| Personal Information |
| First and Last Name: |
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| Gender: |
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Permanent Address (home address):
Specify full address with city, country, province, zip/postal
code |
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| Date of Birth: |
day:
month:
year:
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| City, Country of Birth: |
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| Citizenship: |
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| Passport Number: |
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If you don't have a passport number, please enter 000 |
| Expiration Date: |
day:
month:
year:
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| Country in which passport was issued: |
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| Marital Status: |
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| Have you completed 2 years of university-level studies? (note
that you do not need to be a student at time of Application) |
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| Telephone Number (country code, city code, number): |
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| Additional Telephone Number: |
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| Fax: |
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| Email Address: |
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| Representative Information |
| Who is filling this form? |
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| If other, please state the relationship between The Trainee and the person who is filling this form: |
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| Representative First and Last Name: |
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Representative Address:
Specify full address with city, country, province, zip/postal
code |
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Representative
Phone Number: |
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Representative
Other Phone Number: |
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Representative
Fax: |
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Representative
E-Mail: |
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| Immigration and Legal |
| Do you need a J1 Exchange Visitor Visa? |
If not, why?
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Have you ever been issued a J1 Exchange Visitor Visa before?
If so, please state clearly
Name of Sponsoring Organization (ie Interexchange, CIEE) |
If you answered Yes, please answer the following two questions:
Category of Visa (ie Student, Trainee, Work and Travel USA, Au
Pair etc):
State the Start and End Dates of your previous Visa:
Start:
day:
month:
year:
End:
day:
month:
year:
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| Have you ever been refused entry to the United States? |
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| Training Specifics |
| Please give a brief description of your objectives whilst undertaking
your training: |
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| Please state 3 locations in the US where you would be willing
to complete the USArts training program, in order of preference |
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| References: |
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| Desired length of training placement: |
if other, please specify:
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| Desired start date of training placement: |
month:
year:
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| Are you willing to take an UNPAID training placement? |
Note that if you are not willing to take an unpaid training placement
your training options will be severely limited, as most opportunities
in the U.S. are unpaid.
Please note that if you cannot accept unpaid, be aware that 'paid' placements in the arts fields are generally travel money, metro cards, lunches, or small monthly stipends, not salaries. |
| Field of choice: |
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| If you have an online portofolio, please provide the URL: |
http://
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| Resume |
| Please copy and paste the following parts of your resume |
| Education |
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| Work History |
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| Skills |
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| Languages |
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| Awards/Recognition |
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| Additional information: |
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| How did you hear about us? |
Select above and fill in the specific name.
Thank you, your feedback is greatly appreciated!!
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| Agreement |
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By Selecting "Yes" on the above option box, I certify that
all information as provided by me on this Application Form is
factually correct and up to date. I understand that any false
or omitted information may lead to rejection of my J1 visa application.
I undertake to provide updated information to International
Arts & Artists when necessary.
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Your application has not been sent if you don't see the confirmation page.
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