Intern/Trainee – Vista J-1 Exchange

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Name *

First

Last

Email *

Phone Number *

(Please include your country code)

Date of Birth *

Country of Birth *

Passport Number *

Expiration Date *

Passport ID page *

Are you a U.S. Citizen or Permanent Resident? *

Are you currently outside of the United States? *

Current Professional Status *

University Name & Field of Study (if applicable)

Graduation Date (if applicable)

you Expiration Study

School Diploma

English Proficiency *

Do you have an internship or training offer from a U.S. company? *

If yes, please specify the Host Company name

Host Company Supervisor name

Supervisor email address

Have you ever held a J-1 Visa before? *

Will any family dependents (spouse or children) be accompanying you on a J-2 Visa? *

If yes, please specify the number of dependents and their relationship to you.

What is your preferred program duration? *

Are you flexible with your program duration if a host company requires a different timeframe? *

What is your earliest available start date? *

Are you able to provide a bank statement with at least $ 2,000? *

Please upload your bank statement *

Updated Resume/CV (English) (copy) *

+1 (567) 343 1234
info@vistaj1.org
500 8th Avenue, Suite 909
New York, NY 10018

Vista J-1 Exchange, LLC, is designated by the Department of State as a sponsor of an exchange visitor program