Form I-129 - Petition For A Nonimmigrant Worker - Department Of Homeland Security Page 19
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26OMB No.1615-0009; Expires 07/31/2010
Q-1 and R-1 Classifications
Department of Homeland Security
Supplement to Form I-129
U.S. Citizenship and Immigration Services
1. Name of person or organization filing petition:
2. Name of person you are filing for:
Section 1.
Complete this section if you are filing for a Q-1 international cultural exchange alien
I hereby certify that the participant(s) in the international cultural exchange program:
A. Is at least 18 years of age,
B. Is qualified to perform the service or labor or receive the type of training stated in the petition,
C. Has the ability to communicate effectively about the cultural attributes of his or her country of nationality to the American
public, and
D. Has resided and been physically present outside the United States for the immediate prior year, if he or she was previously
admitted as a Q-1.
I also certify that I will offer the alien(s) the same wages and working conditions comparable to those accorded local domestic
workers similarly employed.
Petitioner's signature
Date (mm/dd/yyyy)
Section 2.
Complete this section if you are filing for an R-1 religious worker
Employer Attestation
1. Provide the following information about the prospective employer.
a. Number of members of the prospective employer's
organization
b. Number of employees working at the same location where
the beneficiary will be employed
c. Number of aliens holding special immigrant or
nonimmigrant religious worker status currently employed
or employed within the past five years
d. Number of Special Immigrant Religious Worker I-360 and
Nonimmigrant Religious Worker I-129 Petitions Submitted
by the prospective employer within the past five years
2. Has the alien or any of the alien's dependent family members previously
been admitted to the United States for a period of stay in the R visa
Yes
No
classification for the last five years?
Form I-129 Supplement Q/R (Rev. 06/12/09)Y Page 19
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