2012 Host Employer Application

Cultural Vistas is looking for employers interested in providing an unpaid internship to one or more international students for the Global Career Launch Summer Internship Program. The internship should be located close to public transportation in the metropolitan areas of:

Chicago
June 8 - July 21 (6 weeks)
or
June 8 - August 4 (8 weeks)

Washington, DC
June 15 - July 28 (6 weeks)
or
June 15 - August 11 (8 weeks)

San Francisco
June 22 - August 4 (6 weeks)
or
June 22 - August 18 (8 weeks)

All interested host employers should provide a full-time 6 or 8 week internship within the program dates listed for each city, with a Monday-Friday work schedule during normal business hours. Interns will not be available for work Wednesday July 4.

If your company/organization is interested in providing an unpaid internship to one or more of these students, please complete the application below. We will begin sending student resumes in January 2012 for employer approval.

For more information, please visit www.globalcareerlaunch.org.

Company/Organization Details

* Organization/Company Name/DBA

* Parent Company

* Type of Business or Product

* Website Address

* Employer Indentification Number (EIN)

* Number of Employees

* Prior year's annual revenue greater than or equal to three million U.S. dollars?

* Workers' Compensation Insurance Carrier

* Policy Number

* Policy Start Date

* Policy End Date

Company/Business Representative Details

* Prefix

* First Name

* Last Name

* Job Title

* Street Address

Address Line 2

* City

* State

* Zip Code

* Phone Number

* E-mail

* Have you hosted a GCL participant or worked with Cultural Vistas (formerly AIPT) in the past?

Yes

No

* If not, how did you hear about the GCL program?

Training/Internship Program Site Information

Location of Internship (if different from contact address above)

* In which metropolitan area would you like to be considered to host the internship?

* Proximity of internship location to city public transportation (bus/metro):

* Program Site Street Address

* Number of Employees at Program Site

* How many interns would you like and are able to host?

Direct Supervisor of Training/Internship Program Details

* Prefix

* First Name

* Last Name

* Job Title

* Street Address

Address Line 2

* City

* State

* Zip Code

* Phone Number

* E-mail

* The internship(s) offered can best be described as:

Training/Internship Plan Outline

The Training/Internship Plan serves as a contract for the program outlining the details of the position and informing both parties of the expectations for the program. The plan should be as specific as possible and be individualized for your participant and, in some cases, include multiple phases. It should contain information on how the trainees/interns will accomplish those objectives (i.e. classes, individual instruction, shadowing, etc.). Each phase must build upon the previous phase to show a progression in the training/internship.

* How many phases will take place in this training/internship plan?

* Phase number:

* Anticipated Start Date

* Anticipated End Date

* Name of this phase

* Please describe the goals and objectives for the participant during this phase of the training program. What do you plan for the participant to achieve upon completion of this phase?

* Please provide a list of new skills to be acquired in this phase of the training.

* Briefly explain why the use of "on-the-job" training for the participant is preferable to a strictly theoretical (i.e. classroom instruction, etc.) approach for this training position. How will this training enhance the participant's future career in their home country?

* Provide a detailed chronology or sysllabus of training activities and/or projects in this phase of the training.

1. What training activities will the participant take part in during this phase? To what areas will the participant be exposed during this training?

2. How much time will be spent learning each activity?

* 1. Report how the participant will be supervised during this phase of the training program. How much and in what way will they interact with their supervisor?

2. Report how the participant will be evaluated during this phose of the training program. For example, will the participant receive progress reports or have periodic reviews, and, if so, how often will they occur?

* Phase number:

* Anticipated Start Date

* Anticipated End Date

* Name of this phase

* Please describe the goals and objectives for the participant during this phase of the training program. What do you plan for the participant to achieve upon completion of this phase?

* Please provide a list of new skills to be acquired in this phase of the training.

* Briefly explain why the use of "on-the-job" training for the participant is preferable to a strictly theoretical (i.e. classroom instruction, etc.) approach for this training position. How will this training enhance the participant's future career in their home country?

* Provide a detailed chronology or sysllabus of training activities and/or projects in this phase of the training.

1. What training activities will the participant take part in during this phase? To what areas will the participant be exposed during this training?

2. How much time will be spent learning each activity?

* 1. Report how the participant will be supervised during this phase of the training program. How much and in what way will they interact with their supervisor?

2. Report how the participant will be evaluated during this phose of the training program. For example, will the participant receive progress reports or have periodic reviews, and, if so, how often will they occur?

HOST EMPLOYER OBLIGATIONS AND RESPONSIBILITIES

Program Terms and Conditions (In order for Cultural Vistas to approve the placement of a participant at your organization under Cultural Vistas sponsorhip, you must accept the responsibilites and obligations listed below. Your signature means that you understand and agree to the conditions as stated. This is considered a binding agreement between Cultural Vistas and your organization.)

Sign Below to indicate acceptance and agreement.
I agree to the following conditions:

-I affirm that this application and Training/Internship Placement Plan truly reflect the content of the on-the-job training being extended to the international exchange visitior participant.

-I understand that Cultural Vistas, and not the company or organization that I represent, is the legal sponsor of this program and of this exchange visitor.

-I certify that: sufficient physical plant, equipment, and trained personnel will be dedicated to providing the specified on-th-jo training; the training/internship program is not designed to recruit and train aliens for employment in the United States; and the participant will not displace a full-time or part-time employee of the business.

- As a host employer, I understand that compliance with federal, state, and local labor and wage regulations with respect to the international exchange visitor is my responsibility.

- I agree to immediately notify Cultural Vistas by phone or e-mail, and then by signed letter, of any circumstances that differ from the statements made in this application. Any changes that affect the participant and accompanying dependents will be submitted to Cultural Vistas in advance for approval. Such changes include, but are not limited to, location of program, coneent of program, length of program, and maintenance wages paid.

- To the best of my knowledge, the participant intends to enter the United States for practical training and does not intend to abandon his/her non-immigrant status. I will not encourage nor assist the exchange visitor participant to stay in the United States beyond his/her program end date, which is the end date shown on the Certificate of Eligibility document governing the particpant's admission and stay in the United States. I certify that I will not assist in any way to help a participant change visa categories.

- I agree to respond to any request by Cultural Vistas concerning my organization's participant(s) in a timely manner and to complete any paperwork, including program evaluations within 30 days of end of program, as required by Cultural Vistas.

-I understand that Cultural Vistas has the right to withdraw sponsorhsip from any exchange visitor participant whose host organization does not compley with the Cultural Vistas-sponsored program, complelling that participant to leave the country, and to deny all future applications from that employer.

The Parties [persons or entity named in this application] agree that arbitration is the required and exclusive forum for the resolution of any and all disputes between them. Read the entire arbitration agreement on our website at http://www.culturalvistas.org or request a copy be sent to you by contacting us at 410.997.2200.

By signing below, I am indicating that I have read the entire arbitration agreement statement and my signature on this application verifies my agreement to this provision.

* I understand and agree to the conditions above as set forth in this Host Employer Application. I realize that if I do not fulfill my obligations and responsibilities as stated, Cultural Vistas will end its sponsorship of my organization's exchange visitor program participant(s).

Signature:

* Date

* Title

* Company Name

* Indicates Response Required

Marketing	Finance/Accounting	General Business
Tourism/Hospitality	Liberal Arts	Science/Engineering
Information Technology/Software	Pre-Law	Other