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| Contact First Name* |
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| Contact Last Name* |
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| Contact Title* |
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| Address* |
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| Address |
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| City* |
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| State/Province* |
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| Zip/Postal code* |
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| Country* |
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| Telephone* |
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| Fax |
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| Email* |
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| Email confirmation* |
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| Alternate Email |
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| Alternate Email confirmation |
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| How many years has your company been in business?* |
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| Have you previously sent participants to the USA on work programs?* |
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| If yes, which programs? |
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| If yes, how many participants do you send annually on each program? |
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| If yes, which organizations do you currently cooperate with in the USA? |
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| If yes, please describe your current applicant screening process. |
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| What is your busy season?* |
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Spring
Summer
Winter
All year
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| Do you currently cooperate with another Work/Travel organization?* |
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| If yes, please list. |
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| How did you hear about us?* |
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| What Spirit program(s) are you most interested in?* |
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Jobs America
H2B
Internship
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| How many spaces are you requesting in this program for the next season?* |
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What was your organization’s visa approval rate last season in this program?*
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| Do you expect the visa approval rate to be much different next season?* |
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| If yes, why? |
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| Please describe the contact you have had with the US Consulate in your country.* |
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Please provide at least two business references for your company.*
Please include:
Company Name, Contact Name, Email, Phone Number, Website, Number of Years of Cooperation and Program of Cooperation |
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| How did you hear about Spirit Cultural Exchange?* |
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| Other Comments: |
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