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WORLD UNITEDLLC
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HOME EMERGENCY HOT LINE J-1 SUMMER WORK AND TRAVEL HOUSING/HOSTELS TRAVEL/TRANSPORTATION
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PROGRAMS EMPLOYERS HEART OF AMERICA SPONSOR ASSISTANCE STUDENT ORG/ASSOCIATIONS
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AFTER THE EMPOYER QUESTIONNAIRE HAS BEEN RECEIVED WE WILL E MAIL YOU BACK WITHIN 24 HOURS
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Employer Questionnaire
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HOME
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Name of Employer
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EIN Number
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Address for the Assignment:
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What Type of Business, If Sales what will participant be selling
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Website
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Workers Compensation Company:
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Workers Compensation Pol #:
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E Mail Adress
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Fax Number
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Workers Comp Dates Of Coverage:
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Name of Supervisor
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Telephone Number of Supervisor
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How many students are you requesting?
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Name of Position and how many to hire in each position
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Please, provide a job description for each position:
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Please list all locations the participants will be working and how many will be at each location:
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Do you have a preference between male or female?
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If yes, how many males and females for each position?
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What level of English for each position? (Beginner, Intermediate or Advanced)
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Do you have a preference for the appearance of the students? (piercing, hair
cut or hair color, any grooming expectations)
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Do you have a preference on which country your employees come from?
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Are you willing to hire couples?
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Are you willing to hire groups of friends?
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Do you require the students to wear a uniform?
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If yes, is it provided or do they have to pay for it?
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How much?
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If they have to pay for it, is it refundable at the end of the assignment?
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If no uniform – what is appropriate for their work attire?
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What is the hourly wage?
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How many hours per day will the students work and how many days a
week?
(We require a minimum of 35 hours per week for each student)
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Days:
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Hours:
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Are meals provided?
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If not, is there a discount?
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Is there an opportunity for overtime, if so is it paid at a rate of 1.5 hourly?
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Is there a bonus?
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How do the participants earn the bonus?
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Do you want the students to contact you prior to arrival?
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If yes, how: Telephone, Email or through CHI?
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What is the ideal start date?
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What is the ideal end date?
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Is there an additional application the students will need to fill out upon arrival?
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How will you handle students if they do not have their Social Security number
right away? How
will they get paid?
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Do you require the students to take a drug test?
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Is housing provided?
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If so, what is the cost per week or month per participant?
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Is there a security deposit, and if so,
how much?
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Is the security deposit
refundable?
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What are the conditions of
the refund?
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What type of housing:
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How many participants to a
room?
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Describe the accommodations: (kitchen, bath,
rooms, linens etc.)
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Please provide any additional
comments:
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Thank you for your participation in the DOS Work & Travel program!
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