IWTSJA | J1 Application

This application form serves to retrieve all pertinent information about the applicant in order to have a basic overview of all applicants. Please answer all of the questions and write N/A where applicable.

Personal Information

First Name *

Middle Name *

Last Name *

Date of Birth *

Instagram Name *

Select Gender *

Mailing Address

Street Address *

Parish *

City *

Legal Status

Country of Birth *

City of Birth *

Country of Permanent Residency *

Contact Information

Valid Email Address * We'll never share your email with anyone else.

Confirm Email Address *

Mobile Number *

ALternative Number

Home Number

Education

University/College *

Qualifications (ie-Degree, etc) *

Employment History

Employer

Position

Start Date

State

Country

Employer's Phone Number

Employer's Email

Duties and Resposibilites (seperator: ,)

Additional Employment History (Optional)

Employer

Position

Start Date

State

Country

Employer's Phone Number

Employer's Email

Duties and Resposibilites (seperator: ,)

Criminal Background

Have you ever been convicted of a crime?*

If yes, please explain

What type of Visa are you applying for?

Do you have your own job? *

Company Name

Contact Name

Address

Phone Number

Declaration

I confirm that the information provided on this application form as requested is true and accurate. I understand and agree that my failure to submit accurate information to IWTS Company Ltd can and will lead to my immediate termination from the Summer Work and Travel Programme, whether or not I am in Jamaica or the United States of America. I understand that my visa will be cancelled and I will have to return home, should I.W.T.S or the sponsor find out that I have submitted: false, inaccurate, misleading or fraudulent information in order to have my work documents processed for my participation in the Summer Work and Travel Programme. I understand that the information submitted on this application is vital to the processing of all documents needed to work in the United States of America.

SIGNATURE (J. Brown)*

J1 Application Form