ASSEAspire Covid Form 08.20.2020 Fillable

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Host Employer Information - ASSE Aspire Work Travel Program

ASSE ASPIRE appreciates your participation in the Work Travel Program this winter season. In compliance with
U.S. Department of State guidance to ensure the health and safety of participants, the following information will be
required for every Host Employer prior to participant arrivals. Thank you for your cooperation in this matter.

1. If your business has laid off workers in recent months, will all American staff be re-hired before
accepting exchange visitors?
Yes No

2. Please provide the steps your business has taken to hire American workers to fill your job
positions.

3. In light of the COVID-19 pandemic, please describe how it has been determined the J1 Exchange
Visitor employment is seasonal and your place of business requires labor levels above and beyond
existing American worker levels?

4. Will your business follow the guidance of the Centers for Disease Control on social distancing, the
Department of Labor’s “Guidance for Preparing Workplaces for Covid-19, and any other state/local
government requirements?
Yes No

5. Please describe the COVID-19 workplace safety measures your place of business has instituted.

We understand that it is a busy time for everyone and appreciate your cooperation.

X _________________________________________________________________________________________________ Date__________________________
Host Company Signature

ASSE Aspire Worldwide


228 North Coast Highway · Laguna Beach, CA 92651 · Fax (949) 494 -4280 · Phone: (949) 497-3310 08/20/2020

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