Employer Information Form

Thank you for choosing USA Labour. This Employer Intake Form helps us understand your staffing needs and match the right candidates for your operation. Please complete each section clearly and accurately. The more detail you provide about your work environment, expectations, and required skills, the better we can align you with dependable, well-prepared workers.

Transparency is key. Our success depends on open communication between USA Labour, the employer, and the workers we represent.

Please note that this is the primary intake form, and there may be additional steps or questions as we refine candidate matches. Once a candidate is shortlisted, offered, or scheduled for an interview, USA Labour reserves the right to request further details to ensure accurate placement and compliance with all program requirements.

Farm/Business Name:

Name of Contact Person

Phone

Address

City

State

Do you have H2A status?

Yes No In Progress

Have you employed H2A workers in the past?

Yes No

How many H2A workers have you employed in the past?

How many workers are you interested in getting through USA Labour?

Who was your previous agent?

Who is your current U.S agent (if applicable)?

Type of farming (e.g, rice, livestock, vegetables):

Main crops or agriculture focus:

Do you have livestock operation? If so, name what kind.

Season:

Contract Start Date

Contract End Date

Do you require rollover contracts?

Physical Farm Address:

Physical employee housing address:

Number of workers needed:

Key Responsibilities:

Specific skills required:

If any, what are other requirements or duties you would need the worker/s to do or any other piece of equipment that would help us to provide a better fit.

How would you describe your management style?

Do you consider yourself demanding or more easygoing?

How do you usually handle mistakes or issues at work?

Do you tend to raise your voice or get upset over small issues?

How do you communicate with workers?

Do you prioritize efficiency, quality or teamwork in your work environment? If so how?

Do you believe in using modern farming techniques or prefer traditional methods? This can be interpreted as you see your farm and your own equipment.

In your opinion, what is the best part of this job for workers?

What do you think is the most challenging or worst part of the job?

In your opinion, what are the main reasons employees might quit?

How do you feel about giving raises to workers? How would the process work?

How do workers know what tasks are next? (e.g , morning meetings, daily plans, or real-time instructions)

What types of equipment do you have on your farm?

What brands of equipment do you primarily use?

What is the general age/condition of your equipment?

Do you require workers to assist with equipment maintenance?

If yes, what specific tasks?

How many people per house?

How many bedrooms are provided?

Does workers share bedrooms?

How many bathrooms are in the house?

Does the housing have TV and Wi-Fi?

How is transportation arranged to and from work?

Do you repair your own equipment and to what extent?

Do you provide the necessary tools?

Do you have a shop where you work out of?

What happens when weather does not permit work? e.g rains for a few days, do workers get sent home? This is your preference please explain how you go about this.

What are the expected working hours per day/week?

Do you require workers to work weekends?

Would workers need to work later than regular hours?

During planting and harvest season what are your working hours? (start and end time)

Do you work on public holidays (e.g Fourth of July):

Would workers be able to work weekends or public holidays?

What is the climate like (e.g humid, dry, extreme temperatures)?

Do you offer overtime or bonuses?

If yes, please explain:

How will travel and visa reimbursement be handled (visa fee is $205)

What do you expect from the workers? (e.g work ethic, teamwork, behavior)?

What are your expectations from USA Labour as your recruiting agency?

Would you be willing to use our website for job postings and worker management?

Do you prefer to send and receive resumes via email or text?

Are there any other details or requirements we should know about?

Acceptance

By submitting this form, I confirm that all information provided is accurate and that my operation complies with U.S. Department of Labor H-2A or H-2B regulations. I understand that USA Labour operates with zero tolerance for unethical or in-country recruitment transfers without written consent from both parties. USA Labour values transparency and accountability, ensuring both employers and workers have a clear understanding of every step in the process. This is not a binding document of any kind and does not constitute a legal contract or guarantee of services. For any questions, contact Steven Schultz at (870) 641-1408 or admin@usalabour.com. Visit www.usalabour.com for more information.

USA Labour values transparency and accountability, ensuring both employers and workers have a clear understanding of every step in the process.

This is not a binding document of any kind and does not constitute a legal contract or guarantee of services.

For any questions, contact Steven Schultz at (870) 641-1408 or admin@usalabour.com.
Visit www.usalabour.com for more information.

Leaders in H-2A/H-2B Recruitment

USA Labour

At USA Labour, we specialize in linking skilled South Africans with trusted American employers, making overseas recruitment simple, transparent, and efficient.

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