Host Online Application

    Please fill out the following information. *All items are required for J1 processing.

    *Name of the company:

    *Type of Business:


    *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:


    *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: