WORK & TRAVEL USA

JOB OFFER
A Cultural Exchange Program - Summer 2016

EMPLOYER INFORMATION (ALL FIELDS REQUIRED. Workers compensation and business license documentation will be required by email or fax for processing.)
Company name: Phone:
d/b/a (if applicable): Fax:
Street: TaxID/EIN:
City: State: Zip: Website:
Workers Comp (WC) Provider: WC Policy #:
We agree to provide proof of workers compensation insurance (or exemption from requirement) and business license as part of the vetting and
approval process. Yes No
Note: For the business license requirement, a qualifying document is typically a certificate/permit/license issued by the state, county, or city, which authorizes you to conduct business and is
renewed on an annual basis. For any questions regarding qualifying documents, please call our dedicated toll-free employer line at 866-351-9949.

What does your company do:

Worksite address (if different from above)Street:
City: State: Zip:
Nearest major city: Distance to nearest major city:
Total number of international students at this location: Total number of all employees at this location:
Which other J-1 sponsor companies are you using to provide seasonal help?
Offer made to (student name):
Dates of employment (DD/MM/YYYY): Maximum of four (4) months From: To:
We have previously employed this Exchange Visitor. Name of Previous Sponsor:
Supervisors name: Supervisors title:
Supervisors phone: Supervisors email: Off-season phone:
JOB INFORMATION
Student job title: Is this a seasonal position? Yes No
Please describe the seasonal nature of this position:
Job description:
Wage per hour: Tips? Yes No Estimated weekly wage including tips:
Average number of hours per week: Is an end-of-season bonus available? Yes No
If yes, please provide details:
Overtime required? Yes No Overtime available? Yes No Overtime wage per hour:
State minimum wage per hour (if greater than federal): Wage pay schedule: Weekly Bi-weekly Monthly
Are meals provided during shift? Yes No Cost to student for meals? Yes No Estimated cost of meals:
Additional Wage Provisions/Deductions: Identify any training costs, equipment or uniform fees, or additional paycheck deductions.

Supplies required: Identify any uniforms, supplies, or equipment the student must supply.

What opportunities will the participant have to experience U.S. culture locally or through the workplace?

HOUSING INFORMATION
Does employer provide housing? Yes No Type of housing (house/hotel/etc.):
Housing address:
Cost of housing per week: Estimated cost of utilities: Housing deposit:
Is housing furnished? Yes No How many people share a house? How many people share a room?
Distance from job site: Transportation provided: Yes No Cost of transportation:
Estimated commute time: Type of transportation:
If housing not provided, will you assist participant in finding house? Yes No
Other housing recommendations:
Distance from job site: Estimated cost of housing: Estimated cost of transportation:
Participants visit: ciee.org/wat Employers visit: ciee.org/hire
Participants call: 1-888-COUNCIL Employers call: 1-866-609-CIEE Updated: 09/02/15 1 of 2
 WORK & TRAVEL USA
JOB OFFER
A Cultural Exchange Program - Summer 2016

EMPLOYER SECTION
TERMS AND CONDITIONS
The undersigned Employer agrees to the following conditions:
I am an authorized representative of the company named on this document with authority Neither we nor I have accepted compensation from any party in return for offering thisjob.
to enter into this agreement. We have fully explained the terms of employment and job details to this participant.
We acknowledge the aims and objectives of the CIEE Work & Travel USA program as a U.S.
I understand that the Department of State requires CIEE to vet all potential host employers
Department of State authorized Exchange Visitor Program, with the purposes of providing cultural
exchange opportunities to qualified foreign students, and advancing the public diplomacy goals of according to the regulations of the J-1 Summer Work Travel Program.
the United States. We understand that this job offer is not valid until vetted and approved by CIEE, and I agree
We understand that the J-1 Exchange Visitor Program is intended to provide educational and to cooperate with CIEE in this process.
cultural exchanges and thus agree to provide at least one cultural exchange opportunity to partici- We agree to provide proof of workers compensation insurance (or exemption from
pants at our location for each hiring season. requirement) and business license as part of the vetting and approval process.
We will adhere to all applicable regulatory provisions that govern this program, and all CIEE poli- If our job offer includes housing, the housing we provide will meet all applicable local laws and
cies which relate thereto. regulations, including those with respect to ventilation, utilities, and occupancyrates.
We warrant that the relationship between the employer and student will comply with all Federal, We further attest that any wage deductions we will take to cover the cost of employee
State and Local laws regarding employment and occupational health and safety. housing does not violate the Fair Labor Standards Act regulations set forth at 29.CFR.531.
I understand that federal statutes such as Title VII of the Civil Rights Act of 1984, the Immigration We further agree to obtain advance permission in writing from the student for any payroll deduc-
Reform Act of 1986 and the Immigration and Nationality Act, as well as a large number of state tions or changes in deductions.
statutes prohibit discrimination in the hiring of foreign nationals. This means that in virtually all We understand that CIEE is responsible for maintaining contact with participants throughout their
cases, it is illegal for an employer and for a sponsor such as CIEE to engage in discrimination based program.
on national origin, gender, race, religion, etc.
I understand that I may view all fees charged to CIEE participants by visiting
The salary and other terms of employment meet or exceed all federal, state, and local http://www.ciee.org/hire/fees.
minimum wage and overtime requirements and, to my knowledge, are commensurate with those
We agree to notify CIEE of participant arrivals, failure of any participant to arrive as expected,
of our U.S. employees.
performance issues, significant changes to employment terms, if any participant leaves before his/
This participant will be covered by Workers Compensation insurance or we are exempt her scheduled end date, any emergency involving participants, or any situation that impacts the
by state law from this requirement. welfare of participants.
This participant will be an employee, not an independent contractor. The job we are offering is not listed as prohibited by CIEE in the link detailed below
I understand that participants may undertake a period of employment of no more than four http://www.ciee.org/hire/work/regulations/prohibited-jobs.aspx
months. We understand that the student will apply for and obtain a Social Security number that may not be
The job we are offering is the result of a one-time occurrence, a peak seasonal need, or an inter- available at the start of employment. The DS-2019 Form and I-94 card together will serve as proof
mittent need and will not displace year-round positions for American workers. of authorization to work.
We agree to comply with J-1 Summer Work Travel program regulations, as set forth
I understand that hiring year-round for non-seasonal positions is
inconsistent with the intent of
the Summer Work Travel program. I have disclosed to CIEE our seasonal hiring needs and the full- in 22 CFR 62.32, available through the U.S. Department of States J-1 website
range of our use of J-1 programs through any sponsor. (http://j1visa.state.gov/sponsors/current/regulations-compliance/), or notify CIEE
immediately of our inability to do so.
I understand that we are not permitted to employ J-1 Summer Work Travel participants if we have
We will indemnify and hold CIEE harmless against any claims, liability, damages, or costs incurred
experienced layoffs within 120 days of the participants employment, and/or if we currently have
workers on lockout or on strike. We agree to notify CIEE immediately should these situations by reason of any act, error or omission of the employer or its agents.
occur at our company prior to the end of this participantsemployment.

Name of person completing this form: Title:

Signature: Date (DD/MM/YYYY):

PARTICIPANT SECTION
Name: Atlas ID:
Email address: Phone:
CIEE Representative: Country of residence:
TERMS AND CONDITIONS
By signing below, I indicate my understanding and agreement with the following terms:

This job offer is not valid until vetted and approved by CIEE. I understand that CIEE is I will adhere to all CIEE and CIEE Representative rules regarding employment and program
responsible for vetting employment for program participants and reserves the right to deny participation, including the Terms and Conditions/Participant Declaration that forms part
any job offer according to the current and/or anticipated rules, regulations, and intent of the J-1 of my program application.
Summer Work Travel program. Once I have accepted this job, I am committed to stay at this place of employment for the duration
Any position offered to me is not a firm, irrevocable offer and may be revoked at any time before I of the program. If I wish to change employers, I must receive permission from both CIEE and my
commence employment. CIEE Representative prior to doing so.
In the event that the employer revokes this offer, CIEE will assist me in my effort to find Should I change jobs without receiving prior permission from CIEE and my CIEE Representative, or
alternative employment, but CIEE makes no guarantee that its effort will be successful. if I violate other CIEE rules, CIEE may terminate its sponsorship of me and
I will be an employee-at-will, and my employment relationship may be terminated at any time for
I will be required to return home. I also understand that such termination may prevent me from
receiving future U.S. visas.
any reason as permitted by law by the employer.
I agree to adhere to all federal, state and local laws. If I do not do so CIEE may terminate its spon-
I fully understand the job offered above. I have reviewed all information related to this
sorship of me and I will be required to return home. I also understand that such termination may
position, as provided to me by the employer, CIEE and/or CIEE Representative.
I understand that neither the employer nor CIEE can guarantee the terms of this agreement and
prevent me from receiving future U.S. visas.
that my hours, duties, and housing are subject to change.
I will report to the employer listed above within five days of my arrival in the UnitedStates. Signature:
I will work for a period that will not exceed the end date on my DS-2019 Form.
Date:

Participants visit: ciee.org/wat Employers visit: ciee.org/hire

Participants call: 1-888-COUNCIL Employers call: 1-866-609-CIEE Updated: 09/02/15 2 of 2