LABOR CERTIFICATION INFORMATION QUESTIONNAIRE ATTORNEY/CLIENT PRIVILEGED COMMUNICATION

SECTION A

INFORMATION ABOUT FOREIGN NATIONAL
TO BE COMPLETED BY FOREIGN NATIONAL
Today's Date:
1. Name of Foreign National Beneficiary:
2. Present Address of Foreign National:
3. Telephone Numbers: (H) (W)
4. Type of Visa (if in U.S.):
5. Birth Date:
6. Birthplace: City or Town, State or Province, Country:
7. Present Nationality or Citizenship (Country):
8. Address in U.S. Where Foreign National Will Reside:
9. If Adjustment of Status Within U.S. Not Possible, Consulate Abroad Where Foreign National Will Apply for Immigrant Visa (City and Country):
10. Education as applicable:
Name and address of primary school and years attended:
Name and address of secondary school and years attended:
Name and Address of College or University:
Field of Study:
Number of Course Hours in this Subject:
Date Started: Month        Year
Date Left: Month        Year
Degree or Certificate Received:
Name and Address of College or University:
Field of Study:
Number of Course Hours in this Subject:
Date Started: Month        Year
Date Left: Month        Year
Degree or Certificate Received:
11. List any licenses or memberships in professional societies:
12. Prior work experience (starting with present position):
a.) Present employment (if current position is identical to proposed labor certification position, leave blank and continue to "b" below):
Name and address of Employer:
Title of Job:
Dates of Employment:
Date Started: Month Year
Kind of Business:
No. of Hours per Week:
Describe in Detail the Duties Performed, Including the Use of Tools, Machines, or Equipment (including hardware and software, if applicable):
b.) Prior Employment:
Name and address of Employer:
Title of Job:
Dates of Employment:
Date Started: Month        Year
Date Left: Month        Year
Kind of Business:
No. of Hours per Week:
Describe in Detail the Duties Performed, Including the Use of Tools, Machines, or Equipment:
c.) Prior Employment:
Name and address of Employer:
Title of Job:
Dates of Employment:
Date Started: Month        Year
Date Left: Month        Year
Kind of Business:
No. of Hours per Week:
Describe in Detail the Duties Performed, Including the Use of Tools, Machines, or Equipment:
d.) Prior Employment:
Name and address of Employer:
Title of Job:
Dates of Employment:
Date Started: Month        Year
Date Left: Month        Year
Kind of Business:
No. of Hours per Week:
Describe in Detail the Duties Performed, Including the Use of Tools, Machines, or Equipment:
e.) Prior Employment:
Name and address of Employer:
Title of Job:
Dates of Employment:
Date Started: Month        Year
Date Left: Month        Year
Kind of Business:
No. of Hours per Week:
Describe in Detail the Duties Performed, Including the Use of Tools, Machines, or Equipment:
f.) Prior Employment:
Name and address of Employer:
Title of Job:
Dates of Employment:
Date Started: Month        Year
Date Left: Month        Year
Kind of Business:
No. of Hours per Week:
Describe in Detail the Duties Performed, Including the Use of Tools, Machines, or Equipment:

SECTION B

INFORMATION ABOUT EMPLOYER & LABOR CERTIFICATION POSITION
TO BE COMPLETED BY EMPLOYER
Today's Date:
Name and Telephone Number of Person Completing This Part of the Form:
1. Complete Legal Name of Company Filing Labor Certification Application and any d/b/a:
2. Address:
3. Address Where Foreign National Will Work (if different than above):
4. Name, Title and Telephone Number of Person Designated By Employer to Act as Contact with Attorneys:
5. Name, Title and Telephone Number of Person Who Will be Signing the Labor Certification Forms:
6. Name, Title, and Telephone Number of Foreign National's Manager:
7. Type of Business Activity conducted by Employer:
8. Work Schedule: a.m. to p.m.
9. Rate of Pay: $ per
10. Job Title of Position:
11. Describe in Detail the Job Duties of the Position. Do not use abbreviations. (The more specific the information, the better able we are to draft a successful certification petition):
12. Minimum Requirements (state in detail the MINIMUM education, training, and experience for a worker to perform satisfactorily the job duties described above):
A. Education:
Grade School: (Y/N)
High School: (Y/N)
College: (Y/N)
College Degree Required
(i.e.: B.A., B.S., M.S., Ph.D.):
Major Field(s) of Study(ies):
B. Vocational Training:
Type:
No. Yrs.: No. Months:
C. Experience. Is experience in the Labor Certification position required? If so, and the foreign national obtained this experience with the petitioning company, explain the business reasons which justify refusing to train a U.S. worker. If related experience will meet minimum requirements, see the next section.
D. Experience in Related Occupation (number of years of experience in related occupation necessary to perform the job duties of the labor certification position): Years Months
Name of this occupation:
Where/when did foreign national gain this experience:

How does this job differ from the labor certification position:
13. Special Requirements (list any tools, skills, fluencies, hardware, software, research methods, etc. necessary to perform the job duties of the position and where the foreign national gained this experience or knowledge):
1.1
2.2
3.3
4.4
5.5
6.6
7.7
8.8
14. Number of Employees Foreign National Will Supervise in Labor Certification Position:
Title of supervised employees:
If you would like further information about specific case scenarios or situations, please call our office or email us at ckuck@immigration.net to speak to one of experienced immigration attorneys.

Disclaimer/Reminder

This e-mail does not constitute direct legal advice and is for informational purposes only. The information provided should never replace informed counsel when specific immigration-related guidance is needed.

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