Transcription of TRAINING/INTERNSHIP PLACEMENT PLAN
{{id}} {{{paragraph}}}
Example: biology
TRAINING/INTERNSHIP PLACEMENT PLAN
Experience in Field (number of years)Program CategoryTrainee/Intern - I certify that: Annual RevenueTRAINING/ internship PLACEMENT PLANT rainee/Intern Name (Surname/Primary, Given Name(s) (must match passport name)SECTION 1: ADDITIONAL EXCHANGE VISITOR INFORMATIONE-mail Department of StateOccupational CategoryCurrent Field of Study/ProfessionType of Degree or CertificateDate Awarded (mm-dd-yyyy) or ExpectedTraining/ internship Dates (mm-dd-yyyy)FromToSECTION 2: HOST ORGANIZATION INFORMATIONO rganization NamePhase Site Address SuiteCityStateZIP CodeWebsite URLE mployer ID Number (EIN)Exchange Visitor Hours Per WeekCompensationYesNoIf yes, how much?per*OMB APPROVAL NO. 1405-0170 EXPIRATION DATE: 05-31-2024 ESTIMATED BURDEN: hoursWorkers' Compensation PolicyYesNoIf yes, Name of CarrierDoes your Workers' Compensation policy cover exchange Visitors?YesNo, exemptNumber of FT Employees Onsite at Location$0 to $3 Million$3 Million to $10 Million$10 Million to $25 Million$25 Million or MoreDS-700212-2020 Page 1 of 5 Printed Name of Trainee/InternDate (mm-dd-yyyy)Signature of Trainee/InternSECTION 3: CERTIFICATIONSP rogram SponsorNon-Monetary CompensationNo, but equivalent have reviewed, understand, and will follow this TRAINING/INTERNSHIP PLACEMENT plan (T/IPP);2.)
Stipend Yes No If yes, value? per. Sponsor- 1. c. DS-7002 12-2020 Page 2 of 5 Name of Sponsor Organization Printed Name of Responsible Officer or Alternate Responsible Officer Date (mm-dd-yyyy) Program Number Signature of Responsible Officer or Alternate Responsible Officer
Tags:
Information
Domain:
Source:
Link to this page:
Please notify us if you found a problem with this document: