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J-1 Visa Sponsorship Application

Camping Management Corporation is a designated sponsor for the J-1 Visa Camp Counselor program. The following application will be used to process your DS-2019 form that you will need to obtain the J-1 visa. Please be very careful when entering your information, complete all fields, and check for errors before clicking "submit".

Camp Placement:
 
Applicant Information (as it appears on your passport)
First Name
Middle Name
Last (Surname) Name
Date of Birth
Gender Male   Female
Age
Country of Citizenship
City of Birth
Country of Legal Permanent Residence
Passport #
Country Issuing Passport
 
Current Employment
Select from the list the category that best describes your current occupation. If "other", please explain in the space provided.
 
If other, please explain
 
University Information, if currently a full-time student
Name of School
Field of Study
Year in School
Anticipated Graduation Date
Will you be returning to school as a full-time student next year? Yes   No
 
Present Address
Address Line 1
Address Line 2
City
Province State:
Postcode:
Country
Telephone:
Cell phone:
Email Address:
 
Permanent or Parentsí Address
If this is the same as your Present Address, check here:
Address Line 1
Address Line 2
City
Province State:
Postcode:
Country
Telephone:
 
Camp Employment Information
Start Date:
End Date:
Position:
Visa Category:
Is this your first year working at camp? Yes   No
Have you ever entered the USA on a J-1 visa? Yes   No
 
Previous J-1 Visa Information
Please provide information regarding all previous J-1 Visas:
Year:   Visa Category:   Sponsoring Organization:
Year:   Visa Category:   Sponsoring Organization:
Year:   Visa Category:   Sponsoring Organization:
Year:   Visa Category:   Sponsoring Organization:
Year:   Visa Category:   Sponsoring Organization:
Year:   Visa Category:   Sponsoring Organization:
 
Emergency Contact
First Name
Last Name
Phone Number
Cell Number
Relationship to Applicant
 
Applicant Signature
I have read and agree to the Terms and Conditions outlined by Camping Management Corporation. As part of the agreement, I will be enrolled in the medical insurance program. I know of no reason why I would be refused a visa from the U.S. embassy or the U.S. Department of State. I attest that all information provided on this application is true and I understand that providing false or misleading information will result in the cancellation of my program.
I agree:
CLICK THE BUTTON BELOW TO ELECTRONICALLY SUBMIT AND PRINT YOUR APPLICATION. YOU WILL NEED TO SIGN, SCAN AND EMAIL YOUR APPLICATION TO ELLY@PINEFORESTCAMP.COM.

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