Work and Travel USA 2010: Employment Agreement

Employer Section: Please read and complete the following section below (attach additional sheets of paper if necessary).

I hereby certify that_________________________________________________________(name of student) has been offered

employment with our company___________________________________________________________(name of company).

Address:________________________________________City:_________________State:_________Zip:_______________

Name of Contact Person (and title):___________________________________Phone (+ extension):____________________

Fax:______________________e-mail:_________________________________Best time to call:______________________

Dates of Employment* (month /day/year) Start:_____/______/______End:_____/______/_______*(maximum four months).

Job Title:_____________________________Wage per hour *:_______________________*(excluding tips and/or bonuses).

Expected tips and/or bonuses (attach a separate sheet describing the rules associated with any extra compensation).

Average number of work hours per week:__________Housing Available: Yes No Housing Deposit (if any):_____________

Housing cost per week/month (if any):_____________ Attach a separate sheet describing the housing provided or how you

will assist in finding housing for your employees (InterExchange employers are responsible for housing students).

Comments and any contractual obligation (attach a separate sheet).

________________________________ __________________________ _________/_________/_________

Name and title of employer (in capitals) Signature Date (month/day/year)

Employee Section: Please read and complete the following section below.

Statement of Acceptance:

In accepting the position above, I agree to work four months or less in total, and until the last day of work stated above.

I understand that either I or ___________________________________(company) can terminate the employment relationship

at any time with prior notice (customary practice: two weeks advance notice by the employee) and for any reasons not

prohibited by law. I understand that my duties and responsibilities may vary during the period of my employment.

________________________________ __________________________ _________/_________/_________

Name (in capitals) Signature Date (month/day/year)

InterExchange Inc.