Contact form and information

To qualify:

You must be a J1 work and travel student.
If known, enter the exact dates of your visa appointment, arrival and departure.
If you enter false information your application will be denied.
Filling out this application does not guarantee you will be accepted.
Park Blvd Hostel does not share or sell any information from this application.
After the application is submitted, you will receive information about housing.

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