Find a CIEE office or representative: 





Please provide the following information regarding your company.

Please note that all fields are required. If any specific fields do not apply, please enter “Not applicable”

 

Company Background and Contact Information
Company name
Parent Company (if any):
Owner of Company:
Date Business was Founded:
Number of years in business:
What type of Company:
Business license #:
Business license issued by:
Mailing address:
,
Contact Person:
Contact Person's Title (i.e. Director)
Contact Phone:
Contact Fax:
Contact E-mail:
Company Website:
Number of Full Time Employees:
Number of Offices in main country of operation:
International affiliations or memberships your company holds in the following: FIYTO  ISTC   GWEA  IATA
ALTO   IAPA   Other

Participant Recruitment
What countries are you recruiting from?
(Press Ctrl for multiple selections)
Does your country require registration with the government to operate a citizen or student exchange program? Yes No  
If yes, what is the date of your registration?
How many universities are you recruiting from?
Do you have affiliations with universities? Yes No  
If yes, please list the unviersities:
Please describe in detail how you assess the English proficiency of your applicants for work exchange and/or high school programs:

Program Information (inbound to the U.S.)
Interested in the Work and Travel USA (WAT) Program? Yes No  
Have you previously sent participants to the United States? Yes No  
If so, how many Work and Travel participants per year?
How many visas were denied?
Who was your U.S. sponsor?
What are your estimated numbers for the CIEE WAT Program?
How many placements would you require from CIEE to reach your estimated participant number?
What job positions are your participants interested in?
What area(s) of the United States are your participants interested in?
Based on the official university vacation period in your country, please list the:
Dates your participants are available to start work in the United States:
Dates your participants have to end work in the United States and return home:
Will you continue to work with other J1 sponsors for WAT if you become a CIEE partner? Yes No  
Interested in the Internship or Professional Career Training USA Program? Yes No  
What are your estimated numbers for the INT/PCT Program?
How many Trainee placements would you require from CIEE to reach your estimated participant number?
What training positions are of most interest to your participants?
Will you continue to work with other J1 sponsors for INT/PCT USA if you become a CIEE partner? Yes No  
If yes, please explain:
Have you previously sent participants to the United States on a trainee program? Yes No  
If so, how many for Internship programs?
How many for Professional Career Training programs?
How many visas were denied?
Who was your U.S. sponsor?
Interested in the High School USA Program? Yes No  
Number of years experience in the high school program?
Please list the other high school programs that you have worked with in the past:
What are your estimated numbers for the high school program?

Program Information (other)
Do you place participants in other countries besides the U.S.? Yes No  
If so, where?
What other language or study programs do you have experience with (sending participants or receiving groups)?

References

Please provide at least three business references of companies you work with either in the U.S. or in Europe:
      Reference #1
Business Name:
Contact Name:
Contact Title:
E-Mail Address:
Phone Number:
Number of years working with business:

      Reference #2
Business Name:
Contact Name:
Contact Title:
E-Mail Address:
Phone Number:
Number of years working with business:

      Reference #3
Business Name:
Contact Name:
Contact Title:
E-Mail Address:
Phone Number:
Number of years working with business:

Other
How did you hear about CIEE?
Additional Feedback?
   
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