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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?)

1. I have reviewed, understand, and will follow this Training/Internship Placement Plan (T/IPP); 2. I will contact the Sponsor at the earliest possible opportunity if I believe that the Trainee or Intern is not receiving the type of training delineated on this T/IPP; 3.

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