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H2B

H2B preapplication form

* Last Name:

* Name:

* Date of Birth:


* City:

* County:

* E-mail adress:

* Telephone number:

* Marital status:

Number of children:

Current place of work
(if any):

Since when you are working:

* In which country do your parents work/live:

* Linear kin in the USA :

* Have you ever been in the States?

Please complete the most recent visa:

* Type of visa: Program: Month/ Year:

Type of visa: Program: Month/ Year:

Type of visa: Program: Month/ Year:


* USA visa refusal:

Please complete the most recent visa refusals:

* Type of visa: Program: Month/ Year:


Type of visa: Program: Month/ Year:


Type of visa: Program: Month/ Year:


* English level:

* State of healt
(alergies, chronical diseases etc.):

* Preferred domains for H2B: