Host Camp Interest Form

Host Camp Interest Form
Full name*

First NameLast Name
Position / title*
Your position at the business
Camp name*
Camp address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone number*

Area CodePhone Number
E-mail*
What program are you interested In? (check all that apply)*

Summer Work and Travel Program (Support Staff)Camp Counselor
Have you worked with the J1 program before?*
Which programs have you worked with before? (check all that apply)*

Summer Work and Travel Program (Support Staff)Camp Counselor
What size program (number of Exchange Visitors) are you interested in?*
Does the host camp arrange housing?*

YesNo
Additional comments
Should be Empty: