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Email: info@j1ireland.com, Tel: +353 (0)90 6626968
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J1 Ireland
  • J-1 PROGRAMS
    • J-1 Summer Work Travel Program
    • J-1 Camp Counselor Program 2021
    • J-1 IWT Program
    • J-1 Intern Program
    • J-1 Trainee Program
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Step 1 of 7

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  • Please Have Required Documents Ready for Upload in Order to Complete Form

    Your  program start date must be within 12 months of your final class at your University. 

      1. SIGNED & STAMPED COPY OF PROOF OF COLLEGE. PDF Format. (Download link)
      2. SIGNED COPY OF RULES & REGULATION FORM. PDF Format. (Download link)
      3. CV or RESUME. PDF Format
      4. BIOGRAPHICAL PAGE OF PASSPORT. SCANNED JPEG. WE DO NOT ACCEPT SMARTPHONE PHOTOS.
      5. PROOF OF FUNDS, e.g. RECENT BANK STATEMENT. MUST SHOW APPLICANT'S NAME. PDF Format.
      6. COPY OF PREVIOUS US VISAS IF APPLICABLE. PDF Format.
      7. COPY OF IRISH VISA (THIRD PART NATIONALS) IF APPLICABLE. PDF Format
  • PERSONAL INFORMATION

    Important! This information must appear exactly as it does on your passport.
  • Date Format: MM slash DD slash YYYY
    American Date Format: mm/dd/yyyy
  • must be a citizen of Ireland
  • PERMANENT ADDRESS

  • EMERGENCY CONTACT

  • COLLEGE ATTENDANCE DETAILS

  • COLLEGE ATTENDANCE DETAILS

  • (Eg. Bachelor of Business Studies BSc Business, Masters of Elkectrical Engineering MSc Engineering)
  • Date Format: MM slash DD slash YYYY
    American Date Format: mm/dd/yyyy
  • VISA AND TRAVEL INFORMATION

  • PERSONAL REFERENCE

  • PROFESSIONAL REFERENCE

  • VISA AND TRAVEL INFORMATION

  • If yes, please fill out the following for each visa:
  • Please enter a number from 1 to 10.
  • Date Format: MM slash DD slash YYYY
    American Date Format: mm/dd/yyyy
  • Date Format: MM slash DD slash YYYY
    American Date Format: mm/dd/yyyy
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • If yes, please fill out the following for each visa:
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Select Yes or No
  • Select Yes or No
  • Select Yes or No
  • INTENDED START/COMPLETION DATES

  • NB: When entering in Program Start Date please allow up to 4 weeks for application processing from application submission date now. Also you may enter the US 4 weeks before Program Start Date. We recommend availing of this time to secure internship if you do not already have it organised.
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
    Note: you can enter up to 30 days prior to the date above. This is the earliest date you can start your Intern position.
  • Date Format: MM slash DD slash YYYY
    Note: your program allows a 12 month opportunity and you can depart up to 30 days after the date above
  • Where do you intend to do your Internship?
  • EXPECTATIONS

  • INTERNSHIP INTERESTS

  • HISTORIC, SOCIETAL, CULTURAL INFORMATION

    The United States Department of State believes that a participant coming to the United States on a J1 Program – should not only gain a valid internship to help with their future career – but should also gain a better understanding of America and it’s History, Society & Culture. We agree!! Tell us a little bit about what might interest you while you are here and we will develop a program of learning for you. (check all that apply).
  • HISTORIC, SOCIETAL, CULTURAL INTERESTS INFORMATION

    check all that apply
    *
  • APPLICATION CHECKLIST

    1. SIGNED & STAMPED COPY OF PROOF OF COLLEGE PDF
    2. SIGNED COPY OF RULES & REGULATION FORM PDF
    3. CV or RESUME PDF
    4. REFERENCES PDF 
    5. PASSPORT JPEG
    6. PROOF OF FUNDS PDF
    7. COPY OF PREVIOUS US VISAS IF APPLICABLE PDF
    8. COPY OF IRISH VISA (THIRD PART NATIONALS) IF APPLICABLE PDF
  • Drop files here or
    Accepted file types: pdf.
    Upload Required PDF Documents. Allow time for documents to upload (Max file sizes: 2MB).
  • Drop files here or
    Accepted file types: jpg.
    Upload Required JPG. Allow time for documents to upload (Max file size: 2MB).
  • This field is for validation purposes and should be left unchanged.

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Contact Details

Academy House, Goff Street,
Roscommon, County Roscommon
Email: info@j1ireland.com
Tel: +353 (0)90 6626968

Our Office Hours

Mon-Fri: 9:30-5:30

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