After retaining our firm, please provide us with the following documents and information.

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Documents/Information Needed for
National Interest Waiver Petition

1. Copy of your passport;
2. Both sides of Form I-94;
3. Evidence of your current nonimmigrant visa status (such as I-20's);
4. Your degree certificates and evaluation report that your educational background is at least equivalent to a Master’s degree in the United States, if any;
5. All publications, presentations, abstracts, invitations to conferences;
6. Citations of your publications, if any;
7. Comments on your papers by referees of journals, if any;
8. Requests for reprints of your publications, if any;
9. Evidence of awards or honors received, if any;
10. Evidence of membership in professional associations, if any;
11. Documents on the funding of your research projects, or grant numbers, if any;
12. Documents of your participation, either individually or on a panel, as the judge of the work of others in your field, if any;
13. Newspaper articles about some of your reference writers, if any, in order to establish their authority in the field;
14. List of writers of the recommendation letters, including titles and employer; and
15. Your Curriculum Vitae.

1. Last Name ________________ First Name _______________ Middle Name _________
2. Current Address: Street Number and Name: _____________________________
   Suite #: _____________City: _______________________
   State/Province:_________________Country:___________________
   Zip/Postal Code:_________________________________________
3. Social Security Number _____________________
4. Email address: ___________________________________________________________
5. Daytime Phone Number _____________________
6. Date of Birth (mm/dd/yyyy) ____________________
7. Birth Place (city/town) _____________     (state/province) ______________           Country of Birth___________________________                                                                                    Country of Nationality/Citizenship_______________________________
8. A# (if any) _________________
9. Date of Arrival in the U.S. (mm/dd/yyyy)____________________
10. I-94 # _________________________
11. Current Nonimmigrant Status _____________ Expires on _______________________
12. Have you ever been in J-1 status? ______
    If yes, have you had a J-1 waiver?  ______
13. Your last foreign address (in English)_________________________________________
14. Your name and last foreign address (in your own native language)_______________________________________________________________
15. Are any other petition(s) being filed with this Form I-140?
    ____No.      ____ Yes.    If “yes”, specify: ____Form I-485   ____Form I-765   ____Form I-131  ___other(attach an explanation)
16. Occupation: ______________________
17. Job Title: ________________________
18. Nontechnical Description of Job (several sentences):_______________________________________________________________________________________________________________________________________
19. Address where you will work if different from above 2: ______________________________________________________________________

If an organization is filing this petition, provide the following:

Company or Organization Name: __________________________________
Address of Company or Organization:
Street Number and Name: _____________________________
Suite #: _____________City: _______________________
State/Province:_________________Country:___________________
Zip/Postal Code:_________________________________________
IRS Tax # :_____________________________________________
Type of Business: ________________________________________
Date Established: (mm/dd/yyyy)_________________________________________
Current Number of Employees: _________________________________________
Gross Annual Income: ________________________________________________
Net Annual Income: __________________________________________________
Address where you will work if different from the above: ______________________________________________________________________
Name of person who will sign the form ________________________________________
Title of person who will sign the form _________________________________________
Email address of person who will sign the form  _________________________________

Processing Information (check one below)

You will apply for a visa abroad at the American Embassy or Consulate _________
You will apply for adjustment of status in the United States ________

Information about Your Spouse and All Children

1. Spouse:
   
   Last Name ___________ First Name __________________ Middle Name ___________
   Date of Birth(mm/dd/yyyy) _________________Country of Birth __________________
   Present Address (if different) _____________________________________
   _____________________________________________________________
   _____________________________________________________________
   
   
2. Child:
   
   Last Name ____________ First Name _________________ Middle Name ______
   Son ____ Daughter ____
   Date of Birth(mm/dd/yyyy) __________________Country of Birth ________________
   Present Address (if different) ________________________________________________
   _______________________________________________________________
   _______________________________________________________________
   
   
3. Child:
   
   Last Name ____________ First Name _________________ Middle Name ______
   Son ____ Daughter ____
   Date of Birth(mm/dd/yyyy) ___________________Country of Birth ________________
   Present Address (if different) ________________________________________________
   _______________________________________________________________
   _______________________________________________________________

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