EMPLOYER’S SCHEDULE A NURSE EMPLOYER-DRIVEN GREEN CARD PROCESS CHECKLIST
You have decided to pursue a Schedule A Nurse Employer-Driven Green Card for international personnel. We are excited to begin the process with you. We need you to provide us with information and documents below. It is very likely that we will have to 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 of the Employer
Re. Name of International Personnel
Year business was established
Address of the employer
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Worksite address 1
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Worksite address 2, if any
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer’s federal tax ID number / FEIN
NAICS code, if known https://www.census.gov/naics/
A short paragraph describing the business
Website address
Number of employees in the U.S
Number of H-1B employees
Last reported annual revenue, from filed tax return
Last reported annual net income, from filed tax return
UPLOAD electronic copy of most recent corporate tax return
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UPLOAD electronic copy of 941 returns for last two quarters
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Who will sign the petition on behalf of the employer?
Full Name
First Name
Last Name
Title
Phone Number
Please enter a valid phone number.
Email
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Who will work with the employer’s attorney on the petition?
Full Name
First Name
Last Name
Title
Phone Number
Please enter a valid phone number.
Email (a copy of the submission will be sent here)
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Information about the Job to Be Offered:
Proposed Dates of Employment
Job title
Daily Job Duties. Please describe job duties specifically, including what the position does on a daily basis.
What degree level is minimally required? Bachelor’s degree or other?
What major(s) is required
Proposed Salary
If hourly, how many hours per week will the employee work?
Do you have an issued prevailing wage for this position?
If you need to provide us with additional information, please provide it here:
Additional Information
Submit
Thank you.
Should be Empty: