HR Elite Work and Travel Program Application

HR Elite Work & Travel
Program Application

All RESPONSES MUST BE LEGIBLE AND CLEARLY PRINTED

HR Elite Limited
22B Old Hope Rd.
Kingston 5
Jamaica, West Indies
Phone: 876-622-9628 or 876-622-9790
Email: info@hreliteco.com
Website: www.hreliteco.com

HR Elite Work and Travel Program Application

HR Elite Limited
22B Old Hope Rd.
Kingston 5
Jamaica, West Indies
Phone: 876-622-9628 or 876-622-9790
Email: info@hreliteco.com
Website: www.hreliteco.com
I am applying for:
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Field is required!
Expected dates of Travel
dd - mm - yyyy
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To
dd - mm - yyyy
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BIOGRAPHIC DATA

Mr. / Mis.
  • - select your title -
  • Mr.
  • Mis.
- select your title -
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Field is required!
Last name
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First name
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Middle name
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Permanent Home Address (should be country outside of the United States in home country of legal residence)
Street
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Country
  • - select a country -
  • Afghanistan
  • Albania
  • Algeria
  • Andorra
  • Angola
  • Antigua and Barbuda
  • Argentina
  • Armenia
  • Australia
  • Austria
  • Azerbaijan
  • Bahamas
  • Bahrain
  • Bangladesh
  • Barbados
  • Belarus
  • Belgium
  • Belize
  • Benin
  • Bhutan
  • Bolivia (Plurinational State of)
  • Bosnia and Herzegovina
  • Botswana
  • Brazil
  • Brunei Darussalam
  • Bulgaria
  • Burkina Faso
  • Burundi
  • Cabo Verde
  • Cambodia
  • Cameroon
  • Canada
  • Central African Republic
  • Chad
  • Chile
  • China
  • Colombia
  • Comoros
  • Congo
  • Cook Islands
  • Costa Rica
  • Croatia
  • Cuba
  • Cyprus
  • Czechia
  • Côte d\\\\\\\\\\\\\\\'Ivoire
  • Democratic People\\\\\\\\\\\\\\\'s Republic of Korea
  • Democratic Republic of the Congo
  • Denmark
  • Djibouti
  • Dominica
  • Dominican Republic
  • Ecuador
  • Egypt
  • El Salvador
  • Equatorial Guinea
  • Eritrea
  • Estonia
  • Eswatini
  • Ethiopia
  • Faroe Islands
  • Fiji
  • Finland
  • France
  • Gabon
  • Gambia
  • Georgia
  • Germany
  • Ghana
  • Greece
  • Grenada
  • Guatemala
  • Guinea
  • Guinea-Bissau
  • Guyana
  • Haiti
  • Honduras
  • Hungary
  • Iceland
  • India
  • Indonesia
  • Iran (Islamic Republic of)
  • Iraq
  • Ireland
  • Israel
  • Italy
  • Jamaica
  • Japan
  • Jordan
  • Kazakhstan
  • Kenya
  • Kiribati
  • Kuwait
  • Kyrgyzstan
  • Lao People\\\\\\\\\\\\\\\'s Democratic Republic
  • Latvia
  • Lebanon
  • Lesotho
  • Liberia
  • Libya
  • Lithuania
  • Luxembourg
  • Madagascar
  • Malawi
  • Malaysia
  • Maldives
  • Mali
  • Malta
  • Marshall Islands
  • Mauritania
  • Mauritius
  • Mexico
  • Micronesia (Federated States of)
  • Monaco
  • Mongolia
  • Montenegro
  • Morocco
  • Mozambique
  • Myanmar
  • Namibia
  • Nauru
  • Nepal
  • Netherlands
  • New Zealand
  • Nicaragua
  • Niger
  • Nigeria
  • Niue
  • North Macedonia
  • Norway
  • Oman
  • Pakistan
  • Palau
  • Panama
  • Papua New Guinea
  • Paraguay
  • Peru
  • Philippines
  • Poland
  • Portugal
  • Qatar
  • Republic of Korea
  • Republic of Moldova
  • Romania
  • Russian Federation
  • Rwanda
  • Saint Kitts and Nevis
  • Saint Lucia
  • Saint Vincent and the Grenadines
  • Samoa
  • San Marino
  • Sao Tome and Principe
  • Saudi Arabia
  • Senegal
  • Serbia
  • Seychelles
  • Sierra Leone
  • Singapore
  • Slovakia
  • Slovenia
  • Solomon Islands
  • Somalia
  • South Africa
  • South Sudan
  • Spain
  • Sri Lanka
  • Sudan
  • Suriname
  • Sweden
  • Switzerland
  • Syrian Arab Republic
  • Tajikistan
  • Thailand
  • Timor-Leste
  • Togo
  • Tokelau
  • Tonga
  • Trinidad and Tobago
  • Tunisia
  • Turkey
  • Turkmenistan
  • Tuvalu
  • Uganda
  • Ukraine
  • United Arab Emirates
  • United Kingdom of Great Britain and Northern Ireland
  • United Republic of Tanzania
  • United States of America
  • Uruguay
  • Uzbekistan
  • Vanuatu
  • Venezuela (Bolivarian Republic of)
  • Viet Nam
  • Yemen
  • Zambia
  • Zimbabwe
- select a country -
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E-mail Address
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Country of birth
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Parish
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Current Telephone No
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Age
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Country of Legal Residence
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Apt No
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Current Fax No
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Date of birth
dd - mm - yyyy
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Country of Citizenship
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Marital Status
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Gender
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Passport Number
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Date of Issue
dd - mm - yyyy
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Date of Expiry:
dd - mm - yyyy
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Religious Belief
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Do you have any known pre-existing medical conditions?
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If yes, please state medical condition
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EMERGENCY CONTACT
Name
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Contact Number
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Skype ID
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Relationship
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Contact Email
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UNIVERSITY/COLLEGE INFORMATION – PART TIME STUDENTS ARE NOT ELIGIBLE TO APPLY
Are you currently enrolled as a full-time college/university student?
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If yes – please complete below and attach proof of enrollment i.e. university status letter to application
Name and Location of Educational Facility
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Start and End Dates of Study (Month/Year)
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Major Fields(s) of Study
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Degree Type (Associates, Bachelors)
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PRIOR WORK EXPERIENCE
(Start with the most recent and list backwards)
Name and Address of Employer
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Field is required!
Field is required!
Field is required!
Field is required!
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Start and End Dates(Month/Year)
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Field is required!
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Job Title or Position
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Please attach an additional sheet if necessary.
U.S. VISA INFORMATION
1) Have you previously visited the United States on a J-1, H2B or any other work visa?
Field is required!
Field is required!
If yes, provide the name of the local agent (s), sponsor (s) purpose of visits and dates of entry and exit
(include both month and year), and reason for leaving:
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Field is required!
*We will conduct a reference check on previous J1 program participation.
1B) If yes, please provide US social security number
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2) Have you ever been refused a visa to enter the United States?
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Field is required!
If yes, provide the following information:
Type of Visa
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Date of Refusal
dd - mm - yyyy
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Field is required!
3) Have you ever been convicted of a crime?
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If yes, please list details
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4) What do you expect to learn from the program?
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5) How did you learn about HR Elite Work & Travel?
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I declare that all the statements and information provided on this application are true. I understand that any false declaration may result in losing my place on HR Elite's Work & Travel Program with no entitlement to a refund or of consequent expenses. I certify that I meet the program eligibility and have truthfully completed this application. Completion of this application does not confirm acceptance into program. Please be advised that acceptance into program will be confirmed by program manager upon successful completion of our verification process.
Signature
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Date
dd - mm - yyyy
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Field is required!