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- 1EB-3 Employer Information
- 2Employer Information
- 3Employer Name (Legal Name)
- 4Doing Business As (DBA)
- 5Employer Contact Name
- 6Mailing Address
- 7Physical Address (if different)
- 8Business Phone
- 9HR Manager E-mail
- 10Business Details
- 11Name & Title of the Person with Ultimate Hiring Decisions and Signing Authority
- 12Federal Employer Identification Number (FEIN) or Federal Tax ID Number
- 13NAICS Code
- 14Date Established
- 15Number of Full-time Employees
- 16Number of Part-time Employees
- 17Gross Income (Most Recent Fiscal Year)
- 18Net Income (Most Recent Fiscal Year)
- 19Any Business Property
- 20Is there a collective bargaining agreement? (Labor Union)
- 21Current Workforce
- 22Is the company currently sponsoring any EB-3 applicants?
- 23If yes, how many EB-3 applicants are currently being sponsored?
- 24Position Overview
- 25Job Title
- 26Number of hours per week
- 27Any additional payment for overtime
- 28Daily work schedule
- 29Any additional shift(s)?
- 30Number of Positions Available/Needed
- 31Job Duties (3-5 Sentences)
- 32Job Title of Supervisor
- 33Does the position require travel?
- 34If yes, travel details
- 35Experience and Additional Requirements
- 36Is employment experience required?
- 37Type of experience required
- 38If yes, how long of an experience is required?
- 39Description of required experience (ex: 2 years of certain experiences)
- 40Other requirements
- 41Additional worksite (if any)
- 42Submit
- 43Employer Contact Person Title
- 44Company Signer E-mail
- 45Minimum degree required for position
- 46Required major(s) or field(s) of study
- 47Copy of the most recent Federal Income Tax Returns (Form 1120)
- 48Copy of the most recent Federal Income Tax Returns (Form 990)
- 49Copy of Certificate and Articles of Incorporation
- 50Copy of the recent water bill
- 51Copy of the recent electric bill
- 52Business Website
- 53Business Fax
- 54HR Phone Number
- 55Covered by ACWIA?
- 56Is there a collective bargaining agreement? (Labor Union)
- 57If yes, how many property?
- 58If yes, how many property?
- 59Number of Business Locations
- 60Number of States
- 61Type a question
- 62Current Business Office Picture
- 63Type a question
- 64Current EB-3 Sponsorship
- 65Estimate property current value?
- 66Number of Unskilled Caregivers
- 67Current Starting Unskilled Caregiver Wage
- 68Number of Skilled Caregivers
- 69Current Starting Skilled Caregiver Wage
- 70Number of CNAs
- 71Current Starting CNA Wage
- 72Current Staffing Challenges
- 73Type a question
- 74Average Annual Unskilled Caregiver Turnover
- 75Average Annual Skilled Caregiver Turnover
- 76Average Annual CNA Turnover
- 77Future Staffing Needs
- 78Expected Unskilled Caregiver Hires (Next 12 Months)
- 79Expected Skilled Caregiver Hires (Next 12 Months)
- 80Expected CNA hires in the next 12 months
- 81Company Qualifications
- 82Does Your Company Have an Ongoing Need for Caregivers or CNAs?
- 83Can Your Company Offer Hourly Based Permanent Full-Time Employment?
- 84Can Your Company Pay the Required Prevailing Wage?
- 85Has Your Company Been Operating Profitably?
- 86Immigration Experience
- 87Has your company ever sponsored foreign workers?
- 88How Familiar Are You With the EB-3 Green Card Program?
- 89Who Makes Final Hiring Decisions?
- 90What Is Your Role With The Company?