Camping Management Corporation - Visa Information

Visa Information > Application

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 Parents’ 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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