in fact due process has been accorded to the applicant. l. If the applicant is found to be in compliance with the Council s standards, it is accepted for listing. This entitles the applicant to publicize the fact that its programs are conducted in accordance with the published standards. The applicant that has been accepted for listing shall pay the CSIET voting membership fee required and is included in the Council s annual publication, the Advisory List of International Educational Travel and Exchange Programs. Acceptance for listing by the Council is valid only for the one-year period following public announcement of the Advisory List, usually May 1 st of each year. The Council, at the discretion of the Board, may reevaluate an organization s listing status during a listing period should the organization cease operation, merge with or become acquired by another organization, be issued sanctions by the US Department of State (including but not limited to probation, suspension, forms reduction), or come into notoriety or disrepute. m. The applicant acknowledges receipt of and agrees that the following documents shall constitute a part of and shall be deemed to be incorporated into the terms and conditions of this agreement: a. Application Form, Application Instructions, and the most recent Financial Statement/Audit; b. Countries/Areas Served and States Served by Applicant; c. Compliance Audit(s) for the program cycle conducted by an independent certified public accountant (F- 1, Outbound, Short-term). d. Any letters of reprimand, probation or intent to issue sanctions n. Any disputes that may arise between the applicant and the Council will be governed exclusively by Virginia law, and the exclusive forum for the resolution of such disputes will be the Circuit Court of Alexandria, Virginia, which court both parties agree will have exclusive personal and subject matter jurisdiction. If any such civil suit should be initiated by an applicant and the Council is the substantially prevailing party in such civil suit, then the applicant will pay all attorney s fees, costs, and expenses in the defense of such suit. The Council will be considered to be the substantially prevailing party in any litigation that is concluded by means of a non-suit or voluntary dismissal by the applicant. o. If an organization does file suit against the Council for anything relating to the evaluation process and if that suit is still pending during subsequent evaluation cycle(s), then the applicant agrees that the Council will not be required to accept an application for listing for such evaluation cycle(s). p. In the event that a lawsuit is filed by the applicant relating to the evaluation, then the applicant agrees that its right to confidentiality as to material submitted is waived to the extent that any material is necessary in the defense of that litigation by the Council. q. Upon actual receipt of the completed application and application fee by the Council, the terms and conditions of this application along with the documents herein, shall constitute the entire agreement between the applicant and the Council. 3

4 Page 4 of 5 r. The applicant further agrees that whether it is accepted for listing or not, it will not utilize or allow any foreign affiliate to utilize the name CSIET, the CSIET logo, or its membership in or association with CSIET for promotional or advertising purposes, unless expressly authorized in writing by CSIET. Application Fees and Structure: The non-refundable application fee for a single Listing category (including Rotary Multi-Districts) is $ Discounts are offered for those programs who wish to apply for multiple Listings: Organizations applying for two Listing categories: $785 Organizations applying for three Listing categories: $1050 Organizations applying for four Listing categories: $1225 The non-refundable application fee for a Single District Rotary Program is $ Discounts are offered for those programs who wish to apply for multiple Listings: Single Rotary District applying for two Listing categories: $270 Single Rotary District applying for three Listing categories: $360 Single Rotary District applying for four Listing categories: $420 The non-refundable application fee for a *Single School/District Program is $ Discounts are offered for those programs who wish to apply for multiple Listings: Single School/District applying for two Listing categories: $270 Single School/District applying for three Listing categories: $360 Single School/District applying for four Listing categories: $420 *The school/district applying for listing must hold the I-20 certification, meaning they are certified by the Department of Homeland Security to conduct F-1 programming. PAYMENT INFORMATION Check payable to CSIET enclosed Visa Master Card American Express Name on Card: Credit Card Number: Expiration Date: Signature (Required): Date: Please send check, application and accompanying materials to: CSIET, 212 South Henry Street, Alexandria, VA The signature below certifies that all information included in this application and materials submitted with it are true and accurate. I understand that any omission/failure to disclose constitutes an incomplete application. My signature also represents my organization s continued commitment to uphold the CSIET Standards for International Educational and Travel Programs. Name of Chief Executive Officer Signature of Chief Executive Officer Date 4

5 APPENDIX Application Form for the Advisory List Page 5 of 5 U.S. States Served Name of Organization: [ ] For each youth exchange program submitted for listing in the Advisory List (J-1, F-1, Outbound, Short-Term), please indicate the number of students placed from/in each U.S. state for the academic cycle. Please only submit numbers for the programs in which compliance audits will be submitted. When finished entering data into this sheet, save this document for your records and cross-check the numbers you entered here with the numbers you list on page two of this application to ensure consistency in numbers reported. 5 # of Long-Term Students Inbound J-1 Inbound F-1 # of Short-Term Students Outbound Inbound Outbound State Alabama AL Alaska AK Arizona AZ Arkansas AR California CA Colorado CO Connecticut CT Delaware DE District of Columbia DC Florida FL Georgia GA Hawaii HI Idaho ID Illinois IL Indiana IN Iowa IA Kansas KS Kentucky KY Louisiana LA Maine ME Maryland MD Massachusetts MA Michigan MI Minnesota MN

6 Page 6 of 5 Mississippi MS Missouri MO Montana MT Nebraska NE Nevada NV New Hampshire NH New Jersey NJ New Mexico NM New York NY North Carolina NC North Dakota ND Ohio OH Oklahoma OK Oregon OR Pennsylvania PA Rhode Island RI South Carolina SC South Dakota SD Tennessee TN Texas TX Utah UT Vermont VT Virginia VA Washington WA West Virginia WV Wisconsin WI Wyoming WY Total (Please ensure the accuracy of this row.)

7 Page 7 of 5 Countries Served Name of Organization: [ ] For each youth exchange program submitted for listing in the Advisory List (J-1, F-1, Outbound, Short-Term), please indicate the number of students placed from/in each country for the academic cycle. Please only submit numbers for the programs in which compliance audits will be submitted. When finished entering data into this sheet, save this document for your records and cross-check the numbers you entered here with the numbers you list on page two of this application to ensure consistency in numbers reported. # of Long-Term Students # of Short-Term Students Inbound Inbound Country J-1 F-1 Outbound Inbound Outbound Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria

8 Page 8 of 5 Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China (including Hong Kong) Colombia Comoros Congo, Democratic Republic of Congo, Republic of Costa Rica Cote d Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala

9 Page 9 of 5 Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, North Korea, South Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius

10 Page 10 of 5 Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent & the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia

11 Page 11 of 5 Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam West Bank, Gaza Yemen Zambia Zimbabwe Total (Please ensure the accuracy of this row.)

Situation on the death penalty in the world. UNGA Vote 2012 Resolutio n 67/176. UNGA Vote 2010 Resolutio n 65/206. UNGA Vote 2008 Resolutio n 63/168

Situation on the death penalty in the world Prepared by the International Commission against the Death Penalty (ICDP), as of 8 June 2014. Based on Amnesty International and Death Penalty Worldwide. Country