I, the undersigned, understand and
agree to the following conditions of the “Journey of Shared Discovery for Russian and American Journalists - Round Four":
1. If I am chosen to participate, I
will be required to take part in a program in the United States from 4 June to 25 June 2019, which will include a two-week assignment at a U.S. media
2. I fully understand and agree that
it is a condition of this program that spouses or dependents cannot be included
nor be accommodated in the program.
3. The program’s organizers (ICFJ) will pay
all travel costs; housing; a per-day meal/living allowance; visa costs; and
health insurance for the duration of the program in the United States. I will
assume responsibility for all incidental expenses. (The program cannot cover
salary or pay honorarium.)
4. If chosen, I am required to
return to my home country after the program ends.
I extend my stay in the United States before or beyond the program, I agree to
pay the cost of all expenses
(food, lodging, transportation, etc.), including the extension of my health insurance policy.
My participation in this program depends
upon my ability to meet all requirements. I certify that all statements in my
application are true to the best of my knowledge. I understand that any
participant who violates these rules will be expelled from the program.
Please type your name
and today's date in the boxes below. This will serve as an electronic signature
and is your written consent to the above conditions.