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2020 Visa Information
Required for international applicants to the Apprenticeship in Ecological Horticulture
Personal Information
First name *
Your answer
Middle name
Your answer
Last name *
Your answer
Gender *
Your answer
Today's date (month/day/year) *
MM
/
DD
/
YYYY
Date of Birth (month/day/year) *
MM
/
DD
/
YYYY
Country of Citizenship *
Your answer
Country of Birth *
Your answer
Country of Legal Permanent Residence *
Your answer
Position in Country of Permanent Residence: If position is in education, please indicate level (i.e., postdoc, grad, undergrad, secondary; also, if self-employed, private or government employer) *
Your answer
Date of Entry to U.S. (month/day/year) *
MM
/
DD
/
YYYY
Consulate where scholar will apply for visa, if outside of U.S.
Your answer
Current Address
Street/Box
Your answer
City
Your answer
State/Province
Your answer
Postal Code
Your answer
Country
Your answer
Permanent Address
Please provide your permanent address if it is different from your current address.
Street/Box
Your answer
City
Your answer
State/Province
Your answer
Postal Code
Your answer
Country
Your answer
Source(s) of Support
Source(s) and estimated amount in U.S. dollars for entire 6-month period of the Apprenticeship program
U.S. government agency (specify), amount
Your answer
Scholar's government agency (specify), amount
Your answer
Other (please describe), amount
Your answer
Personal funds, amount
Your answer
Additional information
Does the scholar currently hold a non-immigrant visa?
If yes, what type?
Your answer
Will you be bringing dependents? *
If yes, how many dependents will accompany you?
Your answer
Additional Materials and Mailing Information
In addition to this visa information form, please submit the 2020 Apprenticeship in Ecological Horticulture Application.
This form can be found on the "How to Apply" web page :
https://casfs.ucsc.edu/apprenticeship/apprenticeship-information/how-to-apply.html

Follow the instructions on that page for mailing the application fee (or requesting an application fee waiver) and any additional support materials.

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