Cultural Homestay International - In-Country Extensions

In-Country Workers Extension Form

If you are currently in the United States on an H-2B visa, you may be eligible to participate in the CHI H-2B Program. This program allows participants to extend their stay in the United States with a new employer arranged by Cultural Homestay International.

Please fill out the registration form below. If a placement matches your qualifications and preferences, a CHI H-2B representative will contact you to fill out a Participant Application.

Fields marked with an asterisk (*) are required.

First Name: *
Middle Name:
Last Name: *
Email: *
Enter either a home or mobile telephone number. *
Home Phone in U.S.:
Mobile Phone in U.S.:
U.S. Street Address Line 1: *
Street Address Line 2:
City: *
State, Province: *
Postal Code: *
Date of Birth: *	(MM/DD/YYYY)
Gender:
Country of citizenship: *
What type of work interests you?

Date of arrival in the US: *	(MM/DD/YYYY)
Date your H2B visa expires: *	(MM/DD/YYYY)
Date your passport was issued: *	(MM/DD/YYYY)
Date your passport expires: *	(MM/DD/YYYY)
Current I-94 number: (11 digits) *
Current I-94 expiration: *	(MM/DD/YYYY)