Required Employer Information

Sponsors are required to collect specific J1 host employer information. Please provide the information requested here.

General Company Information
Company Name
Company Website
EIN #
Company dba (if applicable)
Company Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Is company address the same as the work address?
- Yes
- No
Participant Work Address
Street Address Address Line 2 City State ZIP Code
Is there more than one potential work address through your company?
- Yes
- No
Please list the name and address for each additional work address.
Point of Contact
Primary Contact Name (Primary person responsible for sponsor communication regarding all J1 participants)
First Last
Primary Contact Job Title
Primary Contact Email
Primary Contact Business Phone
Alternate Phone
Is there a secondary contact?*
- Yes
- No
Secondary Contact Name
First Last
Primary Contact Job Title
Secondary Contact Email
Secondary Contact Business Phone
Required Uploads
Employer Seasonality Survey
Business License
Business License Expiration Date
Workers Compensation
Workers Compensation Expiration Date

General Company Information