H2B Visa USA Employer Registration Form

Thank you for your interest in the InterExchange H-2B Visa USA Program.

Please take a few minutes to complete our obligation-free Employer Registration Form.
Once your registration has been received, an H-2B Visa USA account manager will contact you to answer your questions and to get more information about your seasonal staffing needs.

Fields marked with an asterisk (*) are required.

What program are you interested in *	Summer Registration open: Oct. 1 - Nov. 15 First Available start date is April 1
	Winter Registration open: April 1 - May 15 First Available start date is October 1
Company Name: *
Name of Parent Company:
Street Address Line 1: *
Street Address Line 2:
City: *
State: *	--Select One--AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Zip Code: *
Contact Title:	-Select One-Mr.Mrs.Ms.
Contact First Name: *
Contact Last Name: *
Telephone: *
Extension:
Fax: *
Email: *
Web Site Address:
Federal Tax ID (EIN): *
Year Established: *
Number of Employees: *
Staffing Preferences? Select all that apply. *	Males  Females  Couples  Friends  No Preference
Positions Offered - Please estimate the number of workers needed for each position. *
Kitchen Staff
Dishwasher
Dining Room Attendant
Food and Beverage Sales
Waitstaff/ Hoststaff
Sales Help
Cashier
Housekeeping
Ski Lift Operator
Ski Instructor
Concierge
Front Desk
Lifeguard
Ride Operator
Other
If other, please describe:
Position Details
Salary Per Hour * Please list salary information for each position you are offering. Please be advised that your State Department of Labor mandates that all foreign workers must be paid the prevailing wage in your county.
Hours Per Week *
Shift Schedule *
Overtime Pay *
Uniform/Dress Code Requirements
Please list company policy concerning hair length, piercing, etc.
Is a uniform required? *	Yes  No
If so, is it provided by employer	Yes  No
Approximate uniform cost $
Accommodation Employers participating in the H-2B Visa USA Program are expected to either provide housing or assist their international staff in finding affordable accommodations within commuting distance from their place of employment.
Number of people per room/apartment
Approximate cost per person per month.*
Housing deposit required? *	Yes  No
Housing deposit cost $
Are cooking facilities available?*	Yes  No
Are meals available at work site?*	Yes  No
Cost of meals
Is transportation to work available?*	Yes  No
Please pick all that apply	Walking distance
	Free shuttle service
	Public transportation
Please list Employee Perquisites/Benefits.
How did you hear about us? *	-Select One-Book/MagazineFriend/FamilyLocal InterExchange PartnerOnline Search/AnotherWebsitePrevious ParticipantOther
Please explain. Name of book, online search words, website, where you saw a poster, name of professor/advisor, etc.