REMOTE YEAR APPLICATION

Please complete all fields below to begin the application process!

First Name *

Last Name *

Date of Birth *

MM/DD/YYYY

Email Address *

Gender *

What is your gender?

Zip/Postal Code *

What current zip/postal code do you live in? If your country does not have a postal code, please write 'None'.

Current Country *

Where do you live right now?

Primary Country of Citizenship *

What is your citizenship by birth?

Native Language *

What is your primary language?

English Fluency *

How strong is your English?

Extended Travel *

What is the longest period of time you have traveled at once?

Current Field of Employment *

Which best describes your current job?

Current Company *

If freelance, write freelance

Remote Work *

Do you currently work remotely? You are not required to currently have a remote job.

Annual Income *

Please enter your current annual income (base + bonus, $USD). Example: for $50,000 enter 50000.

Remote Year *

How did you hear about Remote Year?

Profile

Please input a link to your LinkedIn profile. If you do not have LinkedIn, please input Facebook or Twitter.