H-1b Prospective Employee Information Form (Page 2 of 3) in pdf

H-1b Prospective Employee Information Form Page 2

16.

Are you currently in exclusion or deportation proceedings? Y

17.

Please list all immigration statuses and dates held since your arrival in the United States:

Status

From

(e.g. F-1, H-1, J-1)

(mo/day/yr)

______________________________________________________________________________

18.

Are dependent family members changing to H-4 status or extending H-4 status? Y

Please note that the prospective employee is responsible for completing and providing the

petition(s), along with the applicable fee, for his/her dependent family members.

If you are outside of the U.S. or intend to apply for the H-1B visa outside the U.S.:

19.

Location of the U.S. embassy or consulate where you will obtain the H-1B visa (City and

Country)

_____________________________

20. Your complete home address outside the U.S

______________________________________________________________________________

H-1b Prospective Employee Information Form Page 2