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Format:
You are encouraged to electronically fill out in the context of this info sheet and email this info sheet as an attachment to attorney.
Alternatively, you may fill out a hard copy and mail or fax to attorney to the corresponding address listed above.
Documents
- Job posting documents: journal, newspaper, online print out
- Selection Report and decision approved by the authority of the University
- Interview and selection records
- Offer letter to the alien
- Reasons why the alien is more qualified than other candidates – please state in detail
Total number of applications: ___________________________
Total number of interviewed candidates: _________________________
I. Information about Employer
Name ___________________________________________
Business Address _________________________________________________
Address where Alien will work (if different) _______________________________
Telephone Number ________________________
Fax _____________________________
The Year Company established: _________________
Number of Employees: _______________________
Annual Gross Income: _________________________
Annual Net Income: _________________________
Nature of business activity _____________________________________
Signing Officer Info:
Print of Name__________________________ Title__________________
II. Information about Job Offered
1. Name of job title ____________________________________
2. Total hours per week ________________________________
3. Work schedule of a working day (hourly) ______________________________
4. Basic annual salary ____________________ overtime hourly salary ________________
5. Occupational title of Alien’s immediate supervisor _________________________
6. Number of employees Alien will supervise _______________________________
7. Description of job duties in details_______________________________
Minimum requirements
College degree required _______________ Degree Level__________________
Field of study ________________
Formal vocational training required _________________________ (year/month)
Type of training ___________________________________
Experience _________________________ (year/month)
Documentation about the Employer’s Recruiting Efforts:
At least one nationwide professional journal posting (paper version, not online version) is required.
Media Name Nature Date of Posting
1. _________ __________________ ________________
2. _________ __________________ ________________
3. _________ ___________________ ________________
III. Information about Alien Employee
Please fill out in detail though you may have submitted your Resume
Last Name ______________ First Name _________________ Middle Name ______
- Present Address ______________________________________
- Type of Visa ____________________
- Date of Birth ____________________
- Place of Birth __________________ (city) ___________________ (country)
- Present Citizenship ______________________
- Home Address (if different from 2) ___________________________________________________________________
- Name and Address of Employer _________________________________
- Proposed Title of Occupation ____________________________
- Alien’s Educational Background
| Names and Street Addresses of Colleges |
Field of Study |
From
month/year
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Degree |
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Work Experience
(must include any experience for the past 3 years; and all other related experience for more than 3 years)
Name and Street Address of Employer
________________________________________
Date Started (mm/dd/yyyy) ______________Date Left (mm/dd/yyyy) _______________
Kind of Business_______________________________________________
Describe in detail the duties performed, including the use of tools, machines or equipment:
__________________________________________________________________________________________
No. of hours per week _______________________
b. Name and Street Address of Employer
____________________________________________________________________________________________
Name of Job _____________________________________
Date Started (mm/dd/yyyy) ______________Date Left (mm/dd/yyyy) _______________
Kind of Business _______________________________________________
Describe in detail the duties performed, including the use of tools, machines or equipment:
____________________________________________________________________________________________
No. of hours per week _______________________
c. Name and Street Address of Employer
_________________________________________________________________________________________
Name of Job _____________________________________
Date Started (mm/dd/yyyy) ______________Date Left (mm/dd/yyyy) _______________
Kind of Business _______________________________________________
Describe in detail the duties performed, including the use of tools, machines or equipment
________________________________________________________________________________________
No. of hours per week _______________________
d. Name and Street Address of Employer
_____________________________________________________________________________________
Name of Job _____________________________________
Date Started (mm/dd/yyyy) ______________Date Left (mm/dd/yyyy) _______________
Kind of Business ___________________________________________
Describe in detail the duties performed, including the use of tools, machines or equipment
________________________________________________________________________________________
No. of hours per week _______________________
e. Name and Address of Employer
____________________________________________________________________________________
Name of Job _____________________________________
Date Started (mm/dd/yyyy) ______________Date Left (mm/dd/yyyy) _______________
Kind of Business_______________________________________________
Describe in detail the duties performed, including the use of tools, machines or equipment
________________________________________________________________________________________
No. of hours per week _______________________
f. Name and Address of Employer
______________________________________________________________________________________
Name of Job _____________________________________
Date Started (mm/dd/yyyy) ______________Date Left (mm/dd/yyyy) _______________
Kind of Business _________________________________________
Describe in detail the duties performed, including the use of tools, machines or equipment
_______________________________________________________________________
No. of hours per week_______________________________________
For more information on Special Handling PERM for University and College Teachers, please click one of the following topics:
Description
Eligibility
Requirements
Minimally Qualified Requirement vs. More Qualified
Procedural Criteria
Documents and Information Needed
An Example of Special Handling Case
Frequently asked questions about Special Handling
General PERM Labor Certification
PERM Specialty Team
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