Form Eta 9035 - Applicationfor Nonimigrant Workers
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1
2
3Form ETA 9035
Labor Condition
U.S. Department of Labor
OMB Approval: 1205-0310
Application for
Employment and Training Administration
Expiration Date: 11/30/2008
Nonimmigrant Workers
A. Program Designation
H-1B
H-1B1 Chile
H-1B1 Singapore
You must choose one:
E-3 Australian
1. Return Fax Number
B. Employer's Information
If you want the application returned by mail,
(
)
-
leave the Return Fax Number blank.
2. Employer's Name
3. Employer's Address (Number and Street)
State
Zip/Postal Code
4. Employer's City
5. Employer's EIN Number
6. Employer's Phone Number
Extension
-
(
)
-
C. Rate of Pay
1. Wage Rate (or Rate From) (Required):
3. Rate is Per:
4. Is this position
part-time?
$
.
Year
Week
Please Note: Part-time hours
worked by nonimmigrant(s)
Yes
2. Rate Up To (Optional):
will be in the range of hours
Month
Hour
stated on the USCIS Form(s)
$
.
No
I-129.
2 Weeks
D. Period of Employment and Occupation Information
Please Note: The Date Information MUST be in MM/DD/YYYY format
1. Begin Date
,
3. Occupational Code
4. Number of Nonimmigrant Workers
/
/
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
2. End Date
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
/
/
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
5. Job Title
This section is REQUIRED
E. Information Relating to Work Location for the Nonimmigrant Worker(s)
Do NOT write "Same As Above". This section MUST be filled out.
1. City
State
3. Wage is Per:
2. Prevailing Wage
4. Wage Source
OES
$
.
Year
Week
If OTHER is chosen as the
Collective
Wage Source, Numbers 5
5. Year Source Published
Month
Hour
Bargaining
and 6 in this section MUST
Agreement
2 Weeks
be filled out.
Other
6. Other Wage Source
Page Link
Page Link
If filing the form electronically, the Page Link field will be automatically created for you
upon printing. If filing the form manually, please ensure that the Page Link field contains a
6 digit number that is repeated on all 3 pages.
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Form ETA 9035 - Page 1 of 3
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