Professional Documents
Culture Documents
JOB
OFFER
FORM
EMPLOYER
SECTION
Corporate
Registered
Name
Sea
Business Type
Gift Shop
Shell Shop
State
of
Business
Registration
DE
2010111223
Carrier Name
Cincinati
Insurance
Rehoboth
Beach
Rehoboth
302-326-6232
Policy Number
DE
State
119
WC1924295-05 (302-875-7591)
CPp10
12/31/2015
Workers Compensation Insurance Certificate Besides the below information, a copy of the certificate must be provided
Beach
State
YES NO
302-227-4323
Fax Number
302-227-2694
shells@delaware.net
Supervisor Name
Patty
302-227-4323
Derrick
19971
Zip Code
10
Total number of J1 placements available with CSB at this location this hiring season
19971
Zip Code
seashellshop.com
Mobile Number
302-542-0537
to 25
shells@delaware.net
Social
Security
Number
-
Participants
arrive
directly
to
their
host
sites
and
will
be
able
to
apply
for
the
Social
Security
Number
after
arrival
and
check-in
with
CSB
Social
Security
Application
Assistance
NO
YES
Hours of Contact
AM
PM Distance (miles)
EMPLOYMENT
REQUIREMENTS
START
DATE*
05/01/2015
Earliest (mm/dd/yyyy)
END DATE*
09/01/2015
Earliest (mm/dd/yyyy)
06/25/2015
Latest
(mm/dd/yyyy)
Latest
(mm/dd/yyyy)
10/31/2015
*
Note:
The
participant
must
arrive
according
to
the
start
date
on
the
Form
DS-2019
and
is
eligible
to
work
only
during
the
program
dates
on
the
Form
DS-2019.
These
dates
observe
the
limits
of
his/her
official
summer
vacation
period,
up
to
a
maximum
of
4
months.
Social
Security
Number
(SSN)
must
Social
Security
Number
(SSN)
must
NO
English
Level
Requirement
Basic Intermediate
Advanced
be
issued
to
be
begin
working
YES
be
issued
to
get
paid
YES NO
Skills
Required
English
Physical Demands
to wait on customers
none
Prerequisites
zero
JOB
INFORMATION
Patty
Derrick
Sales
$ 8.00 Payroll
Signature
35+
Sales/
Job Description
Tips Available
NO
YES
$ 7.75
Overtime Available
YES NO
$ 12
*
Note:
It
should
be
minimum
30
(thirty)
hours.
The
number
of
hours
is
estimated,
it
is
not
a
guarantee.
The
number
of
hours
is
general
in
nature
and
may
be
subject
to
change
(e.g.
business
demand).
Is
Training
Paid
Bonus
Policy
YES NO
$ 8.00
Training Duration
Bonus Available
Dress Code
YES NO
Cost of Uniform
zero
HOUSING
Housing
Availability
Provider Name
YES NO
City
Number of Bedrooms
Number of Bathrooms
Payroll Deducted
YES NO
Phone
Are
the
costs
listed
below
equivalent
to
the
market
value
of
the
area
Housing
Address
State
Zip Code
YES NO
Housing
Deposit
$
Refundable
Amount
$
Refund
Policy
Lease
Required
YES NO
Length
*
Note:
Generally,
the
first
month
and
deposit
are
due
upon
arrival.
Housing
is
generally
basic
furnished
with
no
kitchen
utensils
cookware,
linens
or
towels
provided.
Participants
may
need
to
bring
or
purchase
necessities
for
a
healthy
lifestyle.
Distance
to
Work
Site
(miles)
Transportation Method
ARRIVAL
INSTRUCTIONS
Pick-up
Availability
Contact Name
Full Address
Hours
of
Contact
State
AM
Zip
Code
Page
1
of
2
2015
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PM
AREA
INFORMATION
Baltimore/Philly/DC
Ocean
Metropolitan
Remote
Suburban
Grocery Store
Distance (miles)
Public Library
Post Office
Restaurants
120
Patty
Derrick
Signature
Title
Owner
Date
12/2014
PARTICIPANT
SECTION
Participant
Last Name
Saicu
First Name
Mihai
Alexandru
Self-placement
CSB-placement
Signature
Date
Page
2
of
2
2015
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