Candidate Registration

Take a step towards your Future

BEFORE YOU REGISTER, PLEASE MAKE SURE YOU HAVE THE FOLLOWING.

Please complete the registration form with accurate and detailed information. Ensure all details are correct. You will also need to upload the following documents: If you do not upload all documents your application will automatically be discarded.

– Head and Shoulder photo (not a passport photo)
– ⁠Copy of Passport
– ⁠Copy of ID document
– ⁠Copy of CDL license (if any)
– ⁠Copy of previous H2A visas (if any)
– ⁠Copy of criminal record check (Compulsory) must be done at SAPS

First Name

Last Name

ID Number

Age

Date of Birth

Physical Address

Contact Number

SA / USA Driver's License Code

Social Security Number

Smoking Habits

Alcohol Use

Can you Speak, Read and Write English?

Do you have any Health related issues? Please specify.

Do you have a Criminal Record? Please specify.

Marital Status

Spouse Name and Surname

Spouse Contact Number

Spouse Email Address

Spouse Date of Birth

Date of Marriage

Mother Name and Surname

Mother Date of Birth

Father Name and Surname

Father Date of Birth

Do you have relatives in the USA?

Passport Number

Passport Date Issued

Passport Expiry Date

Have you previously applied for a USA Visa?

Was your application Approved or Denied?

Highest School Education

Tertiary Education

Current Employer

Date Started

Contact Person

Briefly Describe Your Duties

Previous Employer

Date Started

Date Ended

Contact Person

Briefly Describe Your Duties

Tractors Operated

Combines/Harvesting Machines Operated

Tillage and Cultivation Equipment Operated

Silage and Haymaking Equipment Operated

Sprayers Operated

Other Farm Equipment Operated

Earthmoving Equipment Operated

Trucks Operated

Other Skills

Mechanical Skills

Livestock Farming

Crop Farming

Irrigation Farming

Other Information

Please upload an ID Photo

Please upload a copy of your Passport

Please upload a copy of your ID Document

Please upload a copy of your CDL Licence if applicable

Please upload copies of any previous H2A visas (if any).

Please upload a copy of your criminal record check.