PLEASE REVIEW THE FOLLOWING QUESTIONS BEFORE STARTING FILLING OUT THE FORM.

	COMPANY DATA
	Company Name:
	Type of Business:
	Company Address:
	City/State/Zip:
	Company Web Site:
	Federal Tax Identification Number:
	Date Company Established:
	Present Number of Employees:
	Gross Income:
	Net Income:
	INFORMATION OF THE PERSON WHO WILL BE SIGNING THE H-1B DOCUMENTS FOR THE CANDIDATE
	Full Name:
	Title:
	Address: (If different from Company Address)
	Email Address:
	Phone Number:
	Fax Number:
	Candidate Full Name:
	Title:
	Proposed Salary:
	Number of Workers supervised by the Candidate:
	Desired start Date:
	Is this Positon a Full - time or Part - time Position?
	Describe minimum Requirements for Entry into this Position in terms of Education, Experience, and specialized Skills:
	Technical Description of Postion offered to Candidate. Be sure to describe all Aspects of technical Employment:
	*Please review your answers before submitting.