Employment-Based - Employer Consultation Intake Form

Please provide prospective employee's Resume/CV
Point of Contact for Consultation
Position with Company
Briefly describe what you would like to discuss in the consultation. Which visa are you interested in?
Company/Organization Information
Point of Contact Information
Company Name
Address (if different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Type of Business
Date Established

MonthDayYear
Current Number of Employees (Full and Part-Time)
Ex: 23
Gross Annual Income (US$)
Net Annual Income (US$)
Full Name

First NameLast Name
Title/ Position with Company
E-mail*
Ex: myname@example.com
Company Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Company Representative That Will Be Signing Forms
Full Name

First NameLast Name
Title
Phone Number (if not already listed)
Email (if not already listed)
Proposed Employment Information
Job Title
Job Site Location(s)
Number of Identical Positions in Company
Ex: 23
Rate of Pay ($__per___)
Basic Hours Per Week
Ex: 23
Please describe any benefits and value of benefits per year
Minimum Education Required For Position
Minimum Experience Required For Position
Number of Employees Alien Will Supervise
Ex: 23
Please describe job duties and responsibilities
Full Name of Alien/Employee

First NameLast Name
Full Name of Immediate Supervisor

First NameLast Name
Title of Immediate Supervisor
Intended Employment Start Date

MonthDayYear
Intended Employment End Date

MonthDayYear
Address Where Alien Will Work

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Conclusion
How did you learn about the law firm?
Other
Name of the person completing the intake sheet:
Date (MM-DD-YYYY)
How would you prefer your consultation?
Would you like to receive immigration updates through our Newsletter?

YesNo, thank you.
Should be Empty:

Please provide prospective employee's Resume/CV

Company/Organization Information

Point of Contact Information

Company Representative That Will Be Signing Forms

Proposed Employment Information

Conclusion