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Host Organization Requisition Form

Use this form to send over your open positions. This information will be used to advertise your openings on our website.    To fill in a PDF version click here and email to info@ieexchanges.com
Host Name:
Address:
City:
State
Zip Code
Website:  
Contact Person:
Phone Number:
Fax Number:
E-mail Address:
Open Positions (Please provide a job description for each position listed)
Position:
Number of Placements
Hourly Rate:
Paid
Preferred Start Date
To
Position:
Number of Placements
Hourly Rate:
Paid
Preferred Start Date
To
Position:
Number of Placements
Hourly Rate:
Paid
Preferred Start Date
To
Position:
Number of Placements
Hourly Rate:
Paid
Preferred Start Date
To
To
Housing and Transportation
If no, please describe how your company will assist the student to locate housing
How far is housing from the work site?
Cost for Housing:
Per
Security Deposit:
What means of transportation will be available 
for the student to travel to work?
Estimated daily cost for transportation:  
Do you require criminal background checks?  
Drug Testing?:  
Additional Requirements:  
Position:
Number of Placements
Hourly Rate:
Paid
Preferred Start Date
Is Housing Provided?  
Weekly
Bi-Weekly
Weekly
Bi-Weekly
Weekly
Bi-Weekly
Weekly
Bi-Weekly
Weekly
Bi-Weekly