Internal Request Form to Process H-1B Petition
From: ____________________________
(Department
Chair or Director)
____________________________
(Department)
____________________________
(Phone and E-mail address)
Date: ____________________________
RE: Application or Extension of H-1B Visa For:
___________________________
(Current Status)
___________________________
(Complete name of H-1B applicant)
Our department wishes to employ the above named applicant. Below is the required information about the
position being offered to this employee.
(Note: All information is
required to process an H-1B petition.)
1. Job Title: ____________________________
2. Job Description
a) Job
Duties:
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
b) Will this person supervise other
employees? ___Yes ___No
c) What type of supervision will this
employee receive?
____ Direct
(works under close supervision)
____ Indirect
(works independently)
3. Minimum Requirements for the Position, including
education, training and experience:
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Salary: ______________________ Annual / Hourly (circle one)
4. Desired date employment is to begin as an H-1B:
_________________
5. Proposed length of employment:
__________________________________
(Note: Cannot exceed three years)
Attached
you will find the following:
______ The $130.00 filing fee from the Department made payable to “U.S. Citizenship and Immigration Services”.
______ A letter from the Department Chair to the USCIS summarizing the position being offered as stated in the information above and describing why the foreign national uniquely qualifies for this position.
___________________________________