J-1 Visa Intern and Trainee Program: Get Ready To Apply

I. Profile Information (fill out all the parts)

First Name RUNAKO
Middle Name RAJESH
Last Name GONSALVES
Gender MALE
Date of Birth (day/month/year) 22/12/2002
Place of Birth ( Birth City ) VASAI
Birth Country INDIA
Nationality Country INDIAN
Country of Permanent Residence INDIAN

Citizenship Country INDIAN

Passport Issuing Country INDIA
Passport Number W7245976
Passport Expiration Date 01/12/2032

Your Email runako.gonsalves22@gmail.com

Phone

Mobile +91 957942779

Skype runako.gonsalves22@gmail.com
Your Passport Photo or Equivalent

Residency location: Street PARIMAL, MARADI GAON, SOPARA

City VASAI VIRAR
State MAHARASHTRA
Postal code 401203
Emergency contact First name JERISTAN
Emergency contact Last name RODRIGUES
Emergency contact - How is this person
COUSIN
related?

Emergency contact Email jeristan.rodrigues@gmail.com

Emergency contact Mobile +91 7666868746

Name of University MUMBAI UNIVERSITY

City where the University is located MUMBAI

Country where the University is located INDIA
Major field of study you finished HOSPITALITY STUDIES

Education end date MAY 2023

Education start date JULY 2020

Secondary field of study

Are you a current student? NO

Are you a full-time student? NO

Degree type (Certificate, Diploma, Bachelor) BACHELOR
University Representative's Name
University Representative's Position
University Representative's Email
University Representative's Telephone
Number

Motivation for applying to this program. What

specifically attracts you to this program? (2-3 I'm interested in a program that teaches them how to h
sentences)

How has your education and experience

prepared you for the program and specific
My hospitality studies and prior hotel experience have
type of organization that you wish to train
with? (2-3 sentences)

Describe in detail the skills you hope to

develop and the experience you hope to gain The program aims to enhance communication skills, g
during your program. (2-3 sentences)

Upon return to your own country, how will

My training skills aim to enhance hotel management a
you use the experience you hope to gain on
the program? Include information on your
career plans (be specific). (2-3 sentences)

Have you ever received a J-1 visa to enter

the USA before?
If yes, Program Name
NO
Start Date
End Date
U.S. Sponsoring Organization

If you have a U.S. Social Security Number,

please provide it.

Have you ever been refused a visa to enter NO

the United States?

Medical conditions?
Allergies?
NO
Currently taking Medications?
Seizures?

Traineeship or Internship? Pick one TRAINING

To qualify for the Training Program an TRAINING

applicant must have either:

A degree or professional certificate from a

foreign post-secondary academic institution
and at least one year of prior related work
experience in their occupational field
acquired outside the United States.

OR

Five years of work experience in their

occupational field acquired outside the United
States.

The maximum duration for the training

program is 18 months. Training in the field of
Hospitality or Agriculture is limited to 12
months.

To qualify for the Internship Program an

applicant must either be:
Currently enrolled full-time and pursuing
studies at a degree- or certificate-granting
post secondary academic institution.

OR

Graduated from a post-secondary academic

institution no more than 12 months prior to
their program start date.

The maximum duration of an internship in

any occupational field is 12 months.

What field are you applying for? Hospitality and Tourism

Select from the list:
Arts and Culture Education, Social Sciences,
Library Science, Counseling and Social
Services Hospitality and Tourism Information
Media and Communications Management,
Business, Commerce and Finance Public
Administration and Law The Sciences,
Engineering, Architecture, Mathematics and
Industrial Occupations Construction and
building trades Agriculture, Forestry and
Fishing Other Unknown

Insurance 1 - Yes No
1. YES 2. NO
1 - Do you want Pre-Program Insurance for 2 - Yes No
30 days before your program starts? This will
add an extra cost of 75 US Dollars

2 - Do you want Post-Program Insurance for

30 days after your program ends? This will
add an extra cost of 75 US Dollars

Are you coming to the U.S. with dependents

that will apply for a J-2 visa? NO