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| Contact First Name* |
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| Contact Last Name* |
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| Contact Title* |
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| Mailing Address* |
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| Street 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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| Year Company Founded/Started* |
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| Have you previously sent participants to the USA on work exchange programs?* |
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| If yes, how many participants did you send last year on each of the following programs? |
| Work/Travel Premium placement (sponsor provides job offer) |
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| Work/Travel Independent placement (participant or agent arranges job offer) |
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| Internship/ Trainee Premium placement - Business focus |
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| Internship/ Trainee Premium placement - Hospitality focus |
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| Internship/ Trainee Independent placement |
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| Other. Please describe. |
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| If yes, what visa approval rate did you experience last year? |
| Work/Travel Premium placement |
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| Work/Travel Independent placement |
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| Internship/ Trainee Premium placement - Business focus |
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| Internship/ Trainee Premium placement - Hospitality focus |
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| Internship/ Trainee Independent placement |
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| Other. Please describe. |
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| If yes, which visa sponsor organizations do you currently cooperate with in the USA? |
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| If yes, which organizations will you continue to cooperate with in the future? Which organizations will you discontinue cooperation? Why? |
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| If yes, please describe your current applicant screening process. |
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| Which countries do you recruit applicants from? |
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| What problems did you encounter last year with your exchange participants? How do you plan to avoid these problems this year? |
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| What is your typical Work/Travel season?* |
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Spring
Summer
Winter
All year
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| Embassy- Restricted Program Start Date |
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| Embassy- Restricted Program End Date: |
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| Have you ever operated as a sub-agent of another Work/Travel organization?* |
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| If yes, please describe. |
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| Have you ever operated under a different company name?* |
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| If yes, please describe. |
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| List all Sub-Agents that you contract with to provide services to participants on behalf of your company |
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| What other exchange programs do you operate? Please include the number of participants you sent last year on each program. |
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| What Spirit program(s) are you most interested in?* |
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Jobs America - Premium Program
Jobs America - Independent Program
Internship - Premium Program
Internship - Independent Program
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| How many spaces are you requesting in this program for the next season?* |
| Jobs America - Premium Program |
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| Jobs America - Independent Program |
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| Internship - Premium Program |
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| Internship - Independent Program |
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| What is the current market (retail) price of the following programs? |
| Work/Travel Premium placement |
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| Work/Travel Independent placement |
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| Internship/ Trainee Premium placement |
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| Internship/ Trainee Independent placement |
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| What is the average price that you pay to other sponsors for the following programs? |
| Work/Travel Premium placement |
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| Work/Travel Independent placement |
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| Internship/ Trainee Premium placement |
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| Internship/ Trainee Independent placement |
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| Please provide the contact information for your local US Consulate. Include contact name, email address, phone number and fax number. |
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Please provide at least two references, preferably from a former or current US visa sponsor.*
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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