W&M H1B Departmental Sponsor Form
Instructions to W&M department: Please complete both pages of this form. The information requested herein is
used to request a Prevailing Wage Determination from the Department of Labor, complete the Labor Condition
Application, and complete the USCIS (Immigration) Forms I-129 and I-907.
General information:
1. Name of Employee:_____________________________________________ Banner ID #: ___________________
(Family Name)
(First/Given Name)
(leave blank if none exists)
2. Request type:
New Hire
Extension of current employment
3. Intended duration of employment in this position at W&M * : From ______________ to _________________
a. *
Please note that we can sponsor H1B for the period for up to three years and that may be extendable; sponsorship is NOT
limited to the 1 year validity of appointment letters..
Department Information;
1. Employing department/office:____________________________________ Location:_______________________
2. Employee’s supervisor and title__________________________________________________________________
3. Administrative contact:___________________________ Email:____________________ Tel:_________________
Position Information:
1. a. Position title:__________________________________________ b. Position number___________________
2. Minimum degree level required for this position
Bachelor's Master's Doctorate
Other: __________
3. Acceptable fields of study for this position: _______________________________________________________
4. Special licenses required for this position (if none list N/A):__________________________________________
5. Number of years experience required for this position (exclude experience as graduate assistant): __________
6. Number of employees formally reporting to this position (exclude undergraduate or graduate students):_____
7. Full description of job duties (or attach position description if one exists):
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
8. Location(s) of work (e.g. Jones Hall, Jefferson Lab, etc):_______________________________________________
Wage Information
Federal regulations require that we document the actual wages of persons in similar positions in the department.
Employees sponsored for H1B status must be paid the higher of the actual wage rate (i.e. range of salaries actually paid
by W&M) or prevailing wage rate set by the Department of Labor. Please provide the information below for all
employees with the same title and/or responsibilities. If none exist (i.e. unique position), indicate N/A in first line.
Banner ID# or
Salary
If this person’s salary is higher than that of the employee being sponsored for H1B,
Position #
indicate reason (e.g. higher degree level, more responsibilities, more experience)
Filing fees
Standard filing fees of $325 and $500 are covered by the College. If premium (expedited) processing is requested, that
$1225 fee is paid by the department or employee. If the department will cover it, enter the Banner Index:____________
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