Job Details
Employer Information
Company Name
*
DBA
*
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Company Website
*
Company Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Work Site Address If Different
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
EIN
*
Worker's Compensation Policy Number
*
Name Of Contact Person Hiring Employees
*
Job Title Of Person Hiring Employees
*
Contact Number Of Person Hiring Employees
*
Please enter a valid phone number.
Format: (000) 000-0000.
Name Of On-Site Supervisor
*
Job Title Of On-Site Supervisor
*
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Job Information
Job Title
*
Job Description
*
Number Of Positions Available
*
Preferred Latest Start Date For Employment
*
Most Irish students plan to travel to US late May/ early June.
Preferred Earliest End Date For Employment
*
Most Irish students plan to return home mid August to late August.
Wage Per Hour
*
Training Period Rate
*
Is The Position Tipped?
*
Yes
No
Occasionally
Frequency Of Pay (e.g. Weekly, Monthly)
*
Hours Per Week (Must Be Minimum 32)
*
Is overtime available?
*
Yes
No
Is overtime required?
*
Yes
No
Are Paychecks Issued Before Social Security Number Received?
*
Yes
No
Overtime rate of pay
*
How Long Before First Paycheck Is Received?
*
Dress Code
*
Deductions From Pay (e.g., uniforms). Pay deductions discouraged by State Department.
*
Are Meals Provided During Shift?
*
Cost Of Meals?
*
Are students required to pay union fees? (Program regulations require that students do not pay union fees.)
Yes
No
If You Have More Than One Type Of Job You Can Add Here:
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Transportation
Is Transport Provided
*
Yes
No
Cost Of Transportation
*
Estimated Commute Time
*
Type Of Transportation
*
Public Transport Options
*
Arrival Instructions
*
Please note the appropriate airport or bus/train station, whether you will pick up the student upon arrival, best way to get from the airport, etc.
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Housing Information
If housing is provided housing lease must be attached at the end of this form.
Is Housing Provided Or Arranged By The Company
*
Yes
No
Is Housing Provided Free?
*
Yes
No
Cost Of Housing Per Person?
*
Housing Cost Is Paid:
*
Weekly
Bi-Weekly
Monthly
Not Applicable
Housing Deposit
*
Housing Deposit Conditions (e.g., refundable?)
*
Type Of Housing & Furnishings
*
How Many Share A Room?
*
How Many Share A Bathroom?
*
Distance Of Housing To Work Site
*
Items Students Must Provide (e.g., bedlinen, towels)
*
Housing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Company Disclosure & Agreements
Total number of participants you are hiring at this location for this season:
*
Other sponsors with whom you cooperate:
*
During which seasons do you hire Work & Travel Students at this location?
*
Spring
Summer
Winter
I confirm that I as an employer am responsible to have sufficient resources, plannning, equipment and trained personnel to provide a bona fide Work & Travel experience including: 1) The job is seasonal and temporary. 2) Participants will not displace U.S. workers. 3) Employer has not experienced layoffs within the past 120 days. 4) Employer does not have workers on lock out or on strike. 5) The position will be non-isolating and allow for routine interaction with Americans
*
Yes
No
I understand that Summer Work Travel students cannot be scheduled in predominantly overnight shifts.
*
Yes
No
I understand that the program sponsor will contact me periodically for participant monitoring purposes.
*
Yes
No
I confirm that (you must check all for jobs to be approved for the program):
*
All participants to whom this job offer is extended will be employees of and paid by the company extending this job offer.
The company extending this job offer provides full-time, primary, on-site supervision of the participants.
The company extending this job offer effectively controls the work site noted in Employer Information section of this form.
Supporting Documents
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Please upload up to date worker's compensation document and business licence. If you do not have up to date copies these can be emailed later to info@j1ireland.com.
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