Position Cultural exchange activities Employer Information Why

Transcription

Employer Information
Employer name:
Amusement Management Partners, LLC
Type of business:
Water and Theme Park
Job location:
Magic Springs and Crystal Falls
City:
HOT SPRINGS
State:
AR
Zip:
71901
Website:
www.magicsprings.com
Why choose us?
Magic Springs seeks to employ hundreds of talented, outgoing, responsible individuals each season. We offer the opportunity to work and learn in an exciting,
fast-paced environment which is also one of Arkansas’s top tourist attractions. Our team members make all the difference in the guest experience at Magic Springs.
Come help us make treasured memories!
Cultural
exchange
Every weekend
in July there willactivities
be fireworks and concerts at the park. Most American co workers are very interested in learning about your culture and past J-1's have
made many friends with American coworkers and socialized outside of work.
You can soar 1,200 feet above the city at Hot Springs Mountain Tower overlooking 140 miles of Ouachita Mountain scenery. The National Park Aquarium, houses the
state’s largest fish and reptile exhibit. Get up close and personal with reptiles and animals at the Arkansas Alligator Farm & Petting Zoo.The beauty of nature is on
display at Garvan Woodland Gardens, located on a 210-acre peninsula on Lake Hamilton.At The Gangster Museum of America, learn about the nation’s most notorious
mobsters who liked to hang out (and hide out) in Hot Springs. National Park Duck Tours, Josephine Tussaud Wax Museum, Bathhouse Row and the Belle of Hot
Springs riverboat round out some of the must-see attractions. Hot Springs is the only City in the United States that is entirely located inside of a National Park!
Position
Job title:
General Park Worker - Advanced
Job description and required skills:
You will be trained and assigned to work in one of the following areas: Games: trying to get guests to play games; Ride
Operator: provide guests instructions and operate rides in the park; Food & Beverage: cooking, taking food orders, cabana
area; Retail: working in the gift shops or kiosks selling various items, stocking, pricing items, renting lockers or cabanas;
Guest Services: selling admission tickets, greeting guests as they enter the park. All positions require you do cleaning,
stocking, and you may be required to handle sales transactions with both credit cards and cash. Park open weekends only
May 10-20 and August 14-Sept 8.
English level required:
advanced
Hourly wage (before taxes):
$8.50
Position ID:
29446
Employer: Amusement Management Partners, LLC
Position: General Park Worker - Advanced
Page:
1
Position Information
Tips:
no
Bonus:
no
Estimated hours per day:
7-10
Number of days per week:
4-5
Possibility of students getting more than estimated hours:
slight
If so, is overtime paid at the rate of 1.5 hourly, after 40 hours
of work per week?
yes
Earliest start date:
05/10/2016
Latest start date:
06/06/2016
Earliest end date:
08/15/2016
Latest end date:
08/22/2016
Is the employer willing to hire couples?
no
Is the employer willing to hire group of friends?
yes
Are meals included?
yes
Meals details (discount, cost, # of meals):
Discount given a employee cafeteria while working
Is a drug test required?
no
Is Skype interview required?
no
Do students complete an additional application upon
arrival?
yes
Possibility to find a second job in the area
yes
Second jobs require you to contact CHI at [email protected] or 1-800-432-4643 to receive the required form. The new potential employer will need
to complete it. Both you and the employer will need to sign and return it to CHI for approval.
You can work with a new secondary employer ONLY AFTER you have received written authorization from CHI.
Additional comments regarding second job:
It will be difficult to have a 2nd job with this employer due to the weekly change in your schedule.
You will not have a set schedule.
How soon after arrival will participants begin working?
Within 3 days.
Specific instructions for arrival to employer:
Contact employer via email at least 7 days prior to arrival for more detailed information.
Is training required?
yes
Conditions of training:
You will be trained in one or more of the following areas food and beverage, retail, guest services.
Length of training will vary on position and how quickly you are able to learn and perform job duties
at or above a satisfactory level. General training time is 2-5 days and the pay is at your regular
wage.
Is there possibility to change positions?
yes
Are students required to wear a uniform?
yes
Does employer provide uniform?
yes
Cost of uniform:
Shirt and hat provided
Is uniform refundable?
no
Page:
2
Do students need to purchase specific clothes or footwear?
yes
If so, details for clothing:
You must bring purchase close toed, non skid shoes; khaki (tan) colored shorts or pants. No facial
piercings (stud earrings only), no visible tattoos, no bold hair colors (blue, bright red, pink, purple,
green,etc). Males must be clean shaven, no long hair, no facial hair. In general grooming and
presentation, you are expected to have a clean cut/conservative appearance.
Additional information:
Keep in mind: This is a outdoor park, therefore weather can effect park operation and can cause reduction in hours from time to time. If bad storms come through or there
is allot of rain for 4 days, you will not get your hours that week. Be patient and be flexible. There will be more good weather than bad. You will be standing, walking,
bending, kneeling, squatting throughout the day. Climate in this area has high humidity so even if it is 32 C, if there is high humidity it can feel as if it is 46 C. Drink lots of
water and make sure to wear sunscreen. You may be working outside in the heat in July-Aug average temp is 37 C with heat index.
Housing Information
Housing name:
SU16 - Staybridge Suites - Hot Springs
Housing address:
103 Lookout Circle
City:
Hot Springs, AR 71913
Phone:
501-525-6500
Fax:
501-525-0266
Contact:
Jessica
Email:
Website:
www.Staybridge.com/HotSprings
Housing assisted by:
Must Arrange Own
Is student required to sign a separate housing contract?
yes
If so, contract details:
Student will sign hotel contract upon arrival.
Type of housing:
Motel
Number of people to a room:
4-6
Bedrooms:
1-2
Bath:
1
Estimated cost of housing per week:
See breakdown below
Is housing cost deducted from paycheck?
no
Is housing deposit required?
no
Deposit amount:
0
Housing deposit due date:
N/A
Instructions for deposit payment:
No deposit required.
Is housing deposit refundable?
no
Conditions for deposit refund:
They have the right to change their policy. No deposit required...students must leave the room
damage free or they will charge for damages.
Utilities included:
yes
Page:
3
If so, utilities details:
All utilities included.
Utilities estimated cost per month:
Included
Is the housing mandatory?
no
Method of transportation from housing to work site:
Must arrange own
Transportation details:
The hotel uses the Hot Springs Resort Shuttle. The cost is $10 for 2 people 1 way. You can also
check with the Intracity Transit at the following webpage: cityhs.net/164/Intracity-Transit
Full kitchen, fully stocked room, weekly housekeeping, onsite laundry facility, indoor pool, fitness
Additional housing features:
center, WIFI, free breakfast (hot & cold) and free dinner 3 nights a week!!
Location of work site best described as:
National Park
Location details:
Hot Springs is the eleventh-largest city in Arkansas and the county seat of Garland County. The city
is located deep within the Ouachita Mountains among the U.S. Interior Highlands, and is set among
... Wikipedia
Area: 33 sq miles (85.47 km²)
80 F & up; humid
Average daily temperature:
Community or regional website:
www.hotsprings.org
Nearest cities:
Little Rock, AR 193,524
Distance to nearest cities:
55 Miles
What to wear:
Swimsuit, shorts, tank tops, light jacket, jeans, t-shirts
Available public transportation:
www.cityhs.net
Public transportation access:
Easy
Accessible amenities (by walking or public transportation):
Food market:
yes
Shopping mall:
yes
Post office:
yes
Bank:
yes
Movie theater:
yes
Restaurants:
yes
Fitness center:
yes
Laundry:
yes
Internet café:
yes
Public library:
yes
Comments:
Breakdown of rates...you have 2 room choices. 1 room has 2 double beds, the other room has 1 king and 2 double beds. Here are the rates per person for the room with
2 double beds (sleeps up to 4 people):
1 person - $623pp/pw
2 people -$311.50pp/pw
3 people - $207.67pp/pw
4 people - $155.75pw/pp.
Here are the rates for the 2 bedroom that has 1 king & 2 double beds that sleeps 4-6 people:
4 people - $260.75pp/pw
5 people -$208.60pp/pw
6 people -$173.83pp/pw.
Page:
4
Suggested Travel Information
Nearest international airport:
www.clintonairport.com - LIT
Nearest airport:
www.dfwairport.com - DFW
Transportation from airport to employer and / or housing:
Responsibility of student
Nearest bus station (to the airport):
Greyhound
Bus information (web site):
www.greyhound.com
Nearest train information (to the airport):
Amtrak
Train information (web site):
www.amtrak.com
If participant arrives after hours suggested, overnight
accomodation:
Knights Inn
Cost per night:
$55.00 - $70.00 per night per room
Transportation to overnight accomodation:
www.hotspringsshuttle.com
Transportations cost:
$80.00 one way
Arrive into Hot Springs, where you will need to take a taxi to your housing to rest. Contact your
Specific instructions:
employer by phone to see when to go their office to complete your paperwork. Travel in groups, if
possible, as the taxi will be expensive.
Social Security Information
Does the company require students to have Social
Security number before arriving to the work place?
no
Does the company provide Social Security application
assistance?
no
If so, details:
Monday, Tuesday, Thursday and Friday 9 am - 3pm, Wednesday 9 am - 12 pm
Where is the closest Social Security office?
112 CORPORATE TERRACE, HOT SPRINGS
How far is the Social Security office from the work place?
12 miles
Page:
5
There are 4 housing options that CHI recommends for this employer. Feel free to choose one of the ones
listed below or to find something else on your own.
Name:
SU15 - Knights Inn - Hot Springs
Address:
1871 East Grand Avenue
City:
Hot Springs
Zip Code:
71901
Phone:
501-624-4436
Contact:
Front Desk
ESM: Teresa Ottofaro-Devries
State: AR
Fax:
501-624-5199
Email:
Web Site:
www.hotsprings.org/places/knights-inn
Detailed Housing Information
Must Arrange Own
Is housing mandatory?
no
Housing on site:
no
Is the student required to sign a separate
housing contract?
yes
If so, please provide details:
Students will sign the hotel contract at check in.
Type of housing:
Motel
4
Bedrooms:
1
Bath:
1
$240.45 ($60.11 pp/pw if 4 people share the room)
no
no
Deposit amount:
0
Housing deposit due-date:
N/A
No deposit is required, but they do require that a credit card
be on file during your stay in case there are damages to the
room. There also needs to be at least 1 person per room that
is 21 years or older.
no
Conditions of deposit refund:
They have the right to change their policy. No deposit
required.
Utilities included?
yes
Included
Method of transportation from housing to
work site:
Walking
Transportation details (please indicate how
much it costs, time it takes, how far it is and
The employer is walking distance from this hotel.
on what day/hours can students arrive at
work site or housing):
Features:
WIFI, free continental breakfast, daily housekeeping, outdoor
pool, game room, small refrigerator and coffee maker in each
room.
General Comments:
The room has 2 double beds...the room for just 1 person is
$240.45 per week. If 4 people share the room and split the
cost, it will be $60.11 per person, per week.
Name:
SU15 - Red Roof Inn - Hot Springs
Address:
1125 East Grand Avenue
City:
Hot Springs
Zip Code:
71901
State: AR
Phone:
219-670-4065
Fax:
Contact:
Vishal Patel
Email:
[email protected]
Web Site:
redroofinnhotspringsar.com
Must Arrange Own
no
Housing on site:
no
housing contract?
yes
Type of housing:
Motel
4
Bedrooms:
1
Bath:
1
$100 pp/pw for 4 people in room
no
yes
Deposit amount:
$50.00
Arrival
$50 deposit is non-refundable. 1 week rent is due upon arrival
as well.
no
They have the right to change their policy. Deposit is not
refunded.
Utilities included?
yes
Included
work site:
Walking
This hotel is located down the street from the Water Park, so
no transportation is needed. If you decide to have another
means of transportation, you can also ride a bike or visit the
following website for further transportation option:
cityhs.net/164/Intracity-Transit
Features:
All rooms include microwave, refrigerator, hair dryer, clock
radio, an iron and ironing board and cable TV. Free continental
breakfast each day.
General Comments:
Room service is every other day...additional linens are
available at the front desk. Please call Vishal to get the rate
listed above. Let her know you are a student with CHI.
Name:
SU15 - Staybridge Suites - Hot Springs
Address:
103 Lookout Circle
City:
Hot Springs
Zip Code:
71913
Phone:
501-525-6500
Contact:
Jessica
Email:
Web Site:
www.Staybridge.com/HotSprings
State: AR
Fax:
501-525-0266
Must Arrange Own
no
Housing on site:
no
housing contract?
yes
Type of housing:
Motel
4-6
Bedrooms:
1-2
Bath:
1
See breakdown below
no
no
Deposit amount:
0
N/A
No deposit required.
no
They have the right to change their policy. No deposit
required...students must leave the room damage free or they
will charge for damages.
Utilities included?
yes
Included
Must arrange own
work site:
The hotel uses the Hot Springs Resort Shuttle. The cost is $10
for 2 people 1 way. You can also check with the Intracity
Transit at the following webpage: cityhs.net/164/IntracityTransit
Features:
Full kitchen, fully stocked room, weekly housekeeping, onsite
laundry facility, indoor pool, fitness center, WIFI, free
breakfast (hot & cold) and free dinner 3 nights a week!!
General Comments:
Breakdown of rates...you have 2 room choices. 1 room has 2
double beds, the other room has 1 king and 2 double beds.
Here are the rates per person for the room with 2 double beds
(sleeps up to 4 people): 1 person - $623pp/pw 2 people $311.50pp/pw 3 people - $207.67pp/pw 4 people $155.75pw/pp. Here are the rates for the 2 bedroom that has
1 king & 2 double beds that sleeps 4-6 people: 4 people $260.75pp/pw 5 people -$208.60pp/pw 6 people $173.83pp/pw. Please contact Jessica at the hotel and let her
know you are a student with CHI to get these rates.
Name:
SU15 - Embassy Suites - Hot Springs
Address:
400 Convention Blvd
City:
Hot Springs
Zip Code:
71901
Phone:
501-321-4403
Contact:
Stacey Ellis
Email:
[email protected]
Web Site:
www.hotsprings.org/places/embassy-suites-hotel
State: AR
Fax:
Must Arrange Own
501-624-3225
no
Housing on site:
no
housing contract?
yes
The hotel agreement will be signed by the student upon
arrival.
Type of housing:
Motel
4
Bedrooms:
1
Bath:
1
$236.25 per person based on 4 people sharing
no
yes
Deposit amount:
$300.00
See below
The deposit of $300 is due when the reservation is made.
When the student arrives, they are required to pay the 1st
weeks rent. The $300 deposit will be deducted from the 1st
week's rent. The $300 is per room, so if they are 4 sharing a
room, it will be $75 per person.
yes
They have the right to change their policy. The deposit is only
to reserve the room. It is deducted upon arrival when the 1st
weeks rent is paid in full at check in.
Utilities included?
yes
Included
work site:
Must arrange own
They have an intracity transit...you can find the information on
the following website: cityhs.net/164/Intracity-Transit Please
also check with the employer to see if they have means of
transportation as well.
Features:
Cable Television, Coffee Maker in Room, Data Ports, Free
Continental Breakfast, Free Newspaper, Free Parking, Hair
Dryer In Rooms, Indoor Pool, Iron/Ironing Board In Room,
Microwave Oven in Room, Refrigerator in Room, Restaurant,
Safe Deposit Box, Shops on site and Wireless Internet.
General Comments:
Here is the breakdown per person, per week: 1 person in
room - $735 weekly 2 people in room - $402.50 per person,
per week 3 people in room - $291.69 per person, per week 4
people in room - $236.25 per person, per week Please contact
Stacey Ellis to get these rates. Tell her you are a student with
CHI.
Welcome to Hot Springs, Arkansas, home of Magic Springs & Crystal Falls Amusement Park. If
you love the outdoors, this is the place for you. There is hiking, white water rafting, spas/
baths, rafting, kayaking, restaurants and so much more.
The pay for this job is $8.00 per hour. There are many positions you will be required to do for
this job. You must be flexible and willing to do all of them when you are asked. No exceptions.
SOCIAL SECURITY ADMINISTRATION
Application for a Social Security Card
Applying for a Social Security Card is free!
USE THIS APPLICATION TO:
●
●
●
Apply for an original Social Security card
Apply for a replacement Social Security card
Change or correct information on your Social Security number record
IMPORTANT: You MUST provide a properly completed application and the required evidence before we
can process your application. We can only accept original documents or documents certified by the
custodian of the original record. Notarized copies or photocopies which have not been certified by the
custodian of the record are not acceptable. We will return any documents submitted with your application.
For assistance call us at 1-800-772-1213 or visit our website at www.socialsecurity.gov.
Original Social Security Card
To apply for an original card, you must provide at least two documents to prove age, identity, and U.S.
citizenship or current lawful, work-authorized immigration status. If you are not a U.S. citizen and do not
have DHS work authorization, you must prove that you have a valid non-work reason for requesting a
card. See page 2 for an explanation of acceptable documents.
NOTE: If you are age 12 or older and have never received a Social Security number, you must apply in
person.
Replacement Social Security Card
To apply for a replacement card, you must provide one document to prove your identity. If you were born
outside the U.S., you must also provide documents to prove your U.S. citizenship or current, lawful,
work-authorized status. See page 2 for an explanation of acceptable documents.
Changing Information on Your Social Security Record
To change the information on your Social Security number record (i.e., a name or citizenship change, or
corrected date of birth) you must provide documents to prove your identity, support the requested change,
and establish the reason for the change. For example, you may provide a birth certificate to show your
correct date of birth. A document supporting a name change must be recent and identify you by both your
old and new names. If the name change event occurred over two years ago or if the name change
document does not have enough information to prove your identity, you must also provide documents to
prove your identity in your prior name and/or in some cases your new legal name. If you were born outside
the U.S. you must provide a document to prove your U.S. citizenship or current lawful, work-authorized
status. See page 2 for an explanation of acceptable documents.
LIMITS ON REPLACEMENT SOCIAL SECURITY CARDS
Public Law 108-458 limits the number of replacement Social Security cards you may receive to 3 per
calendar year and 10 in a lifetime. Cards issued to reflect changes to your legal name or changes to a work
authorization legend do not count toward these limits. We may also grant exceptions to these limits if you
provide evidence from an official source to establish that a Social Security card is required.
IF YOU HAVE ANY QUESTIONS
If you have any questions about this form or about the evidence documents you must provide, please visit
our website at www.socialsecurity.gov for additional information as well as locations of our offices and
Social Security Card Centers. You may also call Social Security at 1-800-772-1213. You can also find
your nearest office or Card Center in your local phone book.
Form SS-5 (08-2011) ef (08-2011) Destroy Prior Editions
Page 1
EVIDENCE DOCUMENTS
The following lists are examples of the types of documents you must provide with your application and are not all
inclusive. Call us at 1-800-772-1213 if you cannot provide these documents.
IMPORTANT : If you are completing this application on behalf of someone else, you must provide evidence that
shows your authority to sign the application as well as documents to prove your identity and the identity of the
person for whom you are filing the application. We can only accept original documents or documents certified by
the custodian of the original record. Notarized copies or photocopies which have not been certified by the
custodian of the record are not acceptable.
Evidence of Age
In general, you must provide your birth certificate. In some situations, we may accept another document that
shows your age. Some of the other documents we may accept are:
● U.S. hospital record of your birth (created at the time of birth)
● Religious record established before age five showing your age or date of birth
● Passport
● Final Adoption Decree (the adoption decree must show that the birth information was taken from the original
birth certificate)
Evidence of Identity
You must provide current, unexpired evidence of identity in your legal name. Your legal name will be shown on
the Social Security card. Generally, we prefer to see documents issued in the U.S. Documents you submit to
establish identity must show your legal name AND provide biographical information (your date of birth, age, or
parents' names) and/or physical information (photograph, or physical description - height, eye and hair color,
etc.). If you send a photo identity document but do not appear in person, the document must show your
biographical information (e.g., your date of birth, age, or parents' names). Generally, documents without an
expiration date should have been issued within the past two years for adults and within the past four years for
children.
As proof of your identity, you must provide a:
● U.S. driver's license; or
● U.S. State-issued non-driver identity card; or
● U.S. passport
If you do not have one of the documents above or cannot get a replacement within 10 work days, we may accept
other documents that show your legal name and biographical information, such as a U.S. military identity card,
Certificate of Naturalization, employee identity card, certified copy of medical record (clinic, doctor or hospital),
health insurance card, Medicaid card, or school identity card/record. For young children, we may accept medical
records (clinic, doctor, or hospital) maintained by the medical provider. We may also accept a final adoption
decree, or a school identity card, or other school record maintained by the school.
If you are not a U.S. citizen, we must see your current U.S. immigration document(s) and your foreign passport
with biographical information or photograph.
WE CANNOT ACCEPT A BIRTH CERTIFICATE, HOSPITAL SOUVENIR BIRTH CERTIFICATE, SOCIAL
SECURITY CARD STUB OR A SOCIAL SECURITY RECORD as evidence of identity.
Evidence of U.S. Citizenship
In general, you must provide your U.S. birth certificate or U.S. Passport. Other documents you may provide are a
Consular Report of Birth, Certificate of Citizenship, or Certificate of Naturalization.
Evidence of Immigration Status
You must provide a current unexpired document issued to you by the Department of Homeland Security (DHS)
showing your immigration status, such as Form I-551, I-94, or I-766. If you are an international student or
exchange visitor, you may need to provide additional documents, such as Form I-20, DS-2019, or a letter
authorizing employment from your school and employer (F-1) or sponsor (J-1). We CANNOT accept a receipt
showing you applied for the document. If you are not authorized to work in the U.S., we can issue you a Social
Security card only if you need the number for a valid non-work reason. Your card will be marked to show you
cannot work and if you do work, we will notify DHS. See page 3, item 5 for more information.
Form SS-5 (08-2011) ef (08-2011)
Page 2
HOW TO COMPLETE THIS APPLICATION
Complete and sign this application LEGIBLY using ONLY black or blue ink on the attached or
downloaded form using only 8 ½” x 11” (or A4 8.25” x 11.7”) paper.
GENERAL: Items on the form are self-explanatory or are discussed below. The numbers match the
numbered items on the form. If you are completing this form for someone else, please complete the
items as they apply to that person.
4. Show the month, day, and full (4 digit) year of birth; for example, “1998” for year of birth.
5. If you check “Legal Alien Not Allowed to Work” or “Other,” you must provide a document from a
U.S. Federal, State, or local government agency that explains why you need a Social Security number
and that you meet all the requirements for the government benefit. NOTE: Most agencies do not require
that you have a Social Security number. Contact us to see if your reason qualifies for a Social Security
number.
6., 7. Providing race and ethnicity information is voluntary and is requested for informational and
statistical purposes only. Your choice whether to answer or not does not affect decisions we make on
your application. If you do provide this information, we will treat it very carefully.
9.B., 10.B. If you are applying for an original Social Security card for a child under age 18, you MUST
show the parents' Social Security numbers unless the parent was never assigned a Social Security
number. If the number is not known and you cannot obtain it, check the “unknown” box.
13. If the date of birth you show in item 4 is different from the date of birth currently shown on your
Social Security record, show the date of birth currently shown on your record in item 13 and provide
evidence to support the date of birth shown in item 4.
16. Show an address where you can receive your card 7 to 14 days from now.
17. WHO CAN SIGN THE APPLICATION? If you are age 18 or older and are physically and mentally
capable of reading and completing the application, you must sign in item 17. If you are under age 18,
you may either sign yourself, or a parent or legal guardian may sign for you. If you are over age 18 and
cannot sign on your own behalf, a legal guardian, parent, or close relative may generally sign for you. If
you cannot sign your name, you should sign with an "X” mark and have two people sign as witnesses in
the space beside the mark. Please do not alter your signature by including additional information on the
signature line as this may invalidate your application. Call us if you have questions about who may sign
your application.
HOW TO SUBMIT THIS APPLICATION
In most cases, you can take or mail this signed application with your documents to any Social Security
office. Any documents you mail to us will be returned to you. Go to
https://secure.ssa.gov/apps6z/FOLO/fo001.jsp to find the Social Security office or Social Security Card
Center that serves your area.
Form SS-5 (08-2011) ef (08-2011)
Page 3
PROTECT YOUR SOCIAL SECURITY NUMBER AND CARD
Protect your SSN card and number from loss and identity theft. DO NOT carry your SSN card with you.
Keep it in a secure location and only take it with you when you must show the card; e.g., to obtain a new
job, open a new bank account, or to obtain benefits from certain U.S. agencies. Use caution in giving
out your Social Security number to others, particularly during phone, mail, email and Internet requests
you did not initiate.
PRIVACY ACT STATEMENT
Collection and Use of Personal Information
Sections 205(c) and 702 of the Social Security Act, as amended, authorize us to collect this
information. The information you provide will be used to assign you a Social Security number and
issue a Social Security card.
The information you furnish on this form is voluntary. However, failure to provide the requested
information may prevent us from issuing you a Social Security number and card.
We rarely use the information you supply for any purpose other than for issuing a Social Security
number and card. However, we may use it for the administration and integrity of Social Security
programs. We may also disclose information to another person or to another agency in accordance
with approved routine uses, which include but are not limited to the following:
1. To enable a third party or an agency to assist Social Security in establishing rights to
Social Security benefits and/or coverage;
2. To comply with Federal laws requiring the release of information from Social Security
records (e.g., to the Government Accountability Office and Department of Veterans'
Affairs);
3. To make determinations for eligibility in similar health and income maintenance
programs at the Federal, State, and local level; and
4. To facilitate statistical research, audit or investigative activities necessary to assure the
integrity of Social Security programs.
We may also use the information you provide in computer matching programs. Matching programs
compare our records with records kept by other Federal, State, or local government agencies.
Information from these matching programs can be used to establish or verify a person's eligibility
for Federally-funded or administered benefit programs and for repayment of payments or
delinquent debts under these programs.
Complete lists of routine uses for this information are available in System of Records Notice
60-0058 (Master Files of Social Security Number (SSN) Holders and SSN Applications). The
Notice, additional information regarding this form, and information regarding our systems and
programs, are available on-line at www.socialsecurity.gov or at any local Social Security office.
This information collection meets the requirements of 44 U.S.C. §3507, as amended by Section 2 of the
Paperwork Reduction Act of 1995 . You do not need to answer these questions unless we display a
valid Office of Management and Budget control number. We estimate that it will take about 8.5 to 9.5
minutes to read the instructions, gather the facts, and answer the questions. You may send comments
on our time estimate to: SSA, 6401 Security Blvd., Baltimore, MD 21235-6401. Send only comments
relating to our time estimate to this address, not the completed form.
Form SS-5 (08-2011) ef (08-2011)
Page 4
SOCIAL SECURITY ADMINISTRATION
Application for a Social Security Card
NAME
First
Full Middle Name
Last
FULL NAME AT BIRTH
IF OTHER THAN ABOVE
First
Full Middle Name
Last
TO BE SHOWN ON CARD
1
Form Approved
OMB No. 0960-0066
OTHER NAMES USED
2
Social Security number previously assigned to the person
listed in item 1
3
PLACE
OF BIRTH
5
(Do Not Abbreviate)
Office
Use
Only
City
( Check One )
ETHNICITY
8
SEX
11
12
Yes
7
No
RACE
Select One or More
(Your Response is Voluntary)
Male
DATE
OF
BIRTH
4
FCI
Legal Alien
Allowed To
Work
U.S. Citizen
Are You Hispanic or Latino?
(Your Response is Voluntary)
10
State or Foreign Country
CITIZENSHIP
6
9
-
MM/DD/YYYY
Other (See
Instructions On
Page 3)
Legal Alien Not Allowed
To Work(See
Instructions On Page 3)
Native Hawaiian
American Indian
Alaska Native
Other Pacific
Islander
Black/African
American
White
Asian
Female
First
A. PARENT/ MOTHER'S
NAME AT HER BIRTH
B. PARENT/ MOTHER'S SOCIAL
SECURITY NUMBER (See instructions for 9 B on Page 3)
First
A. PARENT/ FATHER'S
NAME
B. PARENT/ FATHER'S SOCIAL SECURITY
NUMBER (See instructions for 10B on Page 3)
Full Middle Name
-
Last
-
Full Middle Name
-
Unknown
Last
-
Unknown
Has the person listed in item 1 or anyone acting on his/her behalf ever filed for or received a Social Security number
card before?
Yes (If "yes" answer questions 12-13)
No
Don't Know (If "don't know," skip to question 14.)
Name shown on the most recent Social
Security card issued for the person
listed in item 1
First
Full Middle Name
any different date of birth if used on an
13 Enter
earlier application for a card
TODAY'S
14 DATE
MM/DD/YYYY
DAYTIME PHONE
15 NUMBER
MM/DD/YYYY
Last
Area Code
Number
Street Address, Apt. No., PO Box, Rural Route No.
16 MAILING ADDRESS
City
(Do Not Abbreviate)
State/Foreign Country
ZIP Code
I declare under penalty of perjury that I have examined all the information on this form, and on any accompanying statements or forms,
and it is true and correct to the best to my knowledge.
17 YOUR SIGNATURE
18
YOUR RELATIONSHIP TO THE PERSON IN ITEM 1 IS:
Natural Or
Adoptive Parent
Self
Legal Guardian
Other
Specify
DO NOT WRITE BELOW THIS LINE (FOR SSA USE ONLY )
NPN
PBC
DOC
EVI
EVA
EVC
NTI
CAN
PRA
NWR
ITV
DNR
UNIT
SIGNATURE AND TITLE OF EMPLOYEE(S) REVIEWING
EVIDENCE AND/OR CONDUCTING INTERVIEW
EVIDENCE SUBMITTED
DATE
DCL
Form SS-5 (08-2011) ef (08-2011)
Destroy Prior Editions
Page 5
DATE
OPENING DOORS TO THE WORLD SINCE 1980!
CULTURAL HOMESTAY INTERNATIONAL
A Non-Profit Educational Exchange Program
104 BUTTERFIELD ROAD, SAN ANSELMO, CA 94960-1565,
94960
USA
(415) 459-5397 • Fax (415) 459-2182
mail: [email protected] • www.chinet.org
E-mail:
Hello and Welcome to Magic Springs and CHI!
Please print this checklist off and bring it with you on your trip to the United States. There are
many important points to remember and this will help you to keep track of all of the items that
will need your attention
tention upon your arrival.
This list will include:
•
•
•
•
•
•
•
•
Travel and Flight
Information Employer
Arrival instructions
This letter
Social Security
Location information
Housing Information (if you have found your own housing, the email containing your
housing information)
mation) Sponsor and Emergency Contact Information
Before Your Arrival
You will need to make travel arrangements. You should arrive into the Clinton National Airport
(LIT) website is www.clintonairport.com
www.clintonairport.com. If you are arriving into another airport and traveling
traveli
by bus you will want to take the Greyhound bus http://www.greyhound.com to . Be prepared to
take a taxi or shuttle from the airport or bus station to the housing.
Once you make your travel arrangements, you will need to contact CHI with your flight and
travel information. You can do so immediately by registering your information on
www.sevis.org
Remember you must have immediate access to a minimum of $1000 when you enter the United
States. Employers to not pay you in advance or give advances on your salary and it will be 3-5
3
weeks before you receive your first full paycheck! Do not bring $1000 in cash with you, it is not
safe. You want to have some cash, some traveler’s checks and/or a bank card that will work here
that you can access the rest of your money with. If you do arrive with a large amount of cash,
make sure to open a bank account within the first few days so that you may keep your money
safe.
Make your housing arrangements
ements in advance. Housing is getting booked fast so please make
your arrangements TODAY!! There is a list of 4 housing choices at the end of this document. It
is very important that you make your arrangements before your arrival into the United States.
USA • CANADA • JAPAN • KOR
KOREA • EASTERN EUROPE • Partners in 42 Countries
untries on 5 Continents
You may want to contact the other students to arrange your housing together. This will reduce
your housing expenses if you are splitting the cost.
Upon Arrival in the United States
•
•
•
•
•
•
When you enter the US, you will receive your I-94 stamp in your passport. You then
must go online and print out your I-94 number and keep it in your passport at all times.
You will need this number to validate in SEVIS and to apply for your social security
card. This is an extremely important number so please put it in a safe place so that you
know where it is at all times.
Report any lost or damaged luggage before leaving the airport. You will need to give
them the mailing address of your employer if you have lost your luggage. The address is
printed on your job offer.
Since you are responsible for your own housing you will be responsible for making all
arrangements. Please make sure if you arrive late in the evening that you have a place to
stay. There are many hotels near the airport where you can stay. Please make sure you
know where you are going to be staying when you arrive. From the airport, you can take
a taxi. Please remember that you will need to be prepared for these extra costs. Please do
NOT go to the employer with your luggage, they do NOT assist with housing. Make sure
to find the most affordable transportation to your housing.
Call your family to let them know that you have arrived safely.
Validate yourself in SEVIS www.sevis.org within 3 days of entering the U.S.
Notify employer by phone after you arrive to Hot Springs, AR to verify your scheduled
start date and time.
10 Days after Arrival
You will not be able to apply for your Social Security card for 10 days after you enter the U.S.
providing you registered in SEVIS right after arriving.
Make sure you put your employer's mailing address on the form. If you do not put your
employer's address, your Social Security number may not reach you. Your employers mailing
address is:
Your employer's payroll department must also have confirmation that you have applied for your
social security card within 10 to 17 days after registering in SEVIS. When you apply for your
social security number, ask for a receipt, then keep this with you and provide a copy to your
employer, which verifies you have applied for your number.
Social Security Office
112 CORPORATE TERRACE HOT SPRINGS, AR 71913 Phone: 1-855-531-1685
Website: www.socialsecurity.gov
Monthly Check-Ins with CHI
Each month (30 days from the date that you validated in SEVIS) you are required to log in at
www.sevis.org and fill out your monthly report. Please feel free to share stories and photos with
us both good and bad, we are here for you and want to know how you are doing and what you
are experiencing and learning.
Make sure to check your email often as we may send you information about trips, activities in
your area, contests, and so on.
When Filling Out Paperwork for your Employer
Please remember to use your home address in your home country when filling out all tax
paperwork (W-4 and I-9 forms) with your new employers. Also when you leave your employer,
make sure to leave 1 or 2 self-addressed envelopes with your complete address back home on it,
so that they may send you your last paycheck or tax papers.
Practical Information
Cell Phones: Some students may want to carry a cell phone. There are many phone options.
Many cell phone companies require a contract and monthly payments. However, you may wish
to purchase a phone without a contract, using pre-paid minutes. This is a practical, short-term
solution and you do not pay monthly rates. Pre-paid phones are available at a variety of
electronic retail outlets, including Walmart. In this agreement, you are able to purchase prepaid
minutes and do not have to pay a monthly rate. You can ask an associate that works at the cell
phone counter to help you out. They are very kind and will help you pick the best choice. Keep
in mind that international calls from your own personal cell phone can be very expensive. If you
do get a cell phone make sure to log into www.sevis.org and enter in what your cell phone
number is.
Other Wireless Technologies: Skype is also an inexpensive option for you to use to speak with
your family. You can add some dollar credits to your account and call from your computer. The
calls can be made internationally with your computer or phone.
Contact Information
Teresa Ottofaro - Employment Services Manager [email protected]
Elisa Pyle –Program Coordinator – [email protected]
Medical, Police, Fire — Dial 911 in an emergency but only if you need an ambulance or the
police if someone is injured or threatened.
For Questions or Concerns—please contact the CHI main office or the non-emergency number
of the local police department if you have a non-life threatening emergency. CHI’s main office
will take collect calls at any time however; if you are calling from a public phone in the U.S. you
may call this number for free 1-800-432-4643.
Above all, we want you to have a great stay while you are in Hot Springs, AR. Take a lot of
pictures and cherish the memories and friendships you will develop while you are in the States.
Also, your employers would like to remember you as well. Bringing them a little something
special from your home country such as: a key chain, picture postcard, a lapel pin, or perhaps
chocolates would bring them great memories of you and it would certainly bring a smile to their
faces!
Have a spectacular few months! Take care!
Possible Housing Leads
***Please remember this employer does not provide housing and it is the responsibility of the
student to both research and secure their own housing***
•Embassy Suites 400 Convention Blvd
Phone: 501-321-4403 Website: www.hotsprings.org/places/embassy-suites-hotel
Type of housing: Motel
Number of people to a room:4 Bedrooms: 1 Bath:1
Estimated cost of housing per week: $236.25 per person based on 4 people sharing
Deposit amount: $300.
All Utilities included
•Red Roof Inn – Hot Springs 1125 East Grand Ave
Phone 219-670-4065Website: redroofinnhotsprings.com
Type of housing:
Motel
Number of people to a room: 4 Bedrooms: 1 Bath:
1
$100 pp/pw for 4 people in room
All rooms include microwave, refrigerator, hair dryer, clock radio, an iron and ironing board and
cable TV. Free continental breakfast each day.
• Staybridge Suites
103 Lookout Circle
Phone: 501-525-6500 Website: www.staybridge.com/hotsprings
Type of housing:
Motel
4-6 Bedrooms: 1-2 Bath:
1
- $623 per person/per week 2 people -$311.50 per person/per week, 3 people - $207.67 per
person/per week, 4 people - $155.75 per person/per week. Here are the rates for the 2 bedroom
that has 1 king & 2 double beds that sleeps 4-6 people: 4 people - $260.75 per person/per week,
5 people - $208.60 per person/per week, 6 people -$173.83 per person/per week. Please contact
Jessica at the hotel and let her know you are a student with CHI to get these rates.
•Knights Inn – Hot Springs
1871 East Grand Ave
Phone: 501-624-4436 Phone Website: www.hotsprings.org/places/knights-inn
Type of housing:
Motel
Number of people to a room: 4 Bedrooms: 1 Bath:
1
$240.45 ($60.11 pp/pw if 4 people share the
room)
WIFI, free continental breakfast, daily housekeeping, outdoor pool, game room, small
refrigerator and coffee maker in each room.
The room has 2 double beds...the room for just 1 person is $240.45 per week. If 4 people share
the room and split the cost, it will be $60.11 per person, per week
Hello Everyone,
I am writing to introducing myself. My name is Elisa Pyle.
I will be your Program Coordinator for Amusement
Management Partners, LLC while you are in the US. I am so
excited to welcome you to CHI's "Work & Travel Program."
I have been with CHI 10 years. Please contact me with any
questions you may have. We also have a regional Facebook
page. www.facebook.com/CHIsoutheasternUS . Please like
and check regularly for lists of events and things to do in
the area.
Please send your flight information when you have it. Also,
log on www.sevis.org to enter it, as well. Without this
information, we cannot prepare for your arrival.
Most participants usually arrive into New York's JFK
Airport. Here is the link for getting to and from JFK to Penn
Station in Manhattan
(http://www.panynj.gov/airports/jfk-to-from.html), which
is where you will find the Greyhound Bus Station. This is
the most cost effective way to get to Little Rock, AR.
Things to do after you arrive:
1. Log on
https://i94.cbp.dhs.gov/I94/consent.html;jsessionid=
nJJ1VTkQTLbv3D3CtKdLBjQ8WJhPtgDDhWg2BJdpZ
v85dGbctDxm!-1849838597 to apply for your i-94
number. Please print and keep it in a safe place at all
times. You will need it to validate on www.SEVIS.org
and also, applying for your SOCIAL SECURITY number.
2. Log on www.sevis.org to register within three (3) days
of arrival. Make sure you include your room number.
Also, if you change rooms, you must update on SEVIS
right away (within ten (10) days). We, CHI and the US
Department of State, must always have your current
housing address at all times while you are in the US.
3. Wait another ten (10) days to apply for your Social
Security Number (If you go before, it will delay
everything)
4. Monthly reports are to be completed every month.
Failure to adhere to this policy will result in automatic
cancellation of the participant’s J-1 program.
5. Second jobs cannot interfere with your primary
employer at any time. No exceptions.
6. Many students buy a bicycle to get around. Make sure
you buy a helmet, lock, reflectors, head light and a
light colored shirt to be seen when riding.
Please bring your employer a small gift, such as: keychain,
postcard or chocolate. It will bring a smile to their faces
and they will love hearing about your home country.
Thank you,
Elisa
Elisa Pyle
Program Coordinator
1 (513) 399-5250 Fax: 1 (757) 282-7835

Position Cultural exchange activities Employer Information Why

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