International Programs in Agriculture
The Ohio International Intern Program
Ackerman Place, Suite 360
700 Ackerman Road
Columbus, OH 43202-2328
614-292-7720 Phone
614-688-8611 Fax
ohioprogram.org
PROSPECTIVE HOST QUESTIONNAIRE
STOP! DO NOT PRINT THIS FORM. YOU MUST COMPLETE THIS FORM ON SCREEN TO MAKE SURE IT IS LEGIBLE. TYPE IN THE GREY BOXES BELOW, THEY WILL EXPAND AS NEEDED.
This document is the primary document outlining the internship offer including financial terms to trainees. Please ensure all details are very clearly explained.
I. BUSINESS INFORMATION
NAME OF BUSINESS: Season Harvest
EMPLOYER ID NUMBER (EIN) NUMBER: 20-8787668
ADDRESS - Please give physical address (number, street etc, not PO Box number):
E 5345 County Rd. D
Menomonie, WI 54751
MAILING ADDRESS (If different from above):
WEBSITE: Facebook
II. CONTACT PERSONS
NAME: Josh Bergmann
BUS TEL: 715-231-4769 FAX: 715-231-4770
HOME TEL: MOBILE. TEL: 715-556-4769
E-MAIL:
HR/PAYROLL OFFICER (if different than above)
NAME:
BUS TEL: FAX:
E-MAIL:
List any International exchange experience other than OIAHIP in which you have
participated: MAST
III. ENTERPRISE
Primary Enterprise Greenhouse/Garden Center
Secondary Enterprise: produce,nursery, livestock
Size: Acreage: 22 Owned: 22 Rented: Managed: 40
Please answer the following questions as applicable:
§ Agricultural crops (Type & Acreage): 30-hay, 5- pumpkins
§ Livestock (Type and Number): beef- chickens 40
§ Fruit & Vegetable Crops (Type & Acreage): Full line of vegetables
§ Greenhouse / Nursery (Acreage or sq. feet and Plants): 35000 square feet
§ Vineyard (Area / Grape varieties / Cases or Bottles produced): -
Type of machinery (Make & Model) bobcat, tractors, lawn movers
Number of Employees:
Permanent: 1 Seasonal: 10
Annual Revenue (Millions of USD)
up to $3M $3M to $10M $10M to $25M over $25M
The name of the intern’s immediate, daily supervisor: Josh Bergmann
List the qualifications of the above Supervisor and the number of years of his/her experience.
Title:
owner
Education:
k-12
Years of experience:
Grew up in family greenhouse business, along with dairy/ beef farm. At age 24 i bought land and went on my own.
IV. INTERN ON-THE-JOB TRAINING
A. 1) Average hours per day: 10
2) Maximum hours per day: 12
3) Minimum hours per day: 8
B. What time of the year is busiest? March- September
C. All interns do not have the same capabilities. If your intern has no experience, in what area of specialization will he/she be started out? greenhouse
D. Compensation: Agricultural employers are required to pay minimum wage. What is your starting wage?
1) Hourly compensation: 7.25
2) Overtime rate: 1.5 x
3) Approximate monthly compensation: 1600.00
4) Housing/Meal arrangements planned: room to rent; no meals provided
5) Cost of housing to intern: 200
6) Utilities / other costs: 25
E. Vehicles: Is a vehicle provided for interns use? Yes No
If yes, is the vehicle for work use only? Yes No
Who will pay for vehicle insurance? Intern Host
Who will pay for fuel? Intern Host
Who will be responsible for vehicle maintenance? Intern Host
Please give any further transport details interns will need to know. We have a vehicle we would consider to "sign over/sell" to the intern with knowledge that at the end of the stay we would "sign back/ buy" the vehicle at a slightly reduced price. Repairs would be responsibility of intern, we may help with repairs costs. Local use of vehicle within 25 miles is acceptable. Further travel is to be reported/ requested before time of travel.
F. Who will pay the $146.00/month program fee?
Paid by host Deducted from intern’s wages Shared by intern and host
80 % paid by host
20 % deducted from intern’s wages
Further details: intern can pay at tiem of rent/utilities
IN EACH CHOICE ABOVE, PAYMENT NEEDS TO BE SENT IN BY EMPLOYER.
G. Trainee Responsibilities
1) Routine Responsibilities: Water plants, move, clean, organize inventory. Water, feed livestock, customer service,
2) Other Responsibilities: lawn maintenance, building/greenhouse repair/ maintenance/ construct/ destruct
3) Other Expectations or Requirements of Trainee by Host: We host a Farmers Market where the traines will be their own vender and sell product from the produce patch and attending/ selling at other possible Farmers Markets.
V. DRIVING DIRECTIONS
Please describe how to reach your operation from the nearest highway. This is needed only in areas where GPS navigation fails.
5 miles north of Menomonie on highway 25, turn right on County Rd. D, take first left on D.
We are on the corner of 25 and D.
VI. CULTURAL, SOCIAL AND EDUCATIONAL ACTIVITIES
Both TOP and the Department of State stress the need for adding activities that would enrich the US stay for J1 participants. List activities that you will organize, make available or help interns to participate in.
Cultural: trips, visits and tours to areas of cultural and historical significance:
Travel to Cultivate expo in Columbus, OH, Michigan garden tour, Ball field day. There are others that we may or may no tattend depending on scheduling and weather
Social: parties, BBQs, etc.:
we attend a professional baseball game; camping, hunting, atv riding
Educational: presentations, meetings, classes, fairs, tours of other businesses:
Michigan garden tour. Supplier booking shows, new plant variety shows etc.
VII. INSURANCE INFORMATION
A) Occupational: State Worker’s Compensation
Private Carrier
1) Company
2) Agent
3) Address
B) Non Occupational: Yes No
If yes, please indicate company and type
C) Carrier of Liability Insurance
Please describe:
D) County Extension Agent:
Name:
County:
City:
Phone:
Please enclose with this questionnaire any brochures or catalogs you may have on your company. Thank you.
X X
Host Signature Date
VIII. LOCATION OF ENTERPRISE
Nearest Bus Station: Menomonie 5 miles
Nearest Airport: Minneapolis St. Paul 60 miles
IX. INTERNSHIP PLAN – please type over examples below
A. Brief description of the intern’s role for this internship.
To learn the production flow of greenhouse/ nursery
Transplanting schedule
Present and sell to general public
B. Specific goals and objectives for this internship.
To broaden horizons of both host and trainee
C. Specific knowledge, skills and techniques that will be learned.
Operate transplant equipment. Follow schedules, work with others, taking and giving directions. Working with others as well as alone. Checking crops and livestock and make changes as needed.
D. How will this knowledge be taught? Include specific tasks and activities.
Hands on….. little to zero classroom
E. Methods of supervision.
Daily supervision of manager.