Visa Application Form - First Class Cultural Travel Experience

Basic Information About You

Name*

First Last

Marital Status*

Married

Not Married

Spouse's Name*

Spouse First Name Spouse Last Name

Spouse's Email Address*

Spouse's Cell Number*

Spouse's Home Address*

Street Address City Parish/State/Province Country

Spouse's date of birth*

Spouse's country of birth*

Spouse's city of birth*

Spouse's region of birth*

Enter a parish or state here.

Do you have a national ID?*

Your voter's id is your national id. Passport or driver's license numbers do not apply

Yes

No

Enter your national id number*

Do you have a Social Security Number?*

Yes

No

Enter your SSN*

Contact Information

Home Address*

Street Address City Parish

Primary Phone Number*

Secondary Phone Number

Have you had any other phone number in the last 5 years?*

Yes

No

List the phone numbers*

Tap the "+" to add another row.

Email*

Have you used any other email address in the last 5 years?*

Yes

No

List the email addresses*

Tap the "+" to add another row.

Your social media handles*

Fill in the applicable fields with your social media handle

Instagram

Facebook

Twitter

TikTok

YouTube

Passport Information

Have you ever lost your passport?*

Yes

No

Please describe how you lost your passport*

Family and Relatives

Your father's name*

First Last

Your father's date of birth*

Is your father in the US?*

Yes

No

What is his status?*

Your mother's name*

First Last

Your mother's date of birth*

Is your mother in the US?*

Yes

No

What is her status?*

Do you have any other IMMEDIATE relatives in the US?*

"Immediate relatives" means a spouse, a child, or a sibling

Yes

No

Immediate Relatives in the US*

For the "status" field, enter either: US citizen, US legal permanent resident, non-immigrant, or don't know

First name

Last name

Relationship

Status

Education and Work

When did you start university?*

Were you previously employed?*

Yes

No

Please enter the details of your MOST RECENT employment in the spaces below.

Organization*

Organization's address*

Street Address City Country

Your job title*

Your supervisor's name*

Start date*

End date*

Which High School did you attend?*

Enter the name of the high school

High school address*

Street Address City Parish/State/Province Country

Start date*

End date*

Would you like to add another high school?*

Yes

No

Enter the name of your high school*

High school address*

Street Address City Parish/State/Province Country

Start date*

End date*

Other Information

Have you travelled to any non-US countries in the last 5 years?*

Yes

No

Please list any NON-US countries you travelled to in the last 5 years*

Tap the "+" icon to add a new row.

For your US visa application, you must provide two references. Please enter the appropriate details below.

You cannot use a family member as a reference

Reference #1*

Name

Address

Contact #

Email Address

Reference #2*

Name

Address

Contact #

Email Address

Comments

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

Basic Information About You

Travel Details

Contact Information

Passport Information

Family and Relatives

Education and Work

Other Information