U.S. Department of State Gratuitous Service Agreement I understand

Embassy of the United States of America,

Tegucigalpa, Honduras

U.S. Department of State Gratuitous Service Agreement

I understand and agree that I am being provided an opportunity to perform

volunteer services pursuant to 5 U.S.C. § 3111 as part of the Foreign National

Student Intern Program. I understand that I will not be receiving any

compensation in return for the services that I perform.

I further agree that I waive any and all claims against the U.S. Department of State

and/or the United States Government (USG) for payment of compensation as a

consequence of my performance of services under this agreement. I further

understand that I will not be considered an employee of the U.S. mission, the U.S.

Department of State or the USG, except as otherwise provided by applicable law.

I understand that I have been accepted into the FNSIP and that my participation

in this program is subject to termination at any time at the discretion of the U.S.

mission.

Please sign below to acknowledge that you understand the terms of this

arrangement.

____________________________ ________________________

Printed Name of Student Date

____________________________

Signature of Student