Form Gdol 750 - Application For Temporary Alien Labor Certification - Guam
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1
2IMPORTANT: READ CAREFULLY
Guam Department of Labor
BEFORE COMPLETEING THIS FORM
To knowingly furnish any false information in the
APPLICATION FOR TEMPORARY
preparation of this form and any supplement
thereto or to aid, abet or counsel another to do so,
is a felony punishable by $10,000.00 fine or five
ALIEN LABOR CERTIFICATION
years in the penitentiary, or both (18 U.S.C. 1001).
OFFER OF EMPLOYMENT
1. Name of Alien (Family name in capital letters, First, Middle)
2. Present Address of Alien (Number, Street, City, State, Zip Code or Country)
3. Type of Visa (if in U.S.)
The following information is submitted as evidence of an offer of employment.
4. Name of Employer (Full name of organization)
5. Telephone Number
6. Address (Number, Street, City, State, Zip Code)
7. Address Where Alien Will Work (if different from item # 6)
10. Total Hours Per Week
11. Work Schedule
12, Rate of Pay
8. Employer’s Business Activity
9. Name of Job Title
Basic
Overtime
Hourly
Basic
Overtime
$
$
a.m.
Per______
Per Hour
p.m.
13. Describe Fully the Job to be Performed (Duties)
14. State in detail the MINIMUM education, training and experience for a worker to perform
15. Other Special Requirements
satisfactorily the job described in item #13 above.
Grade
High
College
Degree Req’d
School
School
EDUCATION
Major Field of Study
Enter # of
yrs.
No. of Yrs
No. of Months
Type of Training
TRAINING
Job Offered
Related Occupation
Related Occupation (Specify)
Yrs
Mos.
Yrs
Mos.
EXPERIENCE
17. Number of
16. Occupational title of the person who
employees the
will be the alien’s immediate supervisor:
alien will supervise:
GOVERNMENT OF GUAM
ENDORSEMENTS
(For Government Use
TEMPORARY LABOR CERTIFICATION
Only)
Qualified U.S. workers are not available. Temporary employment of aliens will not adversely affect the wages and
working conditions of similarly employed U.S. residents.
Occupational Coding
Valid From: ___________________________
Thru: __________________________________
RECOMMENDATION:
DETERMINATION:
NAICS Code
NAICS Code
□
□
□
□
Approved
Disapproved
Approved
Disapproved
ONet Title
________________________________
_________________________________
MARIA CONNELLEY
EDDIE BAZA CALVO
Director of Labor
Governor of Guam
Form GDOL 750 R/2015
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Parent category: Business