Work Placement USA pre-application form​

If you are interested in applying for a work placement program in the USA, please complete the pre-application form so that a staff member can be in contact with you. The application is free and not binding and the information will not be shared with anyone outside of MyEducation.​

Work Placement USA pre-application form

You do not have to provide a contact number but it will help us to contact you promptly regarding your enquiry.

You do not have to provide a contact email but it will help us to contact you promptly regarding your enquiry.

Which programme are you applying for? *

Have you secured a placement? *

How would you like to secure a work placement? *

What work experience do you have? *

Have you applied for a J1 visa before? *

Do you have a criminal record? *

Do you hold a British passport?

When is best to contact you?
How did you hear about us?
Would you like to added to our email list? *


Example: 12

Please make sure all required fields are filled out correctly

How we use your personal information:

i) Personal information that you provide to us may be used in the following ways:

  • to contact you regarding your enquiry
  • to add you to our monthly email newsletter if you choose to opt in

ii) We will not disclose any information to any company outside of the MyEducation group unless required to do so by law

iii) For further information on how your personal information is used, how we maintain the security of your information and your right to access information we have on you, please contact or 02380 970 924​

Gap Year Programs​​                                Go Campus                     Contact Us     


Wessex House,

Upper Market Street,

Eastleigh, Hampshire,
SO50 9FD

Contact info

Main office number: +44 (0) 2380 970 924

Email address:

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