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J1 Work and Travel 2022 Registration Form

REQUIREMENTS:

• Registration fee of $20.00 USD (Must Be Paid Online Via Debit/Credit Card - Pay Here)
• e-JAM’s signed agreement – (Download Copy, Read Carefully, Print and Sign)
• Passport size photograph (Professional and Smiling)
• Updated resume
• A copy of your passport - including any previously issued USA visas (must be valid up to six (6) months after return date)
• School ID

All sections of the below registration form must be completed and the required documents listed above uploaded, in order to be considered as a potential candidate.

Please click on the link below if you require assistance with document upload.

>> Submit A Support Ticket <<

REGISTRATION FORM

How did you hear about e-JAM? (*)

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Country of Citizenship(*)

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Sex(*)

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Last Name(*)

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First Name(*)

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Middle Name

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Date of Birth(*)

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Parish of Birth(*)

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Country of Birth(*)

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Address(*)

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Parish(*)

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Cell Phone(*)

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Home Phone

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Whats App Phone Number

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Skype ID

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Email(*)

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Marital Status(*)

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Passport No.(*)

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Passport Expiration Date(*)

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Passport Issue Date(*)

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JA Emergency Contact

Name(*)

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Relationship(*)

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Cell Phone(*)

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Home Phone

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Work Phone

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eMAIL(*)

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OVERSEAS CONTACT

Relationship

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Name

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Cell Phone

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Are you a full-time student?(*)

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If yes, name of College/University:

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Course of Study(*)

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Length of Study(*)

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Year of Graduation(*)

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Are you currently Employed?(*)

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If Employed, what Position?

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Do you have any serious illnesses and/or allergies?(*)

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If Yes, explain?

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Have you ever been convicted of a crime?(*)

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If Yes, state reason

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Have you visited, or applied for a US Visa before?(*)

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If yes what type:

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Have you been denied a US Visa?(*)

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If yes, when?

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Have you participated in a J1 Program before?(*)

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If yes, where?

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Your Sponsor’s name

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Position Held

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Do you have an immediate family and/or relatives in the US?(*)

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SS if any

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Preferred Location(s)(*)

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What is your preferred position(s)?(*)

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Start date available(*)

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End Date (*)

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Who will be pay for the trip?(*)

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Please upload the following documents. The application process is not complete until all documents have been uploaded.

Required Documents Upload List:
1. Signed Agreement
2. School ID
3. Resume
4. Copy of Passport Information Page
5. Passport Size Picture

Need Assistance?

>> Assisted Registration Services <<

Upload your Signed Agreement(*)

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Upload your School ID(*)

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Upload your Passport Information Page(*)

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Upload your Resume(*)

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Upload your Passport Size Picture(*)

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I agree that the information provided is true to the best of my knowledge (*)

Agree

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(*)

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Register Now!

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