SCHEDULE A NURSE GREEN CARD CHECKLIST FOR INTERNATIONAL PERSONNEL

SCHEDULE A NURSE GREEN CARD CHECKLIST FOR INTERNATIONAL PERSONNEL

We are working on the Schedule A green card preparation process regarding the position offered to you. We need you to provide us with information and documents below. It is very likely that we will ask you for more information or documents depending on your answers to this checklist.We appreciate your cooperation and patience throughout the process.
Enter Name of U.S. Employer + Name of International Personnel
Full legal name

First NameMiddle NameLast Name
Any other names, if ever used
Contact information
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
Address in the U.S.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Address Abroad

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Birth Information
Birthdate

MonthDayYear
Date
Town of Birth
Province of Birth
Country of Birth
UPLOAD Certificate of Birth with English translation, if not in English

Cancelof
Citizenship
Country of Citizenship
Additional Country(ies) of Citizenship, if any
Passport Information
Passport number
Date Passport was Issued

MonthDayYear
Date
Date Passport will Expire

MonthDayYear
Date
UPLOAD a copy of the bio page of your current passport

Cancelof
Social Security
U.S. Social Security Number, if any
Current U.S. Visa information, if applicable
Type of Visa
U.S. Consulate where visa was issued
Date visa was issued

MonthDayYear
Date
Visa number
UPLOAD a copy of your current U.S. visa

Cancelof
Last U.S. Entry
Date of last entry

MonthDayYear
Date
What status you entered in
I-94 number
I-94 expiration date

MonthDayYear
Date
UPLOAD your latest I-94 from https://i94.cbp.dhs.gov/I94/#/home

Cancelof
UPLOAD your travel history from https://i94.cbp.dhs.gov/I94/#/history-search

Cancelof
Any periods of stay in the U.S. in H-1B or L-1 status (list all), if applicable
Date H-1B or L-1 status began

MonthDayYear
Date
Date Status expired

MonthDayYear
Date
Name of previous Employer
UPLOAD previous H-1B/L-1 approval notices

Cancelof
UPLOAD previous H-1B/L-1 visas

Cancelof
Any period of stay in F-1 student status, if applicable
UPLOAD copy(ies) of F-1 student visa(s)

Cancelof
UPLOAD your most recent I-20s

Cancelof
UPLOAD all previous I-20s

Cancelof
UPLOAD a copy of all OPT/STEM OPT EADs (front and back)

Cancelof
Any period of stay in J-1 status, if applicable
Please provide dates
UPLOAD all DS-2019s

Cancelof
Have you or anyone on your behalf ever applied for permanent resident including labor certification, I-140, or any other petitions or applications?
If so, provide dates and copies

Cancelof
Please provide dates
EDUCATION - Undergraduate 1
Type of Degree
List your major
Date degree was conferred

MonthDayYear
Date
What college/university?
UPLOAD diploma

Cancelof
UPLOAD transcripts

Cancelof
EDUCATION - Undergraduate 2
Type of Degree
List your major
Date degree was conferred

MonthDayYear
Date
What college/university?
UPLOAD diploma

Cancelof
UPLOAD transcripts

Cancelof
EDUCATION - Graduate Degree 1
Type of Degree
List your major
Date degree was conferred

MonthDayYear
Date
What college/university?
UPLOAD diploma

Cancelof
UPLOAD transcripts

Cancelof
EDUCATION - Graduate Degree 2
Type of Degree
List your major
Date degree was conferred

MonthDayYear
Date
What college/university?
UPLOAD diploma

Cancelof
UPLOAD transcripts

Cancelof
Experience
UPLOAD your most current CV/Resume

Cancelof
UPLOAD US RN license, if any

Cancelof
Have you passed NCLEX? If not, have you scheduled to take it?
UPLOAD Screenshot/evidence of passing NCLEX, if any

Cancelof
Do you have a CGFNS Certification?
UPLOAD CGFNS Certification, if any

Cancelof
UPLOAD Credential Diploma, if any

Cancelof
UPLOAD results of TOEFL, TOEIC and IELTS tests, if any

Cancelof
Do you have an employment authorization document? If not, have you applied for one?
UPLOAD current and previous employment authorization documents (front and back)

Cancelof
Problems with the Law
Have you ever had any problems with the law in the U.S. or anywhere in the world?*
Denials and Removal
Has the U.S. Consulate, USCIS, or U.S. Customs and Border Patrol ever denied your visa application, petition, or request for admission?*
Have you ever been in removal (deportation proceedings) in the U.S.? Have you ever been in the U.S. out of status?*
Family
Will any family members (spouse, children) immigrate with you?
Spouse, if any
Full legal name

First NameMiddle NameLast Name
Birthdate

MonthDayYear
Date
Email
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Place of Birth
UPLOAD bio page of current passport

Cancelof
UPLOAD Birth Certificate with English translation, if not in English

Cancelof
UPLOAD Marriage Certificate with English translation, if not in English

Cancelof
UPLOAD previous approval notices

Cancelof
UPLOAD latest I-94 from https://i94.cbp.dhs.gov/I94/#/home

Cancelof
https://i94.cbp.dhs.gov/I94/#/home
UPLOAD travel history from https://i94.cbp.dhs.gov/I94/#/history-search

Cancelof
https://i94.cbp.dhs.gov/I94/#/history-search
Child #1, if any
Full legal name

First NameMiddle NameLast Name
Birthdate

MonthDayYear
Date
Email
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Place of Birth
UPLOAD bio page of current passport

Cancelof
UPLOAD Birth Certificate with English translation, if not in English

Cancelof
UPLOAD previous approval notices

Cancelof
UPLOAD latest I-94 from https://i94.cbp.dhs.gov/I94/#/home

Cancelof
https://i94.cbp.dhs.gov/I94/#/home
UPLOAD travel history from https://i94.cbp.dhs.gov/I94/#/history-search

Cancelof
https://i94.cbp.dhs.gov/I94/#/history-search
Child #2, if any
Full legal name

First NameMiddle NameLast Name
Birthdate

MonthDayYear
Date
Email
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Place of Birth
UPLOAD bio page of current passport

Cancelof
UPLOAD Birth Certificate with English translation, if not in English

Cancelof
UPLOAD previous approval notices

Cancelof
UPLOAD latest I-94 from https://i94.cbp.dhs.gov/I94/#/home

Cancelof
https://i94.cbp.dhs.gov/I94/#/home
UPLOAD travel history from https://i94.cbp.dhs.gov/I94/#/history-search

Cancelof
https://i94.cbp.dhs.gov/I94/#/history-search
Child #3, if any
Full legal name

First NameMiddle NameLast Name
Birthdate

MonthDayYear
Date
Email
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Place of Birth
UPLOAD bio page of current passport

Cancelof
UPLOAD Birth Certificate with English translation, if not in English

Cancelof
UPLOAD previous approval notices

Cancelof
UPLOAD latest I-94 from https://i94.cbp.dhs.gov/I94/#/home

Cancelof
https://i94.cbp.dhs.gov/I94/#/home
UPLOAD travel history from https://i94.cbp.dhs.gov/I94/#/history-search

Cancelof
https://i94.cbp.dhs.gov/I94/#/history-search
If you have more than 3 children, please list their names and dates of birth here
Are your parents, spouse, or children U.S. citizens or permanent residents? If so, please provide name, date of birth and immigration status
If you need to provide us with additional information, please provide it here:
Additional Information
Thank you.
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SCHEDULE A NURSE GREEN CARD CHECKLIST FOR INTERNATIONAL PERSONNEL

Contact information

Birth Information

Citizenship

Social Security

Current U.S. Visa information, if applicable

Last U.S. Entry

Any periods of stay in the U.S. in H-1B or L-1 status (list all), if applicable

Any period of stay in F-1 student status, if applicable

Any period of stay in J-1 status, if applicable

Have you or anyone on your behalf ever applied for permanent resident including labor certification, I-140, or any other petitions or applications?

EDUCATION - Undergraduate 1

EDUCATION - Undergraduate 2

EDUCATION - Graduate Degree 1

EDUCATION - Graduate Degree 2

Experience

Problems with the Law

Denials and Removal

Family

Spouse, if any

Child #1, if any

Child #2, if any

Child #3, if any

Thank you.