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J-1 Professional Teacher Application Form

Title (required): Last Name (required):
First Name (required):
Middle Name (required):
Marital Status:
Address (required):
E-mail Address (required):
Contact #1:
Contact #2:
D.O.B.
Current Age:
Nationality:
Gender:
Skype ID (required):
Passport #:
Passport Expiration Date:
Passport Issue Date:
Tax Registration Number #:
Number of Dependent (s):
Next of Kin/Emergency Contact Name:
Next of Kin/Emergency Contact Address:
Next of Kin/Emergency Contact #:
Next of Kin/Emergency Contact Email Address:
Next of Kin/Emergency Contact Relation:
Which school year are you applying for?
Do you have a BSc in Education?
Are you qualified to teach at the Primary or Secondary Level?
Which subject (s) are you qualified to teach?
Are you currently teaching?
If yes, which subject (s) and level (s)?
Do you have a minimum of two (2) years full-time teaching experience?
What is the total number of years that you have been teaching?
What grades have you taught?
Is your current/past school willing to participate in the J-1 Professional Teacher Program?
Are you willing to sign a minimum two (2) year contract?
Are you willing to leave Jamaica for your new post in July?
Have you ever been on a J-1 Program before?
If yes, state which program and when?
Have you ever travelled outside of Jamaica?
Have you ever visited the USA before?
Do you have any family and/or friends in the USA?
Have you ever been convicted of a crime?
If yes, please state the crime:
Do you have any serious illnesses and/or allergies?
If yes, please specify:
Upload Your Resume/CV
Upload Your Passport Information Page
Upload Your Passport Size Picture
Upload Your Background Check Report
Upload Your Diploma/Degree
Upload Your Foreign Education Evaluation
Upload Your Employment Letter of Reference
Give three references
First Reference Name:
First Reference Occupation:
First Reference Address:
First Reference Contact #:
First Reference Relation:
Second Reference Name:
Second Reference Occupation:
Second Reference Address:
Second Reference Contact #:
Second Reference Relation:
Third Reference Name:
Third Reference Occupation:
Third Reference Address:
Third Reference Contact #:
Third Reference Relation:
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Are you on social media?
If yes, list your social media accounts usernames so that we can connect with you: