J-1 Visa Application: New Intern or Trainee Step 1 of 25 - Intern or Trainee? 4% Apply for J-1 internship or traineeship Instructions: Please note that to apply for a J-1, you must be signed up as a (Young) Individual member of BelCham and your host company must be (or become) a Business Member of BelCham. Once these steps are completed, you will need the following documents to apply: PLEASE NOTE: All documents should be saved and submitted in .PDF format. PLEASE NOTE: All documents in a foreign language must be accompanied by an English translation. An online translation service may be used. Documents to Fill Out in Advance Copy of proof of medical insurance. Instructions here. Language proficiency certificate. Please upload any recent proof of English competency level. Applicants without sufficient proof of competency will be required to have a phone/Skype interview. Financial security statement. Instructions here, be sure to save all required financial documents in one .pdf file. BelCham Young Individual membership transaction ID. Transaction ID is located in your membership confirmation email from the BelCham Member Manager. Other Required Documents A copy of the first 10 pages of your passport (even if blank) Two separate letters of reference/recommendation from previous employers or university/college (must be signed, dated, and on letterhead) Your most up to date CV/resumé A copy of your higher education degree or a professional certificate -OR- a statement of enrollment if you are still a student For Dependents Spouse's marriage certificate Proof of health insurance for your spouse A copy of the first 10 pages of your spouse's passport For more information about the documentation, please refer to the J-1 requirements page Have you collected all the documents listed on page 1 of this form?YesNo Have you already signed up for BelCham Young Individual membership?*YesNo You need to sign up as an individual before you can apply for a J-1 internship or a traineeship Click here or click "Next" to sign up as an individual You need to collect all the required documents before you can apply for a J-1 Visa Click here or click "Next" to read about the required documents Fill in Your InformationName* First Last Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Phone*Birthdate* Emergency Contact* First Last How are you related to them?*Emergency Contact Email* Emergency Contact Phone*Emergency Contact Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Are you applying for an internship or traineeship?*An internship is for current students or recent graduateds spending less than 12 months in the USA. A traineeship is for applicants with a post-secondary degree and a minimum of 12-months full-time experience OR 5 years of full-time experience in their J-1 program fieldInternshipTraineeship Your Host Company InformationHost Company Name*Host Company Supervisor First Name*Host Company Supervisor Last Name*Host Company Supervisor Email* Duration of Proposed ProgramIntended Internship/Traineeship Start Date* Internship/Traineeship Completion Date* Passport Copy Make a scan of the 10 first pages of your passport, even if blank. Files must be less than 5 MB. Allowed file types: pdf.Copy of passport*Accepted file types: pdf. Letters of recommendation Must be on organization's/company's letterhead Must be in English Must include signer's complete contact information Must be signed and dated within 12 months of submission The letter should attest to your work ethic and/or skills - For trainees: Should indicate the hours worked per week. Files must be less than 500 KB. Allowed file types: pdf, doc.Letter of reference 1*Accepted file types: pdf, doc.Letter of reference 2*Accepted file types: pdf, doc. Resume/CV Please provide an up-to-date resume. For all positions and educational experiences on your resume there should be a clear month and year corresponding to the start and end date for each experience. (For example, mm/yyyy - mm/yyyy or mm/yyyy - Present). Please include your graduation date or intended graduation date. (mm/dd/yyyy) Files must be less than 1 MB. Allowed file types: pdf. Resume*Accepted file types: pdf. Degree or professional certificate All documents submitted must be in English. If the school cannot provide a translated version of the degree, please use a certified translator. Many of our J1 applicants have used the following translation service: https://rushtranslate.com/ Files must be less than 1 MB. Allowed file types: pdf.Degree or professional certificate*Accepted file types: pdf. Copy of Medical Insurance You will have to provide us with a proof of health insurance. Please read the requirements carefully. Download all requirements Recommended health insurance Files must be less than 500 KB. Allowed file types: pdf. Copy of Medical Insurance*Accepted file types: pdf. Language Proficiency Certificate Please provide documentation and/or information showing that your level of English is sufficient. This is subject to a verification by our services and you may receive an invitation for a phone interview in English. Files must be less than 500 KB. Allowed file types: pdf.Language Proficiency Certificate*Upload Language Proficiency CertificateI don't have an examIf you don't have an exam certificate proving your English competency, we will need to schedule an interview with you.Upload*Accepted file types: pdf. Financial Security Statement If you will not be receiving a stipend OR if it will be less than $1500 per month you will have to show evidence that you will be able to support yourself financially - this is demonstrated through the following documents (1 AND 2): 8.1 Letter from the Account Holder: Signed letter from the account holder (you or your guarantor) stating $X,XXX of the amount listed on the bank statement (document No. 2) will be for the intern/trainee’s J1 program. 8.2 Bank Statement (a printed record of the balance in a bank account with the account holder's name) showing funds in the account proving the statement in the above letter is true.Signed letter from the account holder*Accepted file types: pdf.Bank statementFiles must be less than 500 KB. Have you previously visited the U.S. on a J-1 Visa?*YesNo***Please note, you may not apply for a J-1 visa within 2 years of completing your previous J-1 program.Program start* Program end* (If you previously had a J-1 Visa )Sponsor nameProgram number(If you previously had a J-1 Visa)Purpose of visitEntry DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Are you a citizen or permanent resident of any other countries than the country listed on your passport?*YesNoSelect country*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Add another country Select country #2*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Add another country Select country #3*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweIn the last 12 months, have you visited the U.S.?*YesNoType of Visa Held*Purpose of visitEntry DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Dependents that will be joining you in the USA In any case, a J-2 visa can be added at a later date. Click here to learn more about J-2 visa'sDo you have a spouse that will be joining you in the USA?*YesNoDo you have dependents that will be joining you in the USA?*YesNoIf so, how many?OneTwo First nameMiddle NameDependent last nameDate of BirthMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920First Dependent City of BirthCountry of BirthCountry of Citizenship Second Dependent's First NameDependent middle nameSecond Dependent's Last nameDate of BirthMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Second Dependent's City of BirthCountry of BirthCountry of Citizenship Marriage CertificateAccepted file types: pdf.Files must be less than 3 MB. Allowed file types: pdf.Passport of spouseAccepted file types: pdf.Birth certificateAccepted file types: pdf.Files must be less than 1 MB. Allowed file types: pdf.You will have to provide us with a proof of health insurance. Please read the requirements carefully. Recommended health insurance Files must be less than 1 MB. Allowed file types: pdf.Proof of InsuranceAccepted file types: pdf. BelCham is a non-profit, international education exchange organization authorized by the United States Department of State to sponsor program participants under the Exchange Visitor (or type “J”) Visa. This authorization allows a trainee a maximum of 18 months and interns a maximum of 12 months in the United States for practical training/internship. Individuals with a J-1 Visa have only 30 days beyond the training/internship program termination date to remain in the United States. You and your dependents will then be expected to exit the United States. However, BelCham can withdraw sponsorship if any of the conditions of your training/internship are changed without BelCham’s written permission in advance. If sponsorship is withdrawn, you must return your DS-2019 and exit the country immediately. BelCham is your legal sponsor throughout the duration of your program. Your training entity is not your sponsor. It is imperative that you discuss any intended changes in your training program with BelCham. All communication must come directly from you and not via any third party. Please read the following statement carefully before confirming below: I understand that the time allowed for practical training employment is limited to a maximum of 18 months and to a maximum of 12 months for practical internship. It is not my intention to abandon my permanent residence in another country. I understand that BelCham is my legal sponsor, and I agree to consult directly with BelCham before attempting to change any aspect of my status. I certify that I will follow any instructions from BelCham before and during my stay in the United States, and I will comply with applicable laws, regulations, and/or instructions of appropriate government agencies in the United States. I understand that I may be subject to a two-year home-country residence requirement if my course of training is contained in the State Department’s list of needed knowledge or skills in my home country or if I have received governmental Funds. I certify that the information given in this application is complete and accurate. * I hereby confirm that I have read and meet all the requirements to enter the J-1 Visa program. I am ready to submit my applicationPhoneThis field is for validation purposes and should be left unchanged.