[---Employment USA---]

H2B (NON-AGRICULTURAL) EMPLOYER APPLICATION

Business Information

	Name of Employer *: (Full Name of Organization)
	Contact Person :
	Address :
	City :
	State :
	Zip :
	Address Where Alien Will Work:
	Address :
	City :
	State :
	Zip :
	Office Telephone # :
	Home Phone # :
	Cell Phone # :
	Fax # :
	Email Address *:
	Nature of Employer’s Business Activity :
	Name of Job Title :
	Exact Dates You Expect to Employ Alien Worker/s
	From :	(YYYY-MM-DD)
	To :	(YYYY-MM-DD)

Income Taxt Information

AVAILABLE POSITION INFORMATION

	Current Number of Employees :
	Number of Workers Requested :
	Total Hours Guaranteed Per Week :
	Rate of Pay
	Basic :
	Overtime :
	Education :
	Experience :
	Work Schedule :	AM PM
	Describe Fully the Job To be Performed :
	Statement Of Temporary/Once Off Or Peak Load need to hire Foreign Worker/s :
	Describe Previous Efforts To Recruit Local Workers :
	List Name and Telephone # of Local Daily News Paper
	Daily News Paper Name :
	Telephone :
	Preferred Arival Information : List Nearest International Airport As Well As Preferred Airport Where You Would Have Worker/S Fly Into & Nearest Bus Station.
	Expected Arrival Date in US :	(YYYY-MM-DD)
	Expected Departure Date from US :	(YYYY-MM-DD)

The Marked(*) fields are mandatory.