Registration - First Class Cultural Travel Experience

Name*

Gender*

Male

Female

Date of Birth*

Parish of Birth*

Place of birth (outside Jamaica)*

Enter the country/province/state in which you were born

Nationality*

We are currently only recruiting for Lifeguard positions

Please contact us if you have any questions

Greencard holder?

Yes

No

Cell Number*

Is this a WhatsApp number?*

Yes

No

Cell Number (additional)

Is this a WhatsApp number?*

Yes

No

Your Email Address*

Your T.R.N*

Tax Registration Number

Your S.S.N

Social Security Number

Your Permanent Address*

Have you ever been convicted of a crime?*

Yes

No

Have you ever participated in the J1 Work and Travel program?*

No

Yes

How many times?*

Please provide most recent*

To add a new row, select the "+" icon to the right.

Employer

Position(s)

Sponsor(s)

Year(s)

Have you ever been terminated from any J1 job?*

No

Yes

Reason for termination*

How did you hear about this agency?

Example: Instagram, School Expo, Your Friends Name etc.

Have you ever been denied a US visa?*

No

Yes

Indicate type*

J1

H2B

B1/B2

Other

Do you have any medical conditions that might affect the performance of your duties?*

No

Yes

List any applicable conditions here*

Put each condition in its own row. To add a new row, select the "+" icon to the right

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PROGRAM FUNDING

Who will be funding your program?*

To add more than one source of funding, select the "+" icon to the right

Name

Cell Number

Cell Number (other)

Email Address

Local emergency contact*

Name

Relation

Cell Number

Cell Number (other)

Email Address

USA emergency contact

Name

Relation

Cell Number

Cell Number (other)

Email Address

Address

By entering the required information below, I declare that the information provided is true and correct to the best of my knowledge. I understand that any willful dishonesty may result in rejection of your application.

I agree to the statement above.

Your Signature*

Please use you finger, stylus or mouse to apply your signature to the line below. This uniquely identifies you, notes your intent and is legally binding.

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Name*

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Passport Number*

Comments

This field is for validation purposes and should be left unchanged.

Register with First Class!