EB-3 Sponsor Recruiter Application
Share your organization’s information, recruitment experience, and partnership goals to be considered as a Newland Group Recruitment Partner. Your information will be kept confidential, securely protected, and used only for partnership evaluation purposes.
SOURCE OF REFERRAL
How Did You Hear About Newland Group?
Google Search
Facebook
LinkedIn
Instagram
TikTok
YouTube
Friend
Family
Referral Partner
Recruitment Agency
University / College
Nursing School
Caregiver Training Center
Job Fair
Conference / Event
Church
Community Organization
Employer
Advertisement
Other
May We Thank the Person Who Referred You?
May We Thank Your Referring Organization?
PERSONAL INFORMATION
PERSONAL INFORMATION
Face Picture Upload
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Full Name
*
First Name
Last Name
Current Job
Job Position
Current City
Current State
Mobile Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
example@example.com
LinkedIn Profile
Current Age
Languages Spoken (Multiple Choice)
English
Malay
Chinese (Mandarin)
Vietnamese
Korean
Tamil
Sinhala
Romanian
Hungarian
Slovak
Bulgarian
Polish
Serbian
Thai
Tagalog (Filipino)
Other
Explain
Employment Status (Multiple Choice)
Employed (Full-Time)
Employed (Part-Time)
Self-Employed
Unemployed
Student
Homemaker
Retired
Freelance / Contract Worker
Seeking Employment
Other
Explain
Which industry did you most recently work in? (Multiple Choice)
Home Care
Home Health
Hospice
Assisted Living
Memory Care
Nursing Home (Skilled Nursing Facility)
Rehabilitation Center
Long-Term Care Facility
Hospital
Clinic / Medical Office
Healthcare Staffing
Medical Sales
Healthcare Consulting
Business Development
Other
Explain
CURRENT OCCUPATION
What industry are you currently working in?
*
Home Care
Home Health
Hospice
Assisted Living
Memory Care
Nursing Home (Skilled Nursing Facility)
Rehabilitation Center
Long-Term Care Facility
Hospital
Clinic / Medical Office
Healthcare Staffing
Medical Sales
Healthcare Consulting
Business Development
Other
If Other, please specify
QUALIFYING QUESTIONS
Do you have at least two years of experience working with the U.S. senior care industry?
*
Yes
No
If yes, please explain
Do you currently have relationships with owners, administrators, HR directors, or decision-makers at senior care organizations?
*
Yes
No
Approximately how many?
Please Select
1-10
11-25
26-50
50+
Which types of senior care organizations do you plan to recruit?
Home Care Agencies
Home Health Agencies
Hospice Organizations
Assisted Living Communities
Memory Care Communities
Skilled Nursing Facilities (Nursing Homes)
Rehabilitation Centers
Long-Term Care Facilities
Continuing Care Retirement Communities (CCRCs)
Adult Day Care Centers
Other
Explain
How many senior care organizations can you realistically introduce to Newland Group within the next 12 months?
*
Please Select
1-5
6-10
11-20
21-50
50+
Do you have experience in business development or B2B sales?
*
Yes
No
If yes, how many years?
Have you previously recruited sponsor employers for immigration, healthcare staffing, or workforce programs?
*
Yes
No
If yes, please explain
Do you understand that your role is to introduce qualified sponsor companies and that Newland Group and our immigration law firm handle the legal and immigration process?
*
Yes
Some
l am not sure
No
Are you comfortable working on a commission-only compensation structure?
*
Yes
No
Do you understand that residual commissions are paid according to the Sponsor Recruiter Agreement while your referred sponsor remains an active Newland Group client?
*
Yes
No
How many hours per week can you dedicate to Sponsor Recruiting?
*
Please Select
Part-Time (5-10)
Part-Time (10-20)
Full-Time (20-40)
Full-Time (40+)
Additional qualifying information
Business Development
Describe your experience working with senior care providers
*
Why are you interested in becoming a Newland Group Sponsor Recruiter?
*
What strategies would you use to recruit new sponsor companies?
*
REFERENCES
Reference #1 Name
*
First Name
Middle Name
Last Name
Reference #1 Company
*
Reference #1 Title
*
Reference #1 Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Reference #1 Email
*
example@example.com
Reference #2 Name
*
First Name
Middle Name
Last Name
Reference #2 Company
*
Reference #2 Title
*
Reference #2 Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Reference #2 Email
*
example@example.com
Resume Upload
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Applicant Certification
Certification Statement
Applicant Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Application
Submit Application
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