This job was posted by https://joblink.maine.gov : For more information,
please see: https://joblink.maine.gov/jobs/1034296
OMB Approval: 1205-0466
Expiration Date:
H-2A Agricultural Clearance Order
Form ETA-790A
U.S. Department of Labor
B. Minimum Job Qualifications/Requirements
1. Education: minimum U.S. diploma/degree required. *
? None ? High School/GED ? Associates ? Bachelors ? Master\'s or higher
? Other degree (JD, MD, etc.)
2. Work Experience: number of months required.
*
3. Training: number of months required. *
4. Basic Job Requirements (check all that apply)
? a. Certification/license requirements ? f. Exposure to extreme
temperatures
? b. Driver requirements ? g. Extensive pushing or pulling
? c. Criminal background check ? h. Extensive sitting or walking
? d. Drug screen ? i. Frequent stooping or bending over
? e. Lifting requirement ________ lbs. ? j. Repetitive movements
5a. Supervision: does this position supervise
the work of other employees? * ? Yes ? No 5b. If Yes to question 5a,
enter the number
of employees worker will supervise.
6. Additional Information Regarding Job Qualifications/Requirements. *
(Please begin response on this form and use Addendum C if additional
space is needed. If no additional skills or requirements, enter NONE
below)
C. Place of Employment Information
1. Place of Employment Address/Location *
2. City * 3. State * 4. Postal Code * 5. County *
6. Additional Place of Employment Information. (If no additional
information, enter NONE below) *
7. Is a completed Addendum B providing additional information on the
places of employment and/or
agricultural businesses who will employ workers, or to whom the employer
will be providing workers,
attached to this job order? *
? Yes ? N/A
D. Housing Information
1. Housing Address/Location *
2. City * 3. State * 4. Postal Code * 5. County *
6. Type of Housing (check only one) *
? Employer-provided ? Rental or public
(including mobile or range)
7. Total Units * 8. Total Occupancy *
9. Identify the entity that determined the housing met all applicable
standards: *
? Local authority ? SWA ? Other State authority ? Federal authority ?
Other (specify): _________________
10. Additional Housing Information. (If no additional information,
enter NONE below) *
11. Is a completed Addendum B providing additional information on
housing that will be provided to
workers attached to this job order? * ? Yes ? N/A
Form ETA-790A FOR DEPARTMENT OF LABOR USE ONLY Page 2 of 8
H-2A Case Number: ____________________ Case Status:
__________________ Determination Date:
_____________ Validity Period: _____________
to _____________
?
3 0
? 60
?
?
?
?
?
11/30/2025
See Addendum C
Employer owns and/or controls all worksites.
?
? 1 10
? ? ? ?
Housing provided only to non-local workers (i.e. permanent residence
outside normal commuting
distance). Only workers may occupy housing. Employer provides separate
sleeping and bathroom
facilities for each gender. Employer possesses and controls premises at
all times. Workers must
vacate housing promptly at end of contract period or upon termination,
in accordance with state law.
JO-A-300-24017-646682
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