U S AGENCY FOR INTERNATIONAL DEVELOPMENT EXCEPTION OF REQUIREMENT

STATE OF CALIFORNIA C THE RESOURCES AGENCY PRIMARY
FEDERAL EMERGENCY MANAGEMENT AGENCY PROJECT WORKSHEET OMB NO
  TERMS OF REFERENCE FOR THE INTERAGENCY

[AGENCY NAME] EMPLOYMENT CRIMINAL BACKGROUND CHECKS POLICY THE FOLLOWING
[PROJECT NAME] PARTNERSHIP STORY AGENCY PROJECT CONTACT NAME LOCATION
AGENCY FOR PERSONS WITH DISABILITIES CLIENT INFORMATION

Conditions of Sponsorship for U.S.-Based Activities




U. S. AGENCY FOR INTERNATIONAL DEVELOPMENT

EXCEPTION OF REQUIREMENT TO USE USAID-SPONSORED J-1 VISA

(FOR INTERNAL USAID USE ONLY)

1. Name of Exchange Visitor (Mr., Ms., Dr.) (Family, Given, Other)      

[for groups, please attach roster of individuals]

2. Name of Activity      

3. Brief Description of Activity       


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


5. Activity Start/End Dates      

6. U.S. Arrival/Departure Dates      

7. U.S. Address      

I hereby except the individual(s) specified above from the Agency’s requirement for foreign nationals to use a USAID-sponsored J-1 visa for travel to the U.S., in accordance with ADS 252, due to the following reason(s) [check all that apply]:

The Consular Official issuing the visa has determined that another type of visa is appropriate for the travel;

High-level government officials holding a pre-existing A visa and having recognized diplomatic titles, privileges, and immunities;

Sponsored by USAID/Mexico, traveling to the United States for no more than 14 business days, and holding a B-1/B-2 Border Crossing Card (BBBCC) or B-1/B-2 Border Crossing Visa (BBBCV);

Travel is required in order to meet urgent, sensitive, and high priority Mission program requirements;

Travel to the U.S. on a visa other than a USAID-sponsored J-1 visa is in the best interest of the Agency because [provide a brief explanation]:      .

I confirm that the excepted individual(s) specified above agreed to and signed USAID’s Conditions of Sponsorship for U.S.-Based Activities (Form AID 252-1).

I also confirm that the USAID Sponsoring Unit will ensure all required data is entered into TraiNet and be responsible for tracking the whereabouts of the individual(s) at all times while in the United States; a copy of this signed AID 522-5 form will be sent to the USAID Responsible Officer (RO) or Alternate Responsible Officer (ARO); current U.S. contact information for the individual(s) will be provided to the USAID RO or ARO at any time upon request; and the Sponsoring Unit will monitor timely U.S. departure and home-country return of the individual(s).


Signature of USAID Mission Director or

Washington Office Director:




Name of Signer (Type or Print):


     

Title:      

Date:      


AID 1381-6 (10/2015) Page 0 of 1



BUYER AGENCY AGREEMENT BROKER ROYAL LEPAGE PRIME
OPEN INFORMAL SESSION OF THE UNITED NATIONS INTERAGENCY
SECTION XIV CERTIFICATE REPRESENTING AGENCY RELATIONSHIP BETWEEN APPLICANT


Tags: agency for, the agency, exception, development, agency, international, requirement