Sie sind auf Seite 1von 10

DocuSign Envelope ID: C9674D7C-766D-4D65-A01E-450FE06A6C4C

Summer 2016 Job Placement Agreement


Sponsor Information
Sponsor Address

Sponsor Support Email Address


iwtsupport@intraxinc.com

Intrax Work Travel


600 California Street, 10th Floor
San Francisco, CA 94108

Sponsor Support Phone Number


1.888.224.0450

Participant Information
Exchange Visitor Name
Igor Trifan
Program Start Date
05/23/2016
SEVIS ID

Program End Date


09/13/2016

Exchange Visitor Intrax ID


I-0810753
Gender
Male
Birth Country
Moldova, Republic of

Birthdate
08/16/1994
Birth City
Calarasi

Mailing Address
122 Alexandru Cel Bun str
Calarasi, , 4404, Moldova, Republic of

Citizenship
Moldova, Republic of
Phone
37369883277

School Name
Academy of Economic Studies from Moldova

Email
igor.trifan.1994@gmail.com

Legal Residence
Moldova, Republic of
Mobile

Employer Information
Host Company Name
CJ Management at Ocean Edge
Host Company Address
660 Villages Dr
Brewster, MA, 02631, United States

Industry
Hospitality
Host Company Phone
(508) 896-2345
Host Company Email
Host Company Website (if available)
http://www.corcoranjennison.com/cjh.html

EIN (Employer ID Number/Federal Workers Compensation Policy


Tax ID)
Number
26-00301149
WCZ 91509309045

Workers Compensation Policy Carrier


Liberty Mutual Fire Ins

Position Details
Position Title
Intrax Position Code
Start Date
End Date
Groundskeeper
PC170824
05/23/2016
09/13/2016
Site of Activity (Employer address where work will take place not a P.O. Box unless a national park)
660 Villages Dr , , Brewster MA , 02631 , United States
Position Description
Summer Groundskeeping Position:

DocuSign Envelope ID: C9674D7C-766D-4D65-A01E-450FE06A6C4C

Summer 2016 Job Placement Agreement

As a summer employee with CJ Management at Ocean Edge, your main responsibilites will be to maintain the
grounds and gardens of the property, including outside private houses. Your pay rate will be $13.50 per hour.
Intermediate to Advanced English is required as you will be interacting with American supervisors and co-workers
and American homeowners on a regular basis.
You must be willing and able to work outdoors for 8 hours per day, including in the hot and humid weather on Cape
Cod.
You must arrive to work on the first day with good, hard-sole work boots. If you do not have work boots, you will not
be able to work that day. No sneakers, tennis shoes, or sandals allowed.
You must start work on the day agreed upon during the interview, no later than June 10, 2016.
You must have already applied for your Social Security Number (SSN) in order to begin work. Please plan to arrive
at least 3-5 days before your first day of work, so you can check-in with Intrax, then wait 3-5 days to apply for your
Social Security Card in Hyannis. Keep the receipt from the Social Security Office after you apply and bring it with
you on your first day of work, to show that you have successfully applied for your SSN.
------SECOND JOBS
It is possible for participants to obtain a second job, but the second job must not interfere with the schedule for your
job at CJ Management.
Intrax participants are not permitted to work a second job without first receiving approval from Intrax.
____
HOUSING
Housing is not provided by your employer. Intrax will provide you with housing leads. You must reserve your housing
by contacting the landlords and housing leads that Intrax provides to you.
There is no wi-fi access on CJ Management property.
Required Duties
*clean and maintain public areas *pick up trash and debris *maintain trash rooms *clear walkways, parking areas,
and patios of leaves and debris *plant, weed, and mulch flower beds *rake lawns and plant beds *maintain a friendly
attitude with home owners and their guests *use a push lawn mower, week wacker, and back pack blower. *other
tasks as assigned by supervisor
Pay Frequency Average Employment Hrs/Week
Starting Hourly Pay Rate
Hourly Overtime Rate
Twice Monthly
40
13.50
20.25
Additional Details on Employment Hours
Tipped Position
Overtime Available
Yes
Typical Schedule
Shifts are 7:30 am until 4:00 pm, Monday through Friday. Overtime MAY be able in May and June, but it is not
guaranteed.
Pay Notes
You will be paid bi-weekly.
Position Supervisor Name
Supervisor Role

DocuSign Envelope ID: C9674D7C-766D-4D65-A01E-450FE06A6C4C

Summer 2016 Job Placement Agreement

Myrna Denny

Other Position Information


Supplies Required
Must have hard sole work boots. No sneakers or sandals.
Special Notes
Company Policies
Is Company Provided Housing Available?
No

Estimated Supplies Cost


40.00

Housing and Transportation Brewster, MA Craigslist


Host Recommended
Host Arranged Housing
No
Housing
No
Estimated Cost per Week Additional Costs (if available)
125.00
Most housing locations will require a security deposit at move in. This is
usually returned to you when you move out, provided you have not
caused damage to the housing and you stay the length of your
agreement. Some housing locations may require you to pay for utilities
such as electric, water or trash removal. Some housing may include all
utilities. Be sure to ask if utilities are included in the rent
Estimated Weekly Cost:
Commute
Estimated Estimated Distance
Options
Commute This depends on the housing location you select. Housing may be within
walking or biking distance or may require using the public shuttle bus.
Walking;Bicycle Cost
Features (if available)

Type of
Housing

Transportation
Provided
No
Gender
Restriction (if
any)
None

Description and Details (if available)


1. A great place to find housing is on a web page called Craigslist. Go to: www.craigslist.com Select : United States
Select your state: Massachusetts Select your region: Cape Cod Select: Housing Select: Apartments Houses
Room Shares or Short Term/ Sub Lease. Be sure to look for housing that is listed in: Brewster When contacting
advertisements for housing please be sure to ask if they are located near your work location. You can usually reply
to the ads by email. Click the REPLY TO THIS ADD button to contact the person renting the housing. If you cannot
reply to the ad from the site the advertisement will have a contact phone number or email listed in the ad. When
using Craigslist to find housing NEVER send money to a landlord ahead of time. You should make arrangements to
pay for your housing when you arrive. Again... DO NOT SEND MONEY FOR HOUSING BEFORE YOU ARRIVE.
Additional Information (if any)

Housing and Transportation Mid Cape J-1 Housing Program


Host Recommended Housing
No
Estimated Cost per Week
80.00
Commute Options

Estimated Commute Cost

Host Arranged Housing


No
Additional Costs (if available)
80.00 to 100.00 weekly rent.
Estimated Weekly Cost:
Estimated Distance

Type of Housing

Transportation Provided

DocuSign Envelope ID: C9674D7C-766D-4D65-A01E-450FE06A6C4C

Walking;Bicycle;Bus
Features (if available)

Summer 2016 Job Placement Agreement

No
Gender Restriction (if any)
None

Description and Details (if available)


Various homestays are arranged by a local church group. You will be staying with families in their home, so you
must be respectful of their quiet hours and property. Please visit the program's website http://midcapej1housing.org/
to fill out an application, then submit it to Cathy Boyle at catherine.boyle@midcapej1housing.org.
Additional Information (if any)

Housing and Transportation Intrax Housing Leads


Host Recommended Housing Host Arranged Housing
Type of
No
No
Housing
Estimated Cost per Week
Additional Costs (if available)
125.00
Average housing costs in this area of the country are approximately
$100-$150 per week. Some housing may be less and some may be
more based on location and amenities. Housing application fee and
deposit is a common requirement in some places. Housing Deposit
is refundable pending condition of rental at time of departure. The
majority of housing locations will include all utilities. Some housing
locations may also require you to pay for utilities ( Electric, Water,
Wifi, Television, Trash removal) Please make sure you ask about
utilities and furniture when you are making your housing
arrangements. You will need to know if the furniture is provided and
if you must pay for your own utilities ( Water, Electric, Etc.) DO NOT
WAIT UNTIL YOU ARRIVE IN THE UNITED STATES TO
ARRANGE YOUR HOUSING. PLEASE CONTACT THE HOUSING
LEADS ARRANGED FOR YOU AS SOON AS THEY BEGIN TO
APPEAR ON THE JOB DESCRIPTION OR AS SOON AS THEY
ARE EMAILED TO YOU. Many participants find it difficult to find
housing once they arrive. We cannot stress enough that you must
arrange your housing before leaving your home country.
Estimated Weekly Cost:
Commute Options Estimated Estimated Distance
Transportation
Walking;Bicycle;Bus Commute This will depend on the housing location you arrange.
Provided
No
Cost
Features (if available)
Gender
Restriction (if
any)
None
Description and Details (if available)
Housing is not provided by your employer, but Intrax will assist in sourcing housing and giving you housing leads.
Intrax is currently working on securing housing leads for you and these will be added to the Job Description as they
are arranged. Please be sure to check your Position Description and review new housing leads that have been
found for you. In most cases it will be YOUR Responsibility to contact the housing leads and reserve your housing.
In some cases, Intrax will assist in collecting leases from you and sending to the landlord. Please be sure to read the
Accommodations Options carefully to make sure you know how to contact the housing you are interested in living in.
DO NOT WAIT UNTIL YOU ARRIVE TO FIND HOUSING. It is very important that you arrange your housing before
traveling to the United States. Once you have selected and arranged your housing, please notify Intrax of where you
will be living.
Additional Information (if any)

DocuSign Envelope ID: C9674D7C-766D-4D65-A01E-450FE06A6C4C

Summer 2016 Job Placement Agreement

Housing and Transportation Rodeway Inn


Host Recommended Housing
No
Estimated Cost per Week
100.00
Commute Options Estimated Commute Cost
Bicycle;Bus
Features (if available)

Host Arranged Housing


No
Additional Costs (if available)
Estimated Weekly Cost:
Estimated Distance
4.0 miles

Type of Housing
Motel/Hotel/Hostel

Transportation Provided
No
Gender Restriction (if any)
None

Description and Details (if available)


Motel in Orleans. About $100/week for students, until end of June, price will increase beginning of July, may not be
able to stay full summer. Please contact Mike Patel at 508.255.1514.
Additional Information (if any)

Housing and Transportation Jeff Booth Housing


Host Recommended Housing
Yes
Estimated Cost per Week
150.00
Commute Options Estimated Commute Cost
Walking;Bicycle
Features (if available)

Host Arranged Housing


Yes
Additional Costs (if available)
Estimated Weekly Cost:
Estimated Distance

Type of Housing

Transportation Provided
No
Gender Restriction (if any)
None

Description and Details (if available)


Walking distance to Ocean Edge and the beach! One room with twin beds. Use of kitchen, living room, deck. Large
yard. NO linens provided. Asking $150 per week per student Owner has a 6 year old son. Rules: No smoking on
premises No drinking on premises No partying on premises Please contact Jeff at: boothjeff@yahoo.com
Additional Information (if any)

Housing and Transportation Mark Ferron


Host Recommended Housing
No
Estimated Cost per Week

Host Arranged Housing


No
Additional Costs (if available)

Type of Housing
Single Family House

Estimated Weekly Cost:


Commute Options Estimated Commute Cost Estimated Distance
Transportation Provided
Walking;Bicycle
5.3 miles
No
Features (if available)
Gender Restriction (if any)
Dryer;Kitchen;Washer
Female Only
Description and Details (if available)
2 spots available. Girls only. 2 to share 1 room. Washer/dryer, full house priveleges. Please contact Mark at
508-255-7327.
Additional Information (if any)

DocuSign Envelope ID: C9674D7C-766D-4D65-A01E-450FE06A6C4C

Summer 2016 Job Placement Agreement

Housing and Transportation Chris Brondsdon


Host Recommended Housing
No
Estimated Cost per Week

Host Arranged Housing


No
Additional Costs (if available)

Type of Housing
Single Family House

Estimated Weekly Cost:


Commute Options Estimated Commute Cost Estimated Distance
Transportation Provided
Walking;Bicycle
2.8 miles
No
Features (if available)
Gender Restriction (if any)
Kitchen;Wireless Internet
None
Description and Details (if available)
6-8 spots available. Flat rate - entire house covers wifi, internet, trash, electricity, etc Please contact Chris at
760-707-9432 or christopherbronsdon@yahoo.com.
Additional Information (if any)

Housing and Transportation Dario Sigeurredo


Host Recommended Housing
Yes
Estimated Cost per Week

Commute Options Estimated Commute Cost


Walking;Bicycle
Features (if available)

Host Arranged Housing


Yes
Additional Costs (if available)
Estimated Weekly Cost:
Estimated Distance
1 mile

Type of Housing
Dormitory

Transportation Provided
No
Gender Restriction (if any)
Male Only

Description and Details (if available)


12 spots available. Has entire house. Owner on property in separate building. Only boys. Semi-private dormitory
style rooms. Located on the bike trail. Please contact Dario at: 508-896-5530 home 774-487-7470 cell or email
radario@comcast.net.
Additional Information (if any)

Housing and Transportation John Paul and Vilma Sweezey Homestay


Host Recommended Housing
Yes
Estimated Cost per Week

Commute Options Estimated Commute Cost


Walking;Bicycle;Bus
Features (if available)

Host Arranged Housing


Yes
Additional Costs (if available)
Estimated Weekly Cost:
Estimated Distance
4.6 miles

Type of Housing
Single Family House

Transportation Provided
No
Gender Restriction (if any)
None

Description and Details (if available)


There are up to 12 spots available with this family. 4 bedrooms. Bicycles available to rent.
Additional Information (if any)

DocuSign Envelope ID: C9674D7C-766D-4D65-A01E-450FE06A6C4C

Summer 2016 Job Placement Agreement

Housing and Transportation Alex Nichols Homestay


Host Recommended Housing
Yes
Estimated Cost per Week
125.00
Commute Options Estimated Commute Cost
Walking;Bicycle
Features (if available)

Host Arranged Housing


Yes
Additional Costs (if available)
Estimated Weekly Cost:
Estimated Distance
0.8 miles

Type of Housing
Single Family House

Transportation Provided
No
Gender Restriction (if any)
None

Description and Details (if available)


Please contact Alex at 518-461-8963 or ecorealty@nycap.rr.com for more information.
Additional Information (if any)

Housing and Transportation Dawn Fox Homestay


Host Recommended Housing
Yes
Estimated Cost per Week

Commute Options Estimated Commute Cost


Walking;Bicycle
Features (if available)

Host Arranged Housing


Yes
Additional Costs (if available)
Estimated Weekly Cost:
Estimated Distance
2.7 miles (4.3 km)

Type of Housing
Single Family House

Transportation Provided
No
Gender Restriction (if any)
None

Description and Details (if available)


2 bedrooms: 2 twin/1 queen bed. Share a bathroom. 26 y/o son is staying in house 2nd floor. Washer/Dryer avail.
Please contact Dawn at: 774-722-4772 or spoiled_bratt77@msn.com
Additional Information (if any)

Housing and Transportation Moore Family Homestay


Host Recommended Host Arranged Housing
Yes
Housing
Yes
Additional Costs (if available)
Rent is $150 per week. $150 deposit and first week's rent are due upon
arrival, deposit will be applied to final week's rent. House is close to Cape
Cod bus line. Students are strongly encouraged to purchase a $60 bus pass
for each month. It is much safer to take the bus than to bike.
Estimated Weekly Cost:
Commute Estimated Estimated Distance
Options
Commute 2.0 miles (3.2 km)
Bicycle;Bus Cost
Features (if available)
Dryer;Internet;Kitchen;Washer

Type of
Housing
Single Family
House

Estimated Cost per


Week
150.00

Transportation
Provided
No
Gender
Restriction (if
any)
Female Only

DocuSign Envelope ID: C9674D7C-766D-4D65-A01E-450FE06A6C4C

Summer 2016 Job Placement Agreement

Description and Details (if available)


Moore family in Brewster is open to 4 female students. Please arrive as close to May 1 as possible. Laundry and
bikes are included. Utilities, towels, and linens also included. Quiet hours are 9pm to 5am. No drugs, weapons, or
smoking allowed. You must be respectful of family rules and property. Please contact Elizabeth Brewster at
teadiva@hotmail.com if you would like to reserve your spot. You must contact her BEFORE you arrive.
Additional Information (if any)

Housing and Transportation Nancy Brown Homestay


Host Recommended Housing
Yes
Estimated Cost per Week

Host Arranged Housing


Yes
Additional Costs (if available)

Commute Options Estimated Commute Cost


Walking;Bicycle
Features (if available)

Estimated Weekly Cost:


Estimated Distance
1 mile (1.6 km)

Type of Housing
Single Family House

Transportation Provided
No
Gender Restriction (if any)
Female Only

Description and Details (if available)


Housing for 4 FEMALE students only at Nancy Brown's home. Nancy's 17 year old granddaughter is on property, as
well as 2 dogs and 1 cat. No washer/dryer. Please call 508-896-6157 for more details and to reserve your place.
Additional Information (if any)

Housing and Transportation Rose Gerardi Homestay


Host Recommended Housing
Yes
Estimated Cost per Week

Host Arranged Housing


Yes
Additional Costs (if available)

Type of Housing
Single Family House

Estimated Weekly Cost:


Commute Options Estimated Commute Cost Estimated Distance
Transportation Provided
Walking;Bicycle
0.6 miles (0.9 km)
Yes
Features (if available)
Gender Restriction (if any)
Dryer;Washer
Female Only
Description and Details (if available)
Please contact Rose Gerardi for more details: 508.237.4704 or rosinagerardi@yahoo.com. Washer & Dryer,
Bicycles avail. Prefers female tenants.
Additional Information (if any)

Housing and Transportation George Noyes Homestay


Host Recommended Housing
Yes

Host Arranged Housing


Yes

Estimated Cost per Week


125.00

Additional Costs (if available)


Weekly rent is $125. $15/month for utilities. Bikes are
available to use for a $75 deposit.
Estimated Weekly Cost:
Estimated Distance

Commute

Estimated

Type of Housing
Single Family
House

Transportation

DocuSign Envelope ID: C9674D7C-766D-4D65-A01E-450FE06A6C4C

Options
Commute Cost
Bicycle
Features (if available)
Internet;Kitchen

Summer 2016 Job Placement Agreement

2.8 miles (4.5 km)

Provided
No
Gender
Restriction (if any)
Female Only

Description and Details (if available)


Two bedrooms, housing 4 female participants, are available starting June 2. Please contact Bud Noyes at
gnatcape@aol.com to reserve a spot. You will have kitchen access, provided you clean up any messes. Please be
respectful of owner's property.
Additional Information (if any)

Housing and Transportation Sara's Homestay


Host Recommended Housing Host Arranged Housing
No
No
Estimated Cost per Week
Additional Costs (if available)
100.00
The cost will vary depending on the area and the housing
accommodations style ($100-125). Please verify whether wireless
internet and laundry facilities are available and if there is an extra
cost for utilities.
Estimated Weekly Cost:
Commute Options Estimated Estimated Distance
Walking;Bicycle;Bus Commute Distance depends on the homestay location.
Cost
Features (if available)

Type of
Housing

Transportation
Provided
No
Gender
Restriction (if
any)
None

Description and Details (if available)


Sara's Homestay is a trusted website where you can search for families who are looking to rent out a room in their
home for others to stay. Please visit https://sarahomestay.com/ , enter Massachusetts for the State, then select
"Cape Cod" under City/Neighborhood. Enter the dates you will be staying in the area and hit Search. Although this
website is trusted, please be careful when accepting offers. Avoid scams or offers that seem "too good to be true."
Please contact your partner agency or your Intrax representative to discuss any questionable housing offers.
Additional Information (if any)

Housing and Transportation Cape Cod Summer Work Program


Host Recommended Housing
No
Estimated Cost per Week

Host Arranged Housing


No
Additional Costs (if available)

Commute Options Estimated Commute Cost

Estimated Weekly Cost:


Estimated Distance

Features (if available)

Type of Housing

Transportation Provided
No
Gender Restriction (if any)
None

Description and Details (if available)


J1 Participants, working in the Cape Cod area can visit the Cape Cod Chamber of Commerce Website for important
information about working in the Cape Cod area, resources available to you and links to assist with finding housing.

DocuSign Envelope ID: C9674D7C-766D-4D65-A01E-450FE06A6C4C

Summer 2016 Job Placement Agreement

Go to: www.capecodchamber.org/summerjobs
Additional Information (if any)

Contract Agreement
Sponsor Statement:
Intrax has contacted the employer by phone or in person to verify the employment offer and information in this
agreement. As a designated J-1 visa sponsor for the U.S. Department of State regulated Summer Work Travel
Program (22 C.F.R., Part 62), Intrax has approved this Job Placement Agreement and determined the participant is
eligible to accept the employment offer. Continued sponsorship of the participant is dependent on adherence to the
agreement made here between the employer and participant.
Summer Work Travel Participant - I certify the following:

I acknowledge I have reviewed, understood and agree to all the terms of this job agreement;
I understand that, while they will make good faith efforts, neither the employer nor Intrax can guarantee the
terms of this agreement and that my duties and responsibilities are subject to change according to the needs
of the employer or other unforeseen circumstances;
I agree to hold the employer and Intrax harmless for any financial loss I incur as a result of a change in terms
of this agreement;
I understand that either myself or the employer may end the employment relationship at any time with or
without prior notice according to applicable employment laws;
I agree to contact Intrax immediately if I am let go by my employer (fired) or if I plan to end my employment
voluntarily;
I agree that I will not begin work at a new job until Intrax has approved the job placement and company; and
I understand that, while I will always receive Intraxs support, I am responsible for securing housing on my
own if it is not provided by the employer as indicated in this agreement.
Summer Work Travel Participant Signature

Date (mm/dd/yyyy)

JobPart-DateSigned

JobPart-Signature

Print Name
Igor Trifan

Das könnte Ihnen auch gefallen