Host Online Application

*Name of the company:

*Type of Business:

*Address:

*Phone Number :

Fax Number :

*English Website Address:

*English Speaking Contact Person (Supervisor):

*His/Her Title (Supervisor）:

*His/Her E-mail Address:

*His/Her Years of Experience at the Company:

*Internship Start Date:

*Internship Length:

*Internship Position:

*Compensation:

*Federal Tax ID Number:

*Federal Number of Total Employees (Companywide):

*Federal Total Number of Branch in the US:

*Number of Total Employees (at the Training office):

*Number of Total Employees (at the wareghouse):

*Experience of Hiring J1 Trainee at the training office:

*Is there any J1 Trainee currently at the training office?- How many? :

*Is there any J1 Trainee currently (Companywide)?- How many? :

*Number of H1 working visa holder(s):

*Total Annual Revenue at the training office:

*Total Annual Revenue of the whole company in the US:

*Year of Company Establishment: