j1 visa intake form
World Wide Connections LLC
Full Name
First Name
Last Name
Gender
Male
Female
Age
E-mail
example@example.com
What is your nationality (home country)?
Which program are you interested in?
J1 Intern 12 months
J1 Trainee 12 months
Work and Travel Summer 4 months
Work and Travel Winter 4 months
Cell Number
-
Country Code
-
Area Code
Phone Number
Which department would you want to do your internship/traineeship while in America
Front Office - Rooms Division
Culinary - Kitchen
F&B - Restaurant, Bars
How many years of experience do you have in the department listed above?
What is your expected start date?
Do you agree to cover the visa processing fees? This includes agency, sponsor, and visa fees.
*
Yes
No
Education
Name of College
Major
Graduation Year
Other College(s) info
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Employment
Current Employer
Duration
Title
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References
Name
First Name
Last Name
Title
Name
First Name
Last Name
Title
Today's Date
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Month
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Day
Year
Date
How did you hear about us?
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