Company Background and
Contact Information
Company
name:
Parent Company (if
any):
Owner of Company:
Date Business was
Founded:
Number of years in
business:
please select
1 2
3 4
5 6
7 8
9 10
11 12
13 14
15 16
17 18
19 20+
What type of
Company:
please select
Private Corporation Other
Business license #:
Business license issued
by:
Mailing address:
,
Contact Person:
Contact Person's Title
(i.e. Director)
Contact Phone:
Contact Fax:
Contact E-mail:*
Company Website:
Number of Full Time
Employees:
please select
5 5 - 10 10 -
20 20+
Number of Offices in
main country of operation:
please
select 1 2
3 4
5+
Offices in other countries
Please select...
United States
Afghanistan
Albania
American Samoa
Andorra
Angola
Anguilla
Antigua
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Benin
Bermuda
Belize
Bolivia
Bosnia-Herzegovina
Botswana
Bhutan
Brazil
British Virgin Is.
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Chad
Cayman Islands
Chile
China
Colombia
Congo
Congo Dem. Rep. of
Cook Islands
Croatia
Costa Rica
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faeroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malaysia
Malawi
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Namibia
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Paraguay
Palau
Palestine Autonomous
Panama
Papua New Guinea
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saipan
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Singapore
Slovak Republic
Slovenia
South Africa
South Korea
Spain
Sri Lanka
St Kitts/Nevis
St Lucia
St Vincent
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tanzania
Thailand
Togo
Trinidad/Tobago
Tunisia
Turkey
Turkmenistan
Turks & Caicos
U.A.E.
U.S. Virgin Islands
Uganda
Ukraine
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Wallis & Futuna
Yemen
Zambia
Zimbabwe
Participant
Recruitment
What countries are you
recruiting from?(Press Ctrl for multiple
selections)
please
select Algeria
American Samoa
Andorra Angola Anguilla Antigua Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire Bosnia and
Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape
Verde Central African
Republic Chad Chile China Colombia Comoros Congo - Brazzaville
Congo - Kinshasa
Costa Rica Croatia Cuba Cyprus Czech Republic Dahomey Denmark Djibouti Dominica Dominican Republic
Ecuador Egypt El
Salvador England, United
Kingdom Equatorial Guinea Estonia Ethiopia Fiji Finland France Gabon Gambia Germany Ghana Greece Grenada Guadeloupe Guam Guatemala Guinea-Bissau Guyana Haiti Honduras Hong Kong, P.R.C. Hungary Iceland India Indonesia Iran Iraq
Ireland Israel Italy Ivory
Coast Jamaica
Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta
Marshall Islands
Mauritania Mauritius Mexico Moldova Mongolia Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria North Korea Northern Ireland,
United Kingdom Norway
Oman Pakistan Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Republic of Georgia
Romania Russia Rwanda San
Marino Saudi
Arabia Scotland, United
Kingdom Senegal
Serbia Seychelles Sierra Leone Singapore Slovak Republic Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Southern Caribbean
Spain Sri Lanka St. Helena St. Pierre and
Miquelon Sudan Surinam Svalbard and Jan
Mayen Islands Swaziland Sweden Switzerland Syria Syrian Arab Republic
Taiwan Tajikistan Tanzania Thailand Tibet Tobago Togo Tokelau Tonga Trinidad Trinidad and Tobago
Tunisia Turkey Turkmenistan Turks and Caicos
Islands Tuvalu
Uganda Ukraine United Arab Emirates
United Kingdom
United States Uruguay Uzbekistan Vanuatu Vatican City State
(Holy See) Venezuela Vietnam Virgin Islands
(British) Virgin Islands (U.S.)
Wales, United
Kingdom Wallis And Futuna
Islands Western
Sahara Western
Somoa Yemen Yugoslavia Zaire Zambia Zimbabwe Other
Does your country
require registration with the government to operate a work
exchange program?
Please select...
Yes
No
If yes, what is the
date of your registration?
Please describe in
detail how you recruit workers:
Please describe in
detail how you assess the English proficiency of your
applicants:
Program
Information
Have you previously
sent workers to the United States?
Please select...
Yes
No
If so, how many H2B
workers per year?
For 2007? For 2006?
If so, how many J1 workers per year?
For 2007? For 2006?
How many visas were
denied by percentage of applicants that were interviewed for H-2B?
How many visas were denied by percentage of applicants that were interviewed for J-1?
What job positions are
your participants interested in?
What area(s) of the
United States are your participants interested in?
Do you place
participants in other countries besides the U.S.?
Please select...
Yes
No
If so, where?
What other work
exchange programs do you have experience with?
References
Please
provide at least three business references of companies you
work with either in the U.S. if you send workers to the US or in Europe if you do not send workers to the US:
Reference
#1
Business Name:
Contact Name:
Contact Title:
E-Mail Address:
Phone Number:
Number of years working
with business:
Reference
#2
Business Name:
Contact Name:
Contact Title:
E-Mail Address:
Phone Number:
Number of years working
with business:
Reference
#3
Business Name:
Contact Name:
Contact Title:
E-Mail Address:
Phone Number:
Number of years working
with business:
Other
How did you hear about
AWV?
Additional Feedback?
Thank you for
completing this Potential Partner Questionnaire! Based on
overseas representative availability in your country, we will
be sure to contact you for further information about your
company.