Contact form and information

To qualify:

You must be a J1 work and travel student.
Know the exact dates of your arrival and depature.
If you enter false information your application will be dedied.
Filling out this application does not guarantee you will be accepted.

You must answer all questions with the (*)

How old are you? *

Male or Female? *

Your Name (First and Last) *

What Country are you from? *

The name of the place you will work? *

Arrival date? *

Departure date? *

Date of visa appointment? *

Your mobile number? *

Your email address? *

Social media?

Comments or Additional Information

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	Our purpose: To locate and provide quality housing for J1 students working in Wildwood, NJ. Our goal is that our students have a memorable stay while they are with us.

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