Summer Work and Travel USA
Application
istplus.com/watusa
Congratulations on applying for Summer Work and
Travel!
Next Steps
1. Send your application by email or post. Your application will be acknowledged by email – we may need to
ask you to make changes if you’ve missed anything out!
2. Once confirmed as complete and payment made, processing will start
3. Once your application is complete , our colleagues at CIEE in the USA will contact your US Employer to
confirm the details of your position.
4. Once approved, documents will be sent to the UK to allow you to book and attend the embassy interview –
appointments are subject to embassy availability and payment of $160 is required at time of booking.
5. We recommend not booking flights until after you have your visa – if you do not wish to be contacted by our
flights team – please tick here
Independent Job
Programme Fee
£545
CIEE Virtual Hire
Programme Fee
£620
Payment can be made via
online banking or PayPal. We
will contact you via email or
phone for payment once your
application has been received
Sending us your Application:
Please send your completed application via email to
info@istplus.com or post to:
IST Plus
Shakespeare Business Centre
245a Coldharbour Lane
London
SW9 8RR
*Don’t forget to use at least a Large 1
st
class stamp!
Once your application has
been approved and you have
received your legal paperwork
back you will need to book
your face to face interview at
the US Embassy. Wait times
for these interviews get longer
the closer you get to the
summer so please apply as
early as possible! See
istplus.com/usembassy for
details
Please see istplus.com/watusa for more details. If you have any questions please
contact our team at
info@istplus.com
or call 0207 788 7877
Please read the application carefully and complete ALL required fields.
If you are applying with an independently secured summer job in the USA please make sure you
include your CIEE Job Offer Form (included as part of this application).
Application Final Checklist:
All 4 dates on top page completed
Job Offer Completed (
only if applying with independent job)
University Section Signed and completed
Passport ID Page Copy included
Terms and Conditions Signed
Fee Disclosure Signed
PLEASE COMPLETE THIS FORM USING ADOBE READER (OR PRINT AND COMPLETE BY HAND) - IF YOU
ARE USING APPLE PREVIEW OR SIMILAR IT WILL NOT SAVE PROPERLY!
Name of CIEE Representative:
Country:
Interviewed by (Name):
Representative Code:
Date (day/month/year):
WORK & TRAVEL USA
APPLICATION
A Cultural Exchange Program
Summer 2018
1 of 9
ciee.org/in-the-usa/work/work-travel-usa
1-888-COUNCIL (268-6245)
contact@ciee.org
Updated: 8/8/17
PLEASE FILL IN FORM USING ALL CAPITAL LETTERS.
DEPARTURE AND RETURN DATES
Arrival Date in U.S.
(DD/MM/YYYY)
:
Cannot arrive more than five days prior to DS-2019 start date.
DS-2019 Start Date
(DD/MM/YYYY)
:
When do you want to start work in the U.S.?
DS-2019 End Date
(DD/MM/YYYY)
:
Last day you want to be eligible to work in the U.S. Can be no more than four months after DS-2019 start date.
Date of Departure From U.S.
(DD/MM/YYYY)
:
Cannot leave the U.S. more than 30 days after DS-2019 end date and no more than five months after arrival date.
PERSONAL
DETAILS
(Print exactly as they appear on your passport. Please include a copy of your passport’s ID page with your application.)
Last Name:
Middle Name:
First Name:
Gender:
Female
Male
Date
of
Birth
(DD/MM/YYYY)
:
City
of
Birth:
Country
of
Birth:
Country
of
Citizenship:
Country
of
Study:
Country of Legal Residence:
Passport
Number:
Passport
Expiration
Date
(DD/MM/YYYY)
:
CONTACT INFORMATION
(Permanent home address)
Home Mailing Address:
Postal
Code:
City:
Country:
Phone Number
(Country code - City code - Number)
:
Mobile
Number:
Email
(Mandatory)
:
EMERGENCY CONTACT
Last
Name:
First
Name:
Relationship to Participant:
Address:
Postal
Code:
City:
Country:
Phone Number
(Country code - City code - Number)
:
Mobile
Number:
Email:
PREVIOUS VISAS
(If you have previously received more than one J-1 Visa, please use an additional sheet of paper to provide the same information as below for each one.)
Have you ever received a J-1 Visa to enter the USA?
Yes
No If yes, how many?
If yes, please complete the following for each previous J-1 Visa:
Name
of
Program:
Program
Number:
Name
of
Sponsoring
Organization:
City:
State:
Dates of Previous DS-2019 Form: From
(DD/MM/YYYY)
:
To
(DD/MM/YYYY)
:
*Earliest arrival date is 27/05/2018. Earliest DS-2019 Start date is 01/06/2018.
*DS-2019 End date must be no later than 15/09/2018. *Date of Departure can be no more than 30
days after
DS-2019 End Date
*This is where your legal paperwork will be sent via 1st class post unless otherwise instructed
*
IST Plus
IST Plus
United Kingdom
UK/IST