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Form preview Cci self arranged job offer fo... Work Travel Program Self-Arranged Job Offer All participants finding their own job must complete this job offer including required signatures and return to CCI. If completed by the employer this form should be sent directly to the participant. EMPLOYER INFORMATION Name of Company Tax ID / FEIN Workers Comp Policy Website Workers Comp Carrier Workers Comp Expiration Date Primary Business Address Worksite Address if different from Primary Address no PO Boxes City State -- Zip Name of person extending this job offer -Name of supervisor assigned to participant Title Email Telephone MUST be worksite Mobile/Off-season Phone Business Fax Total of Employees Job Title Job is valid FROM Description of general job duties Identify any uniforms safety equipment etc* participant must provide Estimated of hours/week min 32 average Number of days / week Est. cost of uniforms equipment etc* Any vacation benefits paid or otherwise Hourly wage Overtime availability - Overtime wage of International Staff SECTION TO BE COMPLETED BY EMPLOYER Company Activities JOB DESCRIPTION Pay frequency YES I PROVIDE HOUSING EMPLOYER Notice housing must be safe reliable convenient and in accordance with all local laws/ordinances Deposit required Deposit Amount Housing cost / month Yes No of bedrooms of tenants per room total of tenants in unit Distance from housing to job site Is transportation available Utilities included in rent Are costs deducted from paycheck KIND of transportation from housing to job COST of transportation from housing to job Utilities NOT included in rent Utilities COST if not included in rent EMPLOYER AGREEMENT The Center for Cultural Interchange CCI herein is a U*S* Department of State Designated Work and Travel Program sponsor. This document serves as an employment agreement between the business and the WT participant named on the CCI job offer. This agreement is not valid until CCI has fully screened vetted and approved the organization named in the CCI job offer. For purposes of this agreement WT participant refers to the foreign participant entering the U*S* temporarily under CCI s J-1 Summer Work Travel visa sponsorship* Continued sponsorship and cooperation is contingent upon adherence to all CCI program rules and U*S* Department of State Summer Work Travel regulations 22C. F*R* Part 62. CCI cannot be held responsible for the actions of participants under CCI sponsorship including employment performance and workplace suitability nor any liabilities created assumed or incurred by the participants. By signing this agreement and as an authorized representative of my business I agree to the Employer Placement/Housing terms of agreements found here http //www. cci-exchange. com/swt-emp-terms0612/ Business Representative s Name Please print TITLE TO BE COMPLETED BY PARTICIPANT PARTICIPANT AGREEMENT By signing this agreement I hereby confirm that I have read and agree to all terms of the PARTICIPANT TERMS AND CONDITIONS formerly Code of Conduct submitted with my application* I agree to the Participant Placement/Housing terms of agreement found here http //www.

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