INSTRUCTIONS: As a participant on the American Work Experience programme, you are required to have a physical exam before departing for the U.S. This form must be completed and signed by a licensed physician. This form does not affect your employer’s decision to hire you or determine your acceptance onto the AWE programme. However, falsifying or failing to disclose information about your health may result in immediate dismissal. If you have any questions or concerns, please contact the AWE office.
Note:
Both the applicant and physician must sign this form. Please send the original form to AWE and keep a copy for your records.