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CAP Travel Authorization form

Additional Information

Career Advancement Programs travel authorization information

CAP Travel Authorization form

Personal information
- Greenheart Exchange Online ID*
- First Name*
- Last Name*
- Email*
- SEVIS ID Number*
- Country of Citizenship*
- Host Organization
Flight information
- Departure Date*
  MM slash DD slash YYYY
- Departure City*
- Arrival City*
- Return Date*
  MM slash DD slash YYYY
- Departure City*
- Arrival City*
Consent information
- In one or two sentences, please explain your reason for making this trip abroad
- Please check the boxes below to agree to the terms and conditions:*
  I confirm that my travel dates do NOT conflict with my internship/training schedule.
  
  I understand that submitting this form does not guarantee that Greenheart Exchange has authorized my Request for International Travel.
  
  I understand that I am to receive Greenheart Exchange’s approval for my travel request before making flight arrangements.
  
  I am aware that, if my international travel is approved, I will be asked to mail my original DS-2019 form to Greenheart Exchange’s headquarters in Chicago for signature.
  
  I agree to pay $20 to Greenheart Exchange to cover return shipping of the DS-2019, and understand payment can be made by credit card, check, or money order.
  
  I understand that Greenheart Exchange permits one travel authorization for programs up to 12 months long, and 2 for programs up to 18 months long. This excludes emergency situations that require travel abroad.
  I agree