Fillable G-1238 Form RE 9-15-11

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G-1238 Form RE 9-15-11

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The G-1238 Form RE 9-15-11 form is 2 pages long and contains:

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Country of origin: US
File type: PDF

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U.S. Citizenship and Immigration Services (USCIS) is an office of the U.S. Branch of Homeland Security (DHS) that oversees the nation's naturalization and migration framework. It is a successor to the Immigration and Naturalization Service (INS), which was disintegrated by the Homeland Security Act of 2002 and supplanted by three segments inside the DHS: USCIS, Immigration and Customs Enforcement (ICE), and Customs and Border Protection (CBP).

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Form G-1238 (Rev. 09/15/11) Page 1 of 2
Form G-1238, Volunteer Employment Program
Agreement With Student
Department of Homeland Security
U.S. Citizenship and Immigration Services (USCIS)
Student's Full Name (print):
USCIS
Form G-1238
Position Title, Series, & Grade:
Program Office:
Expected Completion of Educational and Work Requirements (mm/dd/yyyy):
Educational Institution & Program:
Appointment's Not-To-Exceed Date (mm/dd/yyyy):
Telephone Number:
Supervisor's Name (print):
This agreement constitutes a mutual understanding between the U.S. Citizenship and Immigration Services (USCIS) and the above
named institution for the purpose of placing the above named student, in a volunteer, non-paid work assignment as part of a program
established to provide educationally-related work experience for the student.
Both parties agree that:
1. The services to be rendered are to be uncompensated (non-paid volunteer service);
2. The participating student is not considered to be a Federal employee for any purposes other than for:
a. Federal Tort Claims provision published in 28 U.S.C. 2671 through 2680. Claims arising as a result of student participation
should be referred to the U.S. Department of Homeland Security; and
b. 5 U.S.C. 8101 through 8193, relative to compensation for injuries sustained during the performance of work assignments.
Claims related to injuries should be referred to the Office of Workers' Compensation Programs, U.S. Department of Labor
for adjudication.
3. The volunteer service does not imply or guarantee any permanent or temporary Federal civil service employment with the
Department of Homeland Security.
Form G-1238 (Rev. 09/15/11) Page 2 of 2
USCIS HQ Student Employment Programs Manager:
Date (mm/dd/yyyy)Signature Print Name
School Representative:
Date (mm/dd/yyyy)Signature Print Name
WAIVER OF COMPENSATION
*Failure to complete this agreement will result in termination.
Student:
Date (mm/dd/yyyy)Signature Print Name
In connection with my services as a student volunteer in USCIS, I understand that I will be working during the period shown above
without compensation and I hereby agree to waive any and all claims against the Government for salary or wages on account of
services performed.
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G-1238 Form RE 9-15-11

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Completed 20 February 2020

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