Employers Application

Company Information

Company Name: Do Your Require Drug Testing?

Mailing Address: Do You Provide Housing?

Street Address: Rent Cost Per Month:

City, State & Zip: Utility Cost Per Month:

Phone Number: Total Housing Cost Per Month:

Fax Number: Start Date of H-2B Employees:

E-Mail Address: End Date of H-2B Employees:

Web Site Address: Closest Bus Station:

Contact Person: Closest Airport:

Type Of Entity: Taxpayer EIN:

Location Established: Date Established:

County Where Your Principle Office Is Located:

Department of Homeland Security requires the following information. Your petition for workers cannot be submitted without it. You may use actual or estimates.
Gross Income: Net Income:

Employment Information

# of Employees - Peak Season: # of Employees - Non-Peak Season

Anticipated Number Of H-2B Employees Needed (be realistic, do not inflate)

Positions needed to be filled through the H-2B program: (housekeepers, cooks helpers, cooks, dishwashers; number & pay rate)

Position: Number: Pay Rate /Hour

Position: Number: Pay Rate /Hour

Position: Number: Pay Rate /Hour

Position: Number: Pay Rate /Hour

In order for us to facilitate your Labor Certification in a timely manner, the following material must be mailed and/or faxed to us: [contact page]

  • 941 reports and payroll reports from the past 2 years
  • Leaderhead (30)
  • Marketing information (brochures, etc)
  • List past recruiting efforts
  • Occupancy/Sales fluctuations for past two years (to show seasonal/peak needed)
  • Signed G-28 & ETA 750's
  • Check for appropriate fee
  • Monthly payroll report [example]
Your Comments..



**By hitting submit, I certify that the information provided is true and correct to the best of my knowledge**



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International Hospitality Resources, Inc. • 605-745-5204 • FAX 605-745-7415
12998 Windmill Road, PO Box 940 • Hot Springs, SD • USA 57747 • info@seasonalworkers.us