Weekly Check-in I Covid-19

Are you currently in the United States?*

Yes
No

Hidden

STILL IN THE USA

Name*

First Last

Email*

Has your address changed since the last time you reported it to Alliance Abroad?*

Yes
No

Please provide your current address:

Are you currently working/training?*

Yes
No

Is your Employer listed on your DS2019?

Yes
No

Please report your job to Alliance Abroad at https://participants.allianceabroad.com/second-job/

Are you safe, well and healthy?*

Yes
No

Please explain*

If you are not safe, well and healthy, please contact Alliance Abroad immediately on our 24-Hour Support Line 1-866-622-7623. You may also contact your Outreach Coordinator or email us at [email protected]. We want to hear from you and help you right away.

Do you have departure date from the US?*

Yes
No

When is your planned departure date from the US?*

Please explain:*

Hidden

NOT IN USA

Thank you for letting us know that you are in your home country.

Name

First Last

Email

When did you depart the United States?

COVID-19

CHECK-IN

For emergencies, please call Alliance Abroad at 1-866-622-7623

STILL IN THE USA

NOT IN USA