EB-3 Sponsor Qualification Application
Thank you for your interest in the Newland Group EB-3 Green Card Program. Please complete this inquiry form so our team can evaluate your staffing needs and determine whether your organization may be a good candidate for the EB-3 sponsorship program.
COMPANY INFORMATION
Company Name
*
DBA Name
Company Website
Year Established
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Primary Contact
*
First Name
Last Name
Title
Email
*
example@example.com
Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Mobile
Please enter a valid phone number.
Format: (000) 000-0000.
Company Overview
Number of Locations
States Served
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other
Company Type
*
Home Care Agency
Home Health Agency
Hospice
Private Duty Home Care
Assisted Living Community
Memory Care Community
Independent Living Community
Senior Living Community
Continuing Care Retirement Community (CCRC)
Skilled Nursing Facility (Nursing Home)
Long-Term Care Facility
Rehabilitation Center
Subacute Rehabilitation Facility
Adult Day Care Center
Adult Family Care Home
Residential Care Facility
Behavioral Health Facility
Hospital
Clinic / Medical Office
Healthcare Staffing Agency
Other
CURRENT WORKFORCE
Number of Unskilled Caregivers
Current Starting Unskilled Caregiver Wage
*
Number of Skilled Caregivers
Current Starting Skilled Caregiver Wage
Number of CNAs
Current Starting CNA Wage
Number of Office Staff
*
Average Number of Clients Served
*
CURRENT STAFFING CHALLENGES
What Are Your Biggest Hiring Challenges?
*
Caregiver Shortage
CNA Shortage
High Employee Turnover
Growing Client Demand
Difficulty Finding Reliable Employees
Recruitment Costs
Employee Retention
Expanding Business
Other
Explain
*
Average Annual Unskilled Caregiver Turnover
Average Annual Skilled Caregiver Turnover
Average Annual CNA Turnover
FUTURE STAFFING NEEDS
Expected Unskilled Caregiver Hires (Next 12 Months)
*
Expected Skilled Caregiver Hires (Next 12 Months)
*
Expected CNA hires in the next 12 months
*
COMPANY QUALIFICATIONS
Does Your Company Have an Ongoing Need for Caregivers?
*
Yes
No
Can Your Company Offer Permanent Full-Time Employment?
*
Yes
No
Can Your Company Pay the Required Prevailing Wage?
*
Yes
No
Has Your Company Been Operating Profitably?
*
Yes
No
Is Your Company Financially Stable?
*
Yes
No
Does Your Company Own or Operate Any Facilities?
*
Yes
No
IMMIGRATION EXPERIENCE
Has your company ever sponsored foreign workers?
*
Yes
No
Which sponsorship programs have you used?
EB-3
H-1B
H-2B
TN
Other
How Familiar Are You With the EB-3 Green Card Program?
No Knowledge
Basic Knowledge
Intermediate Knowledge
Advanced Knowledge
Expert Knowledge
DECISION MAKER
Who Makes Final Hiring Decisions?
Owner
Co-Owner
Founder
CEO
President
Managing Partner
Executive Director
Administrator
Director of Operations
Operations Manager
HR Director
HR Manager
Recruiting Manager
Staffing Coordinator
Clinical Director
Director of Nursing (DON)
Branch Manager
Regional Manager
Office Manager
Business Development Director
Finance Director
Controller
Authorized Representative
Other
What Is Your Role With The Company?
Owner
Co-Owner
Founder
CEO
President
Managing Partner
Executive Director
Administrator
Director of Operations
Operations Manager
HR Director
HR Manager
Recruiting Manager
Staffing Coordinator
Clinical Director
Director of Nursing (DON)
Branch Manager
Regional Manager
Office Manager
Business Development Director
Finance Director
Controller
Authorized Representative
Other
CONSULTATION REQUEST
Topics to Discuss
*
EB-3 Process
Employer Responsibilities
Program Timeline
Program Costs
Legal Requirements
Candidate Availability
Immigration Process
Recruitment Timeline
Other
Preferred Meeting Method
*
Phone
Zoom
Google Meet
Microsoft Teams
In Person
Preferred Date and Time
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Time Zone
Eastern Time (ET)
Central Time (CT)
Mountain Time (MT)
Pacific Time (PT)
REFERRAL SOURCE
How Did You Hear About Newland Group?
Colleague
Employee
Friend
Family
Employer
Business Partner
Recruitment Agency
Recruitment Partner
University / College
Nursing School
Caregiver Training Center
Career Center
Church
Community Organization
Healthcare Organization
LinkedIn
Facebook
Instagram
Google Search
YouTube
Advertisement
Conference / Event
Job Fair
May We Thank the Person Who Referred You?
May We Thank the Organization Who Referred You?
Submit Application
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