CDS International: U.S. Host Companies

Host Company Request From

Thank you for your interest in hosting at international trainee at your company or organization in the United States. In order that we may quickly process your request for information, please take a minute to provide the following information about yourself and organization. (Due to visa regulations, we may only support individuals in certain professional fields. Click here for a list of approved program fields.) If you are a trainee wishing to come to the U.S., please do not fill out this form. This form is for potential host companies in the United States only!!!

Company Name:
Name:
Title:
Address:

City:
State:
Zip Code:
Telephone:
Fax:
E-mail:

I am interested in hosting a trainee in the following field (please select one):
Other field:

Preferred Duration of Hosting:	months
Estimated Salary/Compensation:	per month
I learned of CDS from:
The name of the trainee who approached me is (if applicable):