Анкета для Участия Work&Travel USA | www.gepkaz.com | program@gepkaz.com

Work and Travel 2022

Регистрация Участника Пожалуйста, заполните все поля на английском
Personal information
Last Name(as in passport)*
First Name (as in passport)*
Date of Birth *

DayMonthYear
Дата рождения
Age| Возраст
Возраст
Email*
example@example.com
Skype*
Скайп адрес
Phone Number*

Area CodePhone Number
City of Birth*
Город Рождения
Citizenship*
Гражданство
Marital status| Семейное положение*

Женат/замужемНе женатгражданский браквдовец/вдоваOther
Постоянный Адрес
Address*

street

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Postal Code
Adress if different from aboe
- Full Name as in passport
  
  First NameFather's Name/OtchestvoLast Name
- International Passport number *
  Номер паспорта
- City of passport issuance
- Country of passport issuance
- Int'l Passport issuance date
  
  DayMonthYear
  Date
- Int'l Passport Expiry Date
  
  DayMonthYear
  Date
- Have you ever lost your international passport? If yes, please indicate lost passport number and issuing country.
- Education Information
- University Name:*
- Department/Faculty*
  специальность и курс
- University entry year*
  B каком году поступили на учебу
- University completion year*
  в каком году заканчиваете или закочили учебу
- Your English Level*
  
  Fluent/свободное владениеAdvanced/Продвинутыйintermediate/СреднииElementary/Базовый
- Travel Information
- Desired employment start date
- Desired arrival date to the US
- Desired arrival airport
- How long are you planning to stay in the US?
- Desired return date to country of residence ?
- Any siblings participating in the WT program this year? If yes, indicate Full Name of the sibling
- Any chronic diseases preventing from program participation?
- Any arrests, convictions or imprisonments?
- Family Information
- Mother's Full Name and Home address:*
  
  Name
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Mother's Place of Work
- Mobile number of mother*
  
  Area CodePhone Number
- Father's's Full Name and Home address:*
  
  Name
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Father's Place of Work*
- Mobile number of father*
  
  Area CodePhone Number
- Brother and sisters names if any*
  имя и номер телефона друга или подруги
- Mobile number of siblings*
  
  Area CodePhone Number
- Your Best friend's name and mobile phone with country code*
  имя и номер телефона друга или подруги
- Questionnaire
- Have you participated in Work and Travel USA program before?*
  
  yesnoOther
- Have you ever received the US visa? What type visa and when ?
- Did you give fingerprints for the US visa ?
- Have ever been denied the US visa? City, Date and reason*
  
  Yes, please explain belowNoOther
- Do you have any relatives in the US?*
  
  yes , please explainNoOther
- What countries have you visited in the last 5 years?*
  какие страны посетили за последние 10 лет?
- Why do you want to participate in Work and Travel USA program?*
  Почему вы хотите стать участником этой программы?
- Do you have any Work Experience(Describe)?*
  Опишите ваш опыт работы и сферы
- Any health problems?*
  
  yes, please explain belownoOther
- Who pays for your trip?*
- In which US cities or states would you like to work?*
- How do you feel being separated from your friends and family for 3 month?*
- How much money would you like to earn?*
- Would you like to attend speaking club ?*
  
  ДаНетOther
- Do you have drivers license*
  
  YesNoOther
- References
  
  Provide two (2) non-family references to verify the information
- 1) Full Name of referee(friend, coleague, neighbour ) *
- Contact information *
- 2) Full Name of referee(friend, coleague, neighbour ) *
- Contact information*
- Additional Information
- Can you swim? *
- Can you ride a bicycle? *
- Any certificates or achievements in sports? More info *
- How did you hear about Work and Travel USA program?*
- Would like to go to the US with friends ? Indicate their email and Name*
  Едешь с другом или подругой? Укажи данные эмаил и имя
- Фото на белом фоне
- Have questions ? We have answers , let's stay connected! join our whatsapp group*
  
  www.globus-exchange.comOther
- Прочтите и подтвердите следующую информацию*
  
  Обратите внимание, ответ на вашу заявку может занять несколько дней. Спасибо за терпение! 1) Настоящим я даю согласие на хранение и обработку моих биометрических данных, таких как фотография, паспорта, личных данных для обработки моего заявления на участие в программе и подаче на визу. 2)Я осведомлен(a) что участие в в программе обмена НЕ Бесплатное, я могу оплатить стоимость участия
- Please check your application before sending, incomplete applications will NOT be accepted
- Should be Empty:

Work and Travel 2022

Personal information

Постоянный Адрес

Education Information

Travel Information

Family Information

Questionnaire

References

Additional Information