Company Background and Contact Information
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| Company name |
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| Parent Company (if any): |
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| Owner of Company: |
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| Date Business was Founded: |
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| Number of years in business: |
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| What type of Company: |
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| Business license #: |
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| Business license issued by: |
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| Mailing address: |
,
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| Contact Person: |
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| Contact Person's Title (i.e. Director) |
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| Contact Phone: |
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| Contact Fax: |
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| Contact E-mail: |
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| Company Website: |
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| Number of Full Time Employees: |
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| Number of Offices in main country of operation: |
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| International affiliations or memberships your company holds in the following: |
FIYTO
ISTC
WYSE
IATA
ALTO
IAPA
Other |
Participant Recruitment
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What countries are you recruiting from?
(Press Ctrl for multiple selections) |
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| Does your country require registration with the government to operate a work exchange program? |
Yes
No |
| If yes, what is the date of your registration? |
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| Please describe in detail how you recruit workers: |
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| Please describe in detail how you assess the English proficiency of your applicants: |
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Program Information
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| Have you previously sent workers to the United States? |
Yes
No |
| If so, how many H2B workers per year? |
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| How many visas were denied? |
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| Did you work directly with employers or through a US agency like CIEE? |
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| What job positions are your participants interested in? |
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| What area(s) of the United States are your participants interested in? |
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| Will you continue to work with other H2B agencies if you become a CIEE representative? |
Yes
No |
| Do you place participants in other countries besides the U.S.? |
Yes
No |
| If so, where? |
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| What other work exchange programs do you have experience with? |
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References
Please provide at least three business references of companies you work with either in the U.S. or in Europe:
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| Reference #1 |
| Business Name: |
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| Contact Name: |
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| Contact Title: |
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| E-Mail Address: |
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| Phone Number: |
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| Number of years working with business: |
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Reference #2 |
| Business Name: |
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| Contact Name: |
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| Contact Title: |
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| E-Mail Address: |
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| Phone Number: |
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| Number of years working with business: |
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Reference #3 |
| Business Name: |
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| Contact Name: |
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| Contact Title: |
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| E-Mail Address: |
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| Phone Number: |
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| Number of years working with business: |
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Other
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| How did you hear about CIEE? |
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| Additional Feedback? |
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| Thank you for completing this Potential Partner Questionnaire! Based on overseas representative availability in your country, we will be sure to contact you for further information about your company. |
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