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www.ciee.org/wat

Work & Travel USA

Work & Travel USA

Employment Offer Agreement Spring/Summer 2011

Name of CIEE Representative: 

Country:


Interviewed by (name): 

 

Representative Code:



Date (day/month/year):

Please fill in form using all capital letters.

Employer Section

Company Name:

Street:

City: 


 

 

 



 

 

 



 

State:   

 

 

Zip:



Phone:   

 

 



 

Fax: 


 

 

 



 

TaxID:


Website:  

 

 



 

 

 



   How many international students do you intend to hire?:

Offer made to   

Please fill out one application per student.

First name: 

 

 

 



 

 

 



 

 

 



Middle initial:

Last name:

Job Information

Worksite address 

(if different from above)   

 Street:


City: 

 

 



 

 

 



 

 

State:   



 

 

Zip:



Dates of employment:   From 

(DD/MM/YYYY)

:  

 

 



 

To 


(DD/MM/YYYY)

 



Maximum of four (4) months

Manager’s name:   

 

 

 



 

 

Manager’s phone:



Manager’s e-mail:  

 

 



 

 

 



Off season phone:

Student job title:   

 

 

 



 

 

Job description:



Wage per hour:   

 

 



 

 

 



Average number of hours per week:

Is an end of season bonus available?     

 

Yes     No    



If yes, how much:

Does employer provide housing?    

 

Yes     No    



If yes, cost of housing:

Housing deposit:  

 

 

 



 

 

Type of accommodation 



(house/hotel/etc)

:

How many people share room?: 



 

How many people share house?:   

Is housing furnished?:

The student named above has been offered a temporary position with the company by an authorized company representative and the salary and other terms are commensurate with those of his/

her U.S. counterparts. I have reviewed the attached Employer Declaration and agree to abide by its terms. (If an Employer Declaration was not provided, please contact CIEE at 1.888.268.6245 or 

visit www.ciee.org/employer/declaration.)

Name of person completing this form: 

 

 



 

 

 



Title:

Signature: 

 

 

 



 

 

 



 

 

Date 



(DD/MM/YYYY)

:

Are you an employee of the company listed above?     



 

Yes     No

If no, please complete 

Company name:   

 

 

 



 

Telephone:

Are you an  

 

Employment agency         Staffing company        Other:



Work & Travel Participant Section

By signing below, I indicate my understanding and agreement with the following terms: 

1. 

Any position offered to me is not a firm, irrevocable offer and may be revoked at any time before I commence employment. In the event that the employer revokes this offer, CIEE will assist me 



in my effort to find alternative employment, but CIEE makes no guarantee that its effort will be successful. I will be an employee-at-will, and my employment relationship may be terminated at 

any time by the employer.

2. 

I fully understand the job position listed above. I have reviewed all information related to this position, as provided to me by my employer and CIEE Representative (if applicable). The terms 



above are general in nature and my hours and duties are subject to change. I will report to the employer listed above within five days of arrival in the United States. I will work for a period that 

will not exceed the end date on my DS-2019 form.

3. 

I will adhere to all CIEE and CIEE Representative rules regarding employment and program participation, including the Terms and Conditions / Participant Declaration which forms part of my 



program application. Should I change jobs without receiving prior permission from CIEE and my CIEE Representative, or if I violate other CIEE or CIEE Representative rules, CIEE may terminate 

its sponsorship of me and I will be required to return home. I also understand that such termination may prevent me from receiving future U.S. visas.

Name:

ATLAS ID:



Signature: 

 

 



 

 

 



 

 

 



Date 

(DD/MM/YYYY)

:

How did you find your job?  



 

CIEE Representative     

 

Employment Agency          Directly with employer



 

 

 



 

 

Internet  



 

 

 



Other:

THE PARTICIPANT MUST SEND THE ORIGINAL SIGNED AGREEMENT TO HIS/HER CIEE REPRESENTATIVE.

THE PARTICIPANT MUST ALSO SEND A COPY TO THE EMPLOYER AND KEEP A COPY FOR HIS/HER OWN RECORDS.



www.ciee.org/wat

Work & Travel USA

Work & Travel USA

Employment Offer Agreement Spring/Summer 2011

Name of CIEE Representative: 

Country:


Interviewed by (name): 

 

Representative Code:



Date (day/month/year):

Employer Information and Declaration

Dear Employer, 

Thank you for your decision to become a host employer for our Work & Travel 

USA program. Your participation in this program continues a long tradition of U.S. 

employers who have capitalized on a unique opportunity to bring an international 

dimension to their workplace while providing a life-changing experience to foreign 

students. 

About CIEE and the Work & Travel USA Program

Established in 1947, the Council on International Educational Exchange (CIEE) is a 

world-leader in language learning and cultural exchange services. CIEE is authorized 

by the U.S. State Department under section 101 (A)(15)(J) of the Immigration and 

Nationality Act to provide the necessary legal sponsorship that allows eligible foreign 

nationals to obtain the J-1 “Exchange Visitor” visa. The Work & Travel USA program 

is offered to bona fide university students screened for maturity and ability to get 

maximum benefit from undertaking casual seasonal work for up to 4 months during 

their university holiday time. The Exchange Visitor Program Regulations in full can be 

found in the Code of Federal Regulations (22 CFR Part 62). 

Jobs that are NOT allowed are:

Au pair / nanny / babysitting / domestic labor / camp counselor / teacher / coach / 

medical, veterinary, pharmaceutical services, or any job that requires direct patient 

contact or dispensing of medication / adult entertainment industry jobs / crew 

member on ships or airplanes, or as pilots / sales jobs involving purchasing sales 

merchandise to resell (e.g. door-to-door sales) / employment through employment 

agencies. 

Communicating Pertinent Information To Your Participants

Setting student expectations correctly is key. We strongly recommend that you 

pass along information to your hired workers prior to their arrival in the U.S. Such 

information could range from workplace rules and uniform requirements to details on 

housing to local area information and transportation instructions. CIEE recommends 

that you provide this advance information because it allows participants to prepare 

accordingly. Email is usually the best way to communicate with participants before 

they arrive in the U.S. 

Housing 


If you do not include housing in your offer to the students you hire, pointing 

participants in the right direction is helpful. This greatly eases the transition to living 

in a new country. We recommend that you provide this advice to participants while 

they are still in their home country so that they can get a jump-start on their housing 

plans. Past housing options for Work & Travel participants have included furnished 

apartments, shared houses, hostels, long-term motel rentals, and rooms in private 

homes. All housing should adhere to all local, state, and federal health & safety and 

employment laws designed to protect the participant both in the workplace and in 

any Employer arranged accommodations. 

Transportation to work 

Your international staff will probably take some time to become accustomed to 

transportation in the U.S. Please take the time to advise them on the safest and best 

ways to travel to work. If they are cycling, please remind them to wear a helmet, pick 

the best routes, and use lights when necessary. 

Insurance 

Each participant is provided with basic travel insurance through CIEE as part of their 

program (for full policy details please refer to http://www.ciee.org/insurance). 

The First Few Days 

SEVIS Regulatory Requirements All participants on J-1 exchange visas are required to 

register their whereabouts electronically with the Department of Homeland Security 

(DHS) through SEVIS—the Student and Exchange Visitor Information System. This 

requirement is extremely important since students Exchange program will terminate 

if they fail to comply. Participants have two primary responsibilities within SEVIS: 

1. 


Within 20 days of the program start date printed on their DS-2019 Form, they 

must confirm with CIEE that they have begun their work exchange program 

and also provide their U.S. address (PO boxes aren’t permitted). 

2. 


Within 10 days of changing their home address during their stay, they must 

provide CIEE with this new address. Participants may use the CIEE website 

www.mysevis.com to give us this information. We will upload their entries 

into the U.S. government SEVIS system. Allowing your participants to register 

online at your company would help to guarantee that these requirements are 

being met. Participants can also contact CIEE at 1.888.268.6245 or  

contact@ciee.org to provide the required information. 

You can also help to ensure that your participants are adhering to these 

requirements by: 

1. 


Reminding participants of the importance of confirming the start of their pro-

gram and updating their address as necessary. 

2. 

Notifying CIEE of any students who do not arrive as scheduled or if a partici-



pant leaves work before their scheduled end date. 

3. 


If you are looking to hire a student who is changing employers or seeking 

a second job, direct them to contact CIEE to secure permission authorizing 

them to work for you. This process will protect the interest of the original 

employer and make sure that both employers, the participant, and CIEE are in 

agreement with the new situation. The original employer’s (or CIEE’s) name will 

remain on the DS-2019 form. 

Social Security and Payroll 

Many participants will arrive at your workplace without having applied for a Social 

Security number. To obtain a Social Security number, students must complete an 

Application for a Social Security card (Form SS-5). To find the nearest Social Security 

office, look in the telephone book under “Social Security Administration,” call toll-

free 1.800.772.1213, or visit the Social Security website at www.ssa.gov. Please note 

that participants should complete their SEVIS registration at least 48 hours before 

applying for a Social Security card. 

Although students are required to have a Social Security number, they are allowed 

to work before they have received one as long as they have applied for the number 

and have a receipt of their application. The SSA provides the following advice 

(visit www.ssa.gov/employer for more details): Provided that participants apply 

for a Social Security number within seven days of commencing work, they are in 

compliance with the law and may work and receive paychecks. Participants can 

demonstrate that they have applied for their Social Security number either by (1) 

showing a copy of the application form that was submitted, or (2) showing any 

acknowledgement of receipt provided by the SSA, or (3) showing a statement 

signed by the employee.

Payroll 

Work & Travel participants are required to pay some taxes just like any other 

taxpayer and are exempt from other taxes as a nonresident alien. Participants must 

pay:


Federal income taxes 

State incomes taxes 



Local income taxes 

Participants do not pay: 

Social Security taxes 



Medicare taxes 

If you have any questions pertaining to this Employment Offer Agreement Form or 

need additional information please call 1.866.351.9949.

Employer Declaration 

I acknowledge the aims and objectives of the CIEE Work & Travel USA program as 

a U.S. Department of State authorized Exchange Visitor Program allowing qualified 

foreign students to undertake a period of employment of no more than four months 

during their college/university vacation period. I confirm that the salary and other 

terms offered are commensurate with the participant’s U.S. counterparts. I agree to 



abide by all local, state, and federal health, safety and employment laws.

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