Work and travel USA

Please note that this online application form is a formal application for the above stated program. You need to read through the employer’s information and ensure that you are able to commit to the work dates. The tentative date for the face to face interview with the employer is 4^th or 5^th February 2012.

Title*

First name (as per passport)*

Last name (as per passport)*

Date of birth*

Gender*

Passport number *

Address in Singapore *

Contact number*

Email address*

School (Please state in full)*

Matriculation card number*

Course of Study*

Current year of study*

Date of Graduation*

Length of Course*

1st choice of employer*

2nd choice of employer*

Intended date of departure from Singapore*

Intended work start date*

Intended work end date*

Intended date of arrival in Singapore*

Work and Travel USA 2012