J-1 Au Pair Pre-screening Application Form
Note: This pre-screening for serious interested exchange visitors who are certain they will be participating in the J1 Educational Career Training Program. You will be required to pay your membership fee of $4,500. This portal does not mean you are registered to the program; it only provides support for you to meet the pre-screening requirement. Before you start this form. Should you have any questions, please email apply@thepassportja.com.
Personal Details
Name
*
First Name
Last Name
Gender
*
Female
Male
Age
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Program Eligibility
Are you currently in your 3rd year in university and studying a bachelor's degree ?
*
Yes
No
Did you complete your bachelor's degree under 12 months?
*
Yes
No
Did you complete your bachelor's degree above 12 months and hold 1 year of work experience in your field?
*
Yes, I do
Document Upload
CV/Resume
*
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of
Membership Fee
*
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