Form I-360 - Petition For Amerasian, Widow(Er), Or Special Immigrant Page 11
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19Part 9. Complete Only If Filing a Special Immigrant Religious Worker Petition (continued)
Answer Item Numbers 7. - 13. about the prospective employer. If you answer "No" for Item Numbers 7. - 13., provide an explanation
in the space provided in Part 15. Additional Information.
7.
The prospective employer is a bona fide non-profit religious organization or a bona fide organization that
Yes
No
is affiliated with the religious denomination and is tax exempt as described in section 501(c)(3) of the
Internal Revenue Code of 1986, subsequent amendment, or equivalent sections of prior enactments of the
Internal Revenue Code. If the prospective employer is affiliated with the religious denomination,
complete the Religious Denomination Certification included in this petition.
If you answered "Yes," select the applicable box and attach the appropriate documentation to the petition.
A.
A currently valid determination letter from the Internal Revenue Service (IRS) establishing that the organization is a
tax-exempt organization;
B.
A currently valid determination letter from the IRS establishing that the organization is recognized as tax-exempt
under a group tax exemption; or
C.
If you are claiming that the prospective employer is a bona fide organization that is affiliated with the religious
denomination, provide the following:
A currently valid determination letter from the IRS establishing that the organization is a tax-exempt
(1)
organization;
(2)
Documentation that establishes the religious nature and purpose of the organization, such as a copy of the
organizing instrument of the organization that specifies the purposes of the organization;
(3)
Organizational literature, such as books, articles, brochures, calendars, flyers, and other literature describing
the religious purpose and nature of the activities of the organization; and
(4)
A completed religious denomination certification, signed and dated, certifying that the petitioning
organization is affiliated with the religious denomination.
8.
The prospective employer is willing and able to provide salaried and/or non-salaried compensation at a
Yes
No
level that the beneficiary and any dependents will not become a public charge.
9.
The funds to pay the beneficiary's compensation do not include any monies obtained from the beneficiary,
Yes
No
excluding reasonable donations or tithing to the religious organization.
10.
The beneficiary will not engage in secular employment, and the prospective employer will provide
Yes
No
salaried and/or non-salaried compensation.
Yes
No
11.
The offered position is full time, requiring at least an average of 35 hours of work per week.
12.
The beneficiary has been a religious worker for at least two years immediately before Form I-360 was
Yes
No
filed and is otherwise qualified for the position offered.
13.
The beneficiary has been a member of the prospective employer's denomination for at least two years
Yes
No
immediately before Form I-360 was filed.
Prospective Employer Attestation (must be completed by the prospective employer even if the beneficiary is
filing on his or her own behalf)
I certify or attest under penalty of perjury under the laws of the United States of America that the contents of this attestation,
and the evidence submitted, are true and correct.
14.
Signature of an Authorized Official of the Prospective Employer (sign in ink)
Date of Signature (mm/dd/yyyy)
Form I-360 12/23/16 N
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