Personal Data Information
Criminal Background Check – with English translation (only if required by employer)
Photocopy of passport ‐ should not expire at least 6 months before the program start date
Medical Information– should be physically fit to participate in the Work and Travel Program
Educational Background and Proof of Student Status
Work and Travel Program Application and signed Program Terms
Reference Information
Interview Confirmation and Evaluation
Orientation confirmation (Completed Certification of Orientation Form AND Test Results from the Job Fair or online portal)
Signed Job Offer
Worker’s Compensation Certificate (for SELF PLACEMENT Applications)
Business License (for SELF PLACEMENT Applications)
Comments:
Completed By:
Date Completed:
DS‐2019 Application CHECKLIST
Please complete and included with each application submitted to Janus International
DS‐2019 cannot be issued without this document
Fill out form as it appears in Passport