NEWLAND GROUP · EB-3 APPLICATION CENTER
ARCHIVED QUESTION REVIEW

Detailed Application Questions by Role

Review the original detailed questionnaires retained in the Newland development materials. Choose a role to see its corresponding questions and then open the current Newland native inquiry form.

Important: Review copy — not an application submission page. These questions are preserved for migration and compliance review. Do not type or upload passports, tax returns, bank statements, immigration histories or other sensitive records here. Only the linked Newland inquiry forms accept submissions, subject to a Wix confirmation reference. Secure case-specific applications and full CRM timeline automation are still being developed.

Sponsor Employer

Employer company profile, staff capacity and hiring information. Financial, payroll and tax details are restricted and are not collected here.

EB-3 Employer Information90 archived questions & content items · review only

These are archived question labels and content. Repeated labels, historical legal language and sensitive requests require review before a production form can collect answers.

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

Caregiver Applicant

Eligibility pre-screen, experience and CV. Full immigration and family information is handled in later staff-controlled stages.

EB-3 Unskilled & Skilled Caregiver Eligibility Questionnaire166 archived questions & content items · review only

These are archived question labels and content. Repeated labels, historical legal language and sensitive requests require review before a production form can collect answers.

  1. 1Age
  2. 2Country of Birth
  3. 3Marital Status
  4. 4Current Country of Residence
  5. 6I AGREE TO THE ABOVE TERMS & CONDITIONS
  6. 7How did you hear about us?
  7. 8Where are you applying for the EB-3 program from?
  8. 9Have you ever been denied a visa or admission to the US?
  9. 10Have you ever been convicted of a crime in your home country or the United States, including misdemeanors or felonies (including minor traffic violations)? If yes, are you able to provide official documentation?
  10. 11If you have, please list visa type
  11. 12Do you currently hold a valid US visa or legal status, and can you prove it with documents??
  12. 13Which of the following reasons best align with your interest in coming to the United States?
  13. 14EB-3 Unskilled & Skilled Caregiver Eligibility Questionnaire
  14. 15Current Job
  15. 16Current Job Position
  16. 17Level of English – Speaking
  17. 18Have you ever held a J-1 or J2 visa as a nonimmigrant exchange visitor?
  18. 19If you still hold an any visa, when is its expiration date?
  19. 20Have you ever been filed the U.S. Immigration Petition?
  20. 21If you have, tell us about it
  21. 22If you have, tell us about it, and can you prove it with documents?
  22. 23If you have, tell us about it, and can you prove it with documents?
  23. 24If you previously held J status, were you subject to the 212E two-year foreign residence requirement? Your J visa should indicate whether you are subject to 212E. (Select "no" if you have never held J status)
  24. 25Tell us about it
  25. 26Have you ever been possessed or used illegal drugs?
  26. 27Any previous illegal entry or stayed in the United States without a proper visa?
  27. 28Tell us about it
  28. 29Have you ever been deported or removed from the United States?
  29. 30Tell us about it
  30. 31Have you worked in the United States without authorization for more than 180 days since you last entry into the U.S.?
  31. 32Tell us about it
  32. 33Have you remained unlawfully present in the United States over 180 days since your last entry into the U.S.? (Unlawful presence begins on the date of your I-94 expired if you did not timely file an extension application)
  33. 34Do you currently have a pending U.S. asylum application?
  34. 35Do you require any special accommodations, such as adjustments to your work schedule due to religious or cultural beliefs?
  35. 36Tell us about it
  36. 37Do you have any physical limitations that would prevent you from working as skilled or unskilled, full-time job?
  37. 38Tell us about it
  38. 39Are you willing to work for the green card sponsor company for more than one year without any issue?
  39. 40Please rate your readiness for applying to the EB-3 program
  40. 41Tell us about it
  41. 42Which of the following aspects of the EB-3 program is most important for making a decision?
  42. 43Tell us about it
  43. 44Email
  44. 45Country Code
  45. 46Preferred Communication Application
  46. 47How familiar are you with the EB-3 program?
  47. 48Have you ever applied for the EB-3 program?
  48. 49Preferred job locations in the United States
  49. 50Submit
  50. 51Page Break
  51. 52Immigration History
  52. 53Page Break
  53. 54Contact Information
  54. 56Screenshot%202026-07-11%20at%204.52.09%E2%80%AFPM.6a52ad0e354730.76942922
  55. 57Page Break
  56. 58MAIN APPLICANT'S INFORMATION
  57. 59Phone Number
  58. 60Are you able to pay the required program fees, including service, attorney, and government fees, totaling approximately $30,000–$35,000? (This is a mandatory, applicant-paid program. If you are unable to afford the required fees, your application will be denied).
  59. 61What is the source of these payments?
  60. 62Last / Family Name
  61. 63First / Given Name
  62. 64Middle Name
  63. 65Name of Recruiter, Attorney
  64. 66Which Country?
  65. 67Which Country?
  66. 68Name of Nursing School
  67. 69Please tell us about
  68. 70If "Yes" check all that apply
  69. 71Do you have an RN or nursing degree, and can you prove it with documents?
  70. 72Do You hold a nursing diploma or 1–2 years of verified nursing or clinical care experience, and can you prove it with documents?
  71. 73If "Yes" Check All That Apply
  72. 74Do you have minimum 2 years of full-time professional caregiving experience, and can you prove it with documents?
  73. 75If "Yes" Check All That Apply
  74. 76Please tell us about
  75. 77Please tell us about
  76. 78Please tell us about
  77. 79Do you have any caregiving experience? (including your family or others)
  78. 80If "Yes" Check All That Apply
  79. 81Please tell us about
  80. 82Tell us about it
  81. 83Level of English – Listening
  82. 84Level of English – Writing
  83. 85Level of English – Reading
  84. 86Page Break
  85. 87EDUCATION BACKGROUND / EXPERIENCE
  86. 88Page Break
  87. 89Page Break
  88. 90Your Language Skills
  89. 91Page Break
  90. 92Languages you understand (Check all that apply)
  91. 93What is your native language?
  92. 94Have you taken any English courses? (Check all that apply)
  93. 95Your Prefered Work Location
  94. 96Tell us about it
  95. 97MAIN APPLICANT’S RESOURCE
  96. 98Tell us about it
  97. 99Do you have any family members, relatives, or close friends living in the United States?
  98. 100If "Yes", tell us about it
  99. 101Which state and city do they live in?
  100. 102If you are offered a job near them, would they be able to help you with settling in the United States?
  101. 103Have you ever posted or shared content on social media that could reasonably be interpreted as hostile toward the United States, its government, or its laws?
  102. 104Tell us about it
  103. 105Preferred Communication App
  104. 106Messenger / Facebook Profile Link
  105. 107Viber / Phone Number
  106. 108Zalo / Phone Number
  107. 109Google Meet Link
  108. 110WhatsApp QR Code Upload
  109. 111Telegram Phone number OR Username
  110. 112Telegram QR Code Upload
  111. 113Line QR Code Upload
  112. 114If a Registered Nurse or skilled caregiver position is not immediately available, would you be willing to accept an unskilled caregiver position offered by the sponsoring employer?
  113. 115Upload Your Picture
  114. 116Applicant's Gender
  115. 117Current Nationality
  116. 118Current Your Religion
  117. 119Marital Status
  118. 120Race
  119. 121Your Educations (Select All That Apply)
  120. 122High School
  121. 123High School Name
  122. 124School City & Country
  123. 125Graduation Year
  124. 126Associate Degree – Community College
  125. 127College / Institution Name
  126. 128Associate Degree
  127. 129College / Institution City & Country
  128. 130Graduation Year
  129. 131Bachelor’s Degree – University / College
  130. 132University / College Name
  131. 133Bachelor’s Degree – Major
  132. 134University / College City & Country
  133. 135Graduation Year
  134. 136Doctoral Degree – School/University
  135. 137Doctoral Degree – School Name
  136. 138Doctoral Degree – Specialty
  137. 139School City & Country
  138. 140Graduation Year
  139. 141Other School (Technical, Vocational)
  140. 142School Name (Technical, Vocational)
  141. 143Major / Program
  142. 144School City & Country
  143. 145Graduation Year
  144. 146Master’s Degree – University
  145. 147Master’s Degree University Name
  146. 148Master's Degree - Major
  147. 149University City & Country
  148. 150Graduation Year
  149. 151Page Break
  150. 152CAREGIVER / CNA INFORMATION
  151. 153If you are eligible, who will be applying with you?
  152. 154Have any of your immediate family members ever been convicted of a crime in your home country or the United States, including misdemeanors or felonies (including minor traffic violations)? If yes, are you able to provide official documentation?
  153. 155Tell us about it
  154. 156Page Break
  155. 157FINANCIAL AFFORDABILITY
  156. 158Do you currently hold a valid driver’s license?
  157. 159Do you expect to be financially able to purchase a vehicle upon arrival in the United States to commute to work? (This is a mandatory, applicant-paid program. If you are unable to afford the required fees, your application will be denied.)
  158. 160Do you expect to be financially able to pay for housing (apartment or house) after arriving in the United States?
  159. 161Total Children Under 17 Years Old
  160. 162Credentials
  161. 163Option 1: EB-3 Skilled Worker / RN or Nursing Degree Holder
  162. 164Option 2: EB-3 Skilled Worker / Nursing Diploma or 1–2 Years of Verified Nursing or Clinical Care Experience
  163. 165Option 3: EB-3 Skilled Worker / Minimum 2 Years of Full-Time Professional Caregiving Experience
  164. 166Option 1: EB-3 Unskilled Worker / Any Caregiving Experience
EB-3 Caregiver / Professional CV128 archived questions & content items · review only

These are archived question labels and content. Repeated labels, historical legal language and sensitive requests require review before a production form can collect answers.

  1. 1Personal Details Part 2
  2. 2Employment History
  3. 3Position
  4. 4From
  5. 5Current Age
  6. 6Address
  7. 7EB-3 Caregiver / Professional CV
  8. 8Gender
  9. 9Experience & Certification or License
  10. 10High School Name
  11. 11School City & Country
  12. 12Business or Company Name
  13. 13Character Reference:
  14. 141st Person's Name
  15. 15Relationship
  16. 16Phone Number (+Country Code)
  17. 17Other Skills or Licenses: (Optional)
  18. 18Graduation Year
  19. 19University / College Name
  20. 20University / College City & Country
  21. 21Graduation Year
  22. 22To
  23. 23Business or Company Name
  24. 24Position
  25. 25From
  26. 26To
  27. 27Business or Company Name
  28. 28Position
  29. 29From
  30. 30To
  31. 31Divider
  32. 32Listening Levels
  33. 33Speaking Levels
  34. 34Your Educations (Select All That Apply)
  35. 35College / Institution City & Country
  36. 36Graduation Year
  37. 37Pre-Interview Appointment (USA/Eastern Standard Time)
  38. 38Email
  39. 39Preferred Communication App
  40. 40WhatsApp QR Code Upload
  41. 41Telegram Phone number OR Username
  42. 42Telegram QR Code Upload
  43. 43Please use the following Google Meet link for Interview https://meet.google.com/dvy-rvep-dib
  44. 44Other QR Code Upload
  45. 45Page Break
  46. 46Pre-Interview Schedule
  47. 47Race
  48. 48Marital Status
  49. 49Preferred Languages
  50. 50Your Religion
  51. 51Skilled Caregiver (EB-3 Skilled Workers) - Minimum 2 years of full-time professional caregiving experience
  52. 52Unskilled Caregiver Experiences (EB-3 Skilled Workers) - No experience required
  53. 53Bachelor’s Degree – Major
  54. 54Master’s Degree University Name
  55. 55Master's Degree - Major
  56. 56School City & Country
  57. 57Graduation Year
  58. 58School Name (Technical, Vocational)
  59. 59Major / Program
  60. 60School City & Country
  61. 61Graduation Year
  62. 62ALL THE INFORMATION I HAVE GIVEN IS CORRECT
  63. 63English Skills
  64. 64Education Background
  65. 65Associate Degree
  66. 66College / Institution Name
  67. 67Submit
  68. 68Your Answer
  69. 69Personal Details Part 1
  70. 70Page Break
  71. 71Page Break
  72. 72Page Break
  73. 73Page Break
  74. 74Page Break
  75. 75Upload Your Recent Face Photo
  76. 76First Name
  77. 77Last Name
  78. 78+Country Code
  79. 79Phone Number
  80. 80Please select your background
  81. 81Tell us about it
  82. 82Tell us about it
  83. 83Certified Nursing Professional (EB-3 Skilled Workers) - Nursing Diploma / Nursing College Graduate OR 1–2 years of certified nursing or clinical caregiving experience
  84. 84Tell us about it
  85. 85Medical Doctor/MD (EB-2 or EB-3 Professional) – MD, MBBS Degree, USMLE Exams, State Medical License/IELTS/TOEFL required
  86. 86Tell us about it
  87. 87Reading Levels
  88. 88Writing Levels
  89. 89English Certification (Optional)
  90. 90Do you speak any other languages? (Select all that apply)
  91. 91Doctoral Degree – School Name
  92. 92Doctoral Degree – Specialty
  93. 93University City & Country
  94. 94Graduation Year
  95. 95High School
  96. 96Associate Degree – Community College
  97. 97Bachelor’s Degree – University / College
  98. 98Master’s Degree – University
  99. 99Doctoral Degree – School/University
  100. 100Other School (Technical, Vocational)
  101. 101Tell us about it
  102. 102Current Job 1
  103. 103Yearly Salary
  104. 104Previous Job 2
  105. 105Previous Job 3
  106. 106Yearly Salary
  107. 107Yearly Salary
  108. 108Email
  109. 109Years Known
  110. 110Country & City
  111. 1112nd Person's Name
  112. 112Country & City
  113. 113Phone Number (+Country Code)
  114. 114Email
  115. 115Relationship
  116. 116Years Known
  117. 117Divider
  118. 118Address
  119. 119Address
  120. 120Address
  121. 121Registered Nurse/RN (EB-3 Skilled Worker or Schedule A) – RN degree and completion of IELTS Academic or TOEFL iBT, NCLEX-RN, CGFNS, and ICHP (VisaScreen) are required.
  122. 122Tell us about it
  123. 123Messenger / Facebook Profile Link
  124. 124Zalo / Phone Number
  125. 125Line QR Code Upload
  126. 126Viber / Phone Number
  127. 127Google Meet Link
  128. 128Birth Country
Newland Group EB-3 Application367 archived questions & content items · review only

These are archived question labels and content. Repeated labels, historical legal language and sensitive requests require review before a production form can collect answers.

  1. 1EB-3 CAREGIVER FULL APPLICATION
  2. 2Other Names in English (Maiden Name)
  3. 3MAIN APPLICANT'S CONTACT INFORMATION
  4. 4MAIN APPLICANT'S BIRTH CERTIFICATION AND PASSPORT
  5. 5EB-3 Case Type
  6. 6Payment Plans
  7. 7Which Caregiver Level Are You Applying For?
  8. 8Applicant's Gender
  9. 9Other Names In Your Own Native Language (Maiden Name)
  10. 10Current Address (In English)
  11. 11Do you have other name or maiden name?
  12. 12Current Address (In your own native language)
  13. 13Email
  14. 14Do you have a Birth Certification?
  15. 15Provide a reason
  16. 16Current Country of Residence
  17. 17Passport Expire Date
  18. 18Country of Birth
  19. 19Date of Birth
  20. 20Do you have an Unexpired Passport?
  21. 21Page Break
  22. 22MAIN APPLICANT'S INFORMATION
  23. 23MAIN APPLICANT'S IMMIGRATION HISTORY
  24. 24Has a U.S immigration petition ever been filed for you?
  25. 25A-Number
  26. 26Current visa status
  27. 27If Yes, What type of petition name
  28. 28Has any A-Number ever?
  29. 29Has any I-94 Number ever?
  30. 30I-94 Number
  31. 31I-94 status expiration date
  32. 32Has previous any other US visa?
  33. 33Has previous illegal entry or stayed in the United States?
  34. 34If yes, explain
  35. 35Passport Face Page Upload (PDF File)
  36. 36Upload Copy of I-94
  37. 37Upload Copy of Visa
  38. 38Has previous fingerprint record in the United States?
  39. 39If yes, explain
  40. 40Have you ever been denied admission to the United States?
  41. 41If yes, explain
  42. 42Have you ever been denied a visa to the US?
  43. 43If yes, explain
  44. 44Upload the copy of denied letter
  45. 45Have you ever worked in the US without authorization?
  46. 46If yes, explain
  47. 47Upload the copy of denied letter
  48. 48Have you ever violated the terms or conditions of your nonimmigrant status?
  49. 49If yes, explain
  50. 50Have you ever been in removal, exclusion, rescission, or deportation proceedings?
  51. 51If yes, explain
  52. 52Have you ever been issued a final order of exclusion, deportation, or removal reinstated?
  53. 53If yes, explain
  54. 54Upload the copy of final order
  55. 55Have you ever been held lawful permanent resident status which was later rescinded?
  56. 56If yes, explain
  57. 57Have you ever been granted voluntary departure by an immigration officer or an immigration judge but failed to depart within the allotted time?
  58. 58If yes, explain
  59. 59Have you ever applied for any kind of relief or protection from removal, exclusion, or deportation?
  60. 60If yes, explain
  61. 61Have you ever been a J nonimmigrant exchange visitor who was subject to the two-year foreign residence requirement?
  62. 62If yes, explain
  63. 63Page Break
  64. 64MAIN APPLICANT’S CRIMINAL HISTORY
  65. 65Do you have a history with illegal drugs or substance abuse?
  66. 66If yes, explain
  67. 67Have you ever Been charged or convicted of a crime in your own country or in other country or in the U.S.?
  68. 68If yes, explain
  69. 69If yes, attach all Charging documents and final judgment documents
  70. 70Have you ever been arrested, cited, charged, or detained for any reason by any law enforcement official?
  71. 71If yes, explain
  72. 72Have you ever committed a crime of any kind even if you were not arrested, cited, charged with, or tried for that crime?
  73. 73If yes, explain
  74. 74Have you ever been pled guilty to or been convicted of a crime or offense even if the violation was subsequently expunged or sealed by a court, or sealed by a court, or if you were granted a pardon, amnesty, a rehabilitation decree, or other act of clemency?
  75. 75If yes, explain
  76. 76Have you ever been ordered punished by a judge or had conditions imposed on you that restrained your liberty (prison sentence, suspended sentence, house arrest, parole, alternative sentencing, drug or alcohol treatment, rehabilitative programs or classes, probation, or community service)?
  77. 77If yes, explain
  78. 78Have you ever been a defendant on the accused in a criminal proceeding?
  79. 79If yes, explain
  80. 80Have you ever violated any controlled substance law or regulation of a state, the US or a foreign country?
  81. 81If yes, explain
  82. 82Have you ever been convicted of two or more offenses for which the combined sentences to confinement were five years or more?
  83. 83If yes, explain
  84. 84Have you ever been Illicitly trafficked or benefited from the trafficking of any controlled substances?
  85. 85If yes, explain
  86. 86Have you ever been knowingly aided, abetted, assisted, conspired, or colluded in the illicit trafficking of any illegal narcotic or other controlled substances?
  87. 87If yes, explain
  88. 88Have you ever been you or the spouse, or a child of a foreign national who illicitly trafficked or aided in the illicit trafficking of a controlled substance, and you obtained any financial or other benefit from the illegal activity of your spouse or parent?
  89. 89If yes, explain
  90. 90Have you ever been engaged in prostitution?
  91. 91If yes, explain
  92. 92Have you ever been directly or indirectly procured or imported persons for the purpose of prostitution?
  93. 93If yes, explain
  94. 94Have you ever directly received any proceeds or money from prostitution?
  95. 95If yes, explain
  96. 96Have you ever intended to engage in illegal gambling or any other form of commercialized vice, such as prostitution, bootlegging, or the sale of child pornography, while in the US?
  97. 97If yes, explain
  98. 98Have you ever exercised immunity to avoid being prosecuted for a criminal offense in the US?
  99. 99If yes, explain
  100. 100Have you ever been while serving as a foreign government official, been responsible for or directly carried out violations of religious freedoms?
  101. 101If yes, explain
  102. 102Have you ever been induced by force, fraud, or coercion the trafficking of persons for commercial sex acts?
  103. 103If yes, explain
  104. 104Have you ever been acts involving torture or genocide?
  105. 105If yes, explain
  106. 106Have you ever been engaging in any kind of sexual contact or relations with any person who did not consent or was unable to consent, or was being forced or threatened?
  107. 107If yes, explain
  108. 108Have you ever been limiting or denying any person’s ability to exercise religious beliefs?
  109. 109If yes, explain
  110. 110Have you ever been recruited, enlisted, conscripted, or used by any person under 15 years of age to serve in or help an armed force or group?
  111. 111If yes, explain
  112. 112Have you ever used any person under 15 years of age to take part in hostilities, or to help or provide services to people in combat?
  113. 113If yes, explain
  114. 114Have you ever been committed, threatened to commit, attempted to commit, conspired to commit, incited, endorsed, advocated, planned, or prepared any of the following: hijacking, sabotage, kidnapping, political assassination, or use of a weapon or explosive to harm another individual or cause substantial damage to property?
  115. 115If yes, explain
  116. 116Have you received public assistance in the US from any source, including the US government or any state, county, city, or municipality?
  117. 117If yes, explain
  118. 118Have you ever been a member of, or in any way affiliated with, the Communist Party or any other totalitarian party?
  119. 119If yes, explain
  120. 120Have you ever lied about, concealed, or misrepresented any information on an application or petition to obtain a visa, other documentation required for entry into the US, admission to the US, or any other kind of immigration benefit?
  121. 121If yes, explain
  122. 122Have you ever been trafficked a person into involuntary servitude, peonage, debt bondage, or slavery?
  123. 123If yes, explain
  124. 124Have you ever been knowingly aided, abetted, assisted, conspired, or colluded with others in trafficking persons for commercial sex acts or involuntary servitude, peonage, debt bondage, or slavery?
  125. 125If yes, explain
  126. 126Are you the spouse, or a child of a foreign national who engaged in the trafficking of persons and have received or obtained any financial or other benefit from the illegal activity of your spouse or parent?
  127. 127If yes, explain
  128. 128Have you ever engaged in money laundering or knowingly aided, assisted, conspired, or colluded with others in money laundering?
  129. 129If yes, explain
  130. 130Have you ever engaged in any activity that violates or evades any law relating to espionage (including spying) or sabotage in the US?
  131. 131If yes, explain
  132. 132Have you ever engaged in any activity whose purpose includes opposing, controlling, or overthrowing the US Government by force, violence, or other unlawful means while in the US?
  133. 133If yes, explain
  134. 134Have you ever engaged in any activity that could endanger the welfare, safety, or security of the US?
  135. 135If yes, explain
  136. 136Have you ever engaged in any other unlawful activity?
  137. 137If yes, explain
  138. 138Have you ever engaged in or, upon your entry into the US, do you intend to engage in any activity that could have potentially serious adverse foreign policy consequences for the US?
  139. 139If yes, explain
  140. 140Have you ever engaged in or, upon your entry into the US, do you intend to engage in any activity that could have potentially serious adverse foreign policy consequences for the US?
  141. 141If yes, explain
  142. 142Have you ever committed, threatened to commit, attempted to commit, conspired to commit, incited, endorsed, advocated, planned, or prepared any of the following: hijacking, sabotage, kidnapping, political assassination, or use of a weapon or explosive to harm another individual or cause substantial damage to property?
  143. 143If yes, explain
  144. 144Have you ever in, or been a member of, a group or organization that did any of the activities described above?
  145. 145If yes, explain
  146. 146Have you ever recruited members or asked for money or things of value for a group or organization that did any of the activities described above?
  147. 147If yes, explain
  148. 148Have you ever provided money, a thing or value, services or labor, or any other assistance or support for any of the activities described above?
  149. 149If yes, explain
  150. 150Have you ever provided money, a thing of value, services or labor, or any other assistance or support for an individual, group, or organization who did any of the activities described above?
  151. 151If yes, explain
  152. 152Have you ever received any type of military, paramilitary, or weapons training?
  153. 153If yes, explain
  154. 154Assisted or participated in selling, providing, or transporting weapons to any person who used them against another person?
  155. 155If yes, explain
  156. 156Have you ever worked, volunteered, or otherwise served in any prison, jail, prison camp, detention facility, labor camp, or any other situation that involved detaining persons?
  157. 157If yes, explain
  158. 158Have you ever been a member of, assisted, or participated in any group, unit, or organization of any kind in which you or other persons used any type of weapon against any person or threatened to do so?
  159. 159If yes, explain
  160. 160Served in, been a member of, assisted or participated in any military unit, paramilitary unit, police unit, self-defense unit, or any other armed group?
  161. 161If yes, explain
  162. 162Been a member of, or in any way affiliated with, the Communist Party or any other totalitarian party?
  163. 163If yes, explain
  164. 164Have you ever ordered, incited, called for, committed, assisted, helped with, or otherwise participated in acts involving torture or genocide?
  165. 165If yes, explain
  166. 166Have you ever ordered, incited, called for, committed, assisted, helped with, or otherwise participated in killing any person?
  167. 167If yes, explain
  168. 168Have you ever ordered, incited, called for, committed, assisted, helped with, or otherwise participated in intentionally and severely injuring any person?
  169. 169If yes, explain
  170. 170Have you ever limited or denied any person’s ability to exercise religious beliefs?
  171. 171If yes, explain
  172. 172Page Break
  173. 173SPOUSE & CHILDREN’S CRIMINAL HISTORY
  174. 174Have you or are you a child or a spouse of an individual who ever committed, threatened to commit, attempted to commit, conspired to commit, incited, endorsed, advocated, planned, or prepared any of the following: hijacking, sabotage, kidnapping, political assassination, or use of a weapon or explosive to harm another individual or cause substantial damage to property?
  175. 175If yes, explain
  176. 176Have you or are you a child or a spouse of an individual who ever participated in, or been a member of, a group or organization that did any of the activities described above?
  177. 177If yes, explain
  178. 178Have you or are you a child or a spouse of an individual who ever recruited members or asked for money or things of value for a group or organization that did any of the activities described above?
  179. 179If yes, explain
  180. 180Have you or are you a child or a spouse of an individual who ever provided money, a thing of value, services or labor, or any other assistance or support for any of the activities, and for an individual, group, organization, or someone who did any of the activities describe above?
  181. 181If yes, explain
  182. 182Have you or are you a child or a spouse of an individual who ever received any type of military, paramilitary, or weapons training?
  183. 183If yes, explain
  184. 184Have you or are you a child or a spouse of an individual who ever received public assistance in the US from any source, including the US government or any state, county, city, or municipality?
  185. 185If yes, explain
  186. 186Have you or are you a child or a spouse of an individual likely to receive any of the above in the future?
  187. 187If yes, explain
  188. 188Have you or are you a child or a spouse of an individual who ever failed or refused to attend or to remain in attendance at any removal proceedings filed against you on or after April 1, 1997?
  189. 189If yes, explain
  190. 190Have you or are you a child or a spouse of an individual who ever submitted fraudulent or counterfeit documentation to any US government official to obtain or attempt to obtain any immigration benefit, including a visa or entry into the US?
  191. 191If yes, explain
  192. 192Have you ever lied about, concealed, or misrepresented any information on an application or petition to obtain a visa, other documentation required for entry into the US, admission to the US, or any other kind of immigration benefit?
  193. 193If yes, explain
  194. 194Have you ever falsely claimed to be a US citizen?
  195. 195If yes, explain
  196. 196Have you ever been a stowaway on a vessel or aircraft arriving in the US?
  197. 197If yes, explain
  198. 198Have you ever knowingly encouraged, induced, assisted, abetted, or aided any foreign national to enter or to try to enter the US illegally?
  199. 199If yes, explain
  200. 200Have you ever been excluded, deported, or removed from the US or have you ever departed the US on your own after having been ordered excluded, deported, or removed from the US?
  201. 201If yes, explain
  202. 202Entered the US without being inspected and admitted or paroled?
  203. 203If yes, explain
  204. 204Have you been unlawfully present in the US for more than 180 days but less than a year, and then departed the US? (*Unlawfully present in the US means you entered the US without being inspected and admitted or inspected and paroled, or you legally entered the US but stayed longer than permitted. * Since April 1, 1997:)
  205. 205If yes, explain
  206. 206Have you been unlawfully present in the US for more than 180 days but less than a year, and then departed the US?
  207. 207If yes, explain
  208. 208For one year or more and then departed the US?
  209. 209If yes, explain
  210. 210Have you ever reentered or attempted to reenter to US without being inspected and admitted or paroled after:
  211. 211If yes, explain
  212. 212Having been unlawfully present in the US for more than one year in the aggregate?
  213. 213If yes, explain
  214. 214Having been deported, excluded, or removed from the US?
  215. 215If yes, explain
  216. 216Do you plan to practice polygamy in the US?
  217. 217If yes, explain
  218. 218Are you accompanying another foreign national who requires your protection or guardianship but who is inadmissible after being certified by a medical officer as being helpless from sickness, physical or mental disability, or infancy, as described in INA section 232(c)?
  219. 219If yes, explain
  220. 220Have you ever assisted in detaining, retaining, or withholding custody of a US citizen child outside the US from a US citizen who has been granted custody of the child?
  221. 221If yes, explain
  222. 222Have you ever voted in violation of any Federal, state, or local constitutional provision, statute, ordinance, or regulation in the US?
  223. 223If yes, explain
  224. 224Have you ever renounced US citizenship to avoid being taxed by the US?
  225. 225If yes, explain
  226. 226Have you ever applied for exemption or discharge from training or service in the US armed forces or in the US National Security Training Corps on the ground that you are a foreign national?
  227. 227If yes, explain
  228. 228Have you ever been relieved or discharged from such training or service on the ground that you are a foreign national?
  229. 229If yes, explain
  230. 230Have you ever been convicted of desertion from the US armed forces?
  231. 231If yes, explain
  232. 232Have you ever left or remained outside the US to avoid or evade training or service in the US armed forces in time of war or a period declared by the President to be a national emergency?
  233. 233If yes, explain
  234. 234Signature
  235. 235Name
  236. 236I affirm that all answers provided are accurate, truthful, and free of errors. Failure to do so may result in visa denial and place sole responsibility on the applicant.
  237. 239Page Break
  238. 240MAIN APPLICANT'S EMPLOYMENT HISTORY
  239. 241Page Break
  240. 242DEPENDENT INFORMATION
  241. 243MOST RECENT EMPLOYER'S CLINIC OR COMPANY NAME
  242. 244Address
  243. 245City
  244. 246District
  245. 247Country
  246. 248Postal Code
  247. 2492ND MOST RECENT EMPLOYER'S BUSINESS NAME
  248. 250Address
  249. 251City
  250. 252District
  251. 253Country
  252. 254Postal Code
  253. 255Type of Business
  254. 256Job Title
  255. 257Total Hours per Week
  256. 258From
  257. 259To
  258. 260Job Details (Including duties and any certifications needed)
  259. 261Type of Business
  260. 262Total Hours per Week
  261. 263From
  262. 264To
  263. 265Job Title
  264. 266Job Details (Including duties and any certifications needed)
  265. 2673RD MOST RECENT EMPLOYER'S BUSINESS NAME
  266. 268Address
  267. 269City
  268. 270District
  269. 271Country
  270. 272Postal Code
  271. 273Type of Business
  272. 274Total Hours per Week
  273. 275From
  274. 276To
  275. 277Job Title
  276. 278Job Details (Including duties and any certifications needed)
  277. 279Who are applying for the EB-3 program? (Children must be under 17 years old)
  278. 280Submit
  279. 281Provide Job Research Source
  280. 282First / Given Name
  281. 283Middle Name
  282. 284Last / Family Name
  283. 285Country Code +
  284. 286Phone Number
  285. 287CHOOSE PAYMENT PLAN
  286. 288SELECT JOB TYPE AND PROGRAM
  287. 289Upload Your Face Picture
  288. 290Birth Certification Upload (Original document and certified English translation combined into one PDF file)
  289. 291Total Applicants
  290. 292MAIN APPLICANT'S EDUCATION BACKGROUND
  291. 293Recruiter Information
  292. 294How Did You Hear About This Job?
  293. 295Provide Country
  294. 296Provide Job Fair City
  295. 297Provide Attorney Firm Name
  296. 298Provide Job Fair Date
  297. 299Provide Recruiter Agency Name
  298. 300Provide Nursing School Name
  299. 301Provide Attorney Firm Country & City
  300. 302Provide Recruiter Agency Country & City
  301. 303Provide Nursing School Country & City
  302. 304Provide Other Source Name
  303. 305Provide Other Source Country & City
  304. 306Applicant's Marital Status
  305. 307THE MOST RECENT JOB
  306. 3082ND MOST RECENT JOB
  307. 3093RD MOST RECENT JOB
  308. 310Provide Recruiter Name
  309. 311Provide Recruiter Country & City
  310. 312Provide a reason
  311. 313How soon can you provide it?
  312. 314How soon can you provide it?
  313. 315Educations (Select All That Apply)
  314. 316High School
  315. 317High School Name
  316. 318School City & Country
  317. 319Graduation Year
  318. 320Do you have a graduate diploma?
  319. 321Graduation Year
  320. 322High School Diploma File Upload (Original document and certified English translation combined into one PDF file)
  321. 323How soon can you provide it?
  322. 324Associate Degree – Community College
  323. 325College / Institution Name
  324. 326Associate Degree
  325. 327College / Institution City & Country
  326. 328Do you have a graduate diploma?
  327. 329Graduation Year
  328. 330How soon can you provide it?
  329. 331Associate Degree Diploma File Upload (Original document and certified English translation combined into one PDF file)
  330. 332Bachelor’s Degree – University / College
  331. 333University / College Name
  332. 334Bachelor’s Degree – Major
  333. 335University / College City & Country
  334. 336Do you have a graduate diploma?
  335. 337Graduation Year
  336. 338How soon can you provide it?
  337. 339Bachelor’s Degree Diploma File Upload (Original document and certified English translation combined into one PDF file)
  338. 340Master’s Degree – University
  339. 341Master’s Degree University Name
  340. 342Master's Degree - Major
  341. 343University City & Country
  342. 344Do you have a graduate diploma?
  343. 345Graduation Year
  344. 346How soon can you provide it?
  345. 347Master’s Degree Diploma File Upload (Original document and certified English translation combined into one PDF file)
  346. 348Doctoral Degree – School/University
  347. 349Doctoral Degree – School Name
  348. 350Doctoral Degree – Specialty
  349. 351School City & Country
  350. 352Do you have a graduate diploma?
  351. 353Graduation Year
  352. 354How soon can you provide it?
  353. 355Doctoral Degree Diploma File Upload (Original document and certified English translation combined into one PDF file)
  354. 356Other School (Technical, Vocational)
  355. 357School Name (Technical, Vocational)
  356. 358Major / Program
  357. 359School City & Country
  358. 360Do you have a graduate diploma?
  359. 361Graduation Year
  360. 362How soon can you provide it?
  361. 363Other School Diploma File Upload (Original document and certified English translation combined into one PDF file)
  362. 364CREDENTIALS
  363. 365Select the credentials that apply to you
  364. 366Page Break
I-140 APPLICATION218 archived questions & content items · review only

These are archived question labels and content. Repeated labels, historical legal language and sensitive requests require review before a production form can collect answers.

  1. 1I-140 APPLICATION
  2. 2Submit
  3. 3Congratulations! Your Labor Certification has been approved. The next step is to apply for the I-140.
  4. 4Address
  5. 5Date of Birth
  6. 6Main Applicant's Information
  7. 7Family Member Information
  8. 8Date of Birth
  9. 9City of Birth
  10. 10Relationship
  11. 11Which one are you applying for?
  12. 12Do you have any family members applying the EB-3 Visa with you?
  13. 13Do you have more family members applying with you?
  14. 14Government Filing Fee (I-140)
  15. 15Select your I-140 Government Filing Fee (It may change without prior notice. In such cases, you will be required to pay accordingly.)
  16. 17Main Applicant's Birth Certificate (PDF with original and English translation in one file)
  17. 18Family Book / Certificate (PDF with original and English translation in one file - Most updated)
  18. 19Email
  19. 20If you are currently in the U.S., when was your most recent arrival date?
  20. 21If you are in the U.S. right now, what is your current visa or immigration status?
  21. 22Are you in the U.S. right now with other visa?
  22. 23Is this person in the U.S. right now with other visa?
  23. 24If this person is in the U.S. right now, what is current visa or immigration status?
  24. 25If this person is currently in the U.S., when was the most recent arrival date?
  25. 26Phone Number
  26. 27Country Code +
  27. 28Upload your most recent unexpired passport.
  28. 29Does this person has any prior U.S. visa history or a copy of visa?
  29. 30Visa Copy Upload
  30. 31Birth Certificate (Combine with the original and English translated PDF file)
  31. 32Have you ever had a U.S. visa denial, and do you have a copy of the denial letter?
  32. 33Denial Letter Copy Upload
  33. 34Do you have any prior U.S. visa history or a copy of your visa?
  34. 35Visa Copy Upload
  35. 36What is your current marital status?
  36. 37Marriage Certification Upload
  37. 38Divorce Certification Upload
  38. 39Do you have changed your name before?
  39. 40Name Change Certification Copy Upload
  40. 41Criminal / Police Record (PDF with original and English translation in one file)
  41. 42Final Judgement Document (If any - PDF with original and English translation in one file)
  42. 43Last / Family Name
  43. 44Middle Name
  44. 45City of Birth
  45. 46Do you have any criminal record with a final judgment document?
  46. 47Upload your most recent unexpired passport
  47. 48Does this person has changed name before?
  48. 49Name Change Certification Copy Upload (Combine with the original and English translated PDF file)
  49. 50Divider
  50. 51Last / Family Name
  51. 52First / Given Name
  52. 53Middle Name
  53. 54Country of Birth
  54. 55Gender
  55. 56Page Break
  56. 571st Family Member Information
  57. 582nd Family Member Information
  58. 59Last / Family Name
  59. 60First / Given Name
  60. 61Middle Name
  61. 62Relationship
  62. 63Date of Birth
  63. 64Birth Certificate (Combine with the original and English translated PDF file)
  64. 65Upload this person's most recent unexpired passport
  65. 66Does this person has changed name before?
  66. 67Name Change Certification Copy Upload
  67. 68Does this person has any prior U.S. visa history or a copy of visa?
  68. 69Visa Copy Upload
  69. 70Which one is this person applying for?
  70. 71Is this person in the U.S. right now with other visa?
  71. 72If this person is in the U.S. right now, what is current visa or immigration status?
  72. 73If this person is currently in the U.S., when was the most recent arrival date?
  73. 74If this person is currently in the U.S., when was the most recent arrival date?
  74. 75Do you have more family members applying with you?
  75. 76Page Break
  76. 77Gender
  77. 78City of Birth
  78. 79First / Given Name
  79. 80Which one this person applying for?
  80. 81Country of Birth
  81. 82Gender
  82. 83Country of Birth
  83. 843rd Family Member Information
  84. 85Last / Family Name
  85. 86First / Given Name
  86. 87Middle Name
  87. 88Date of Birth
  88. 89Gender
  89. 90Relationship
  90. 91City of Birth
  91. 92Country of Birth
  92. 93Birth Certificate (Combine with the original and English translated PDF file)
  93. 94Upload this person's most recent unexpired passport
  94. 95Does this person has changed name before?
  95. 96Name Change Certification Copy Upload
  96. 97Does this person has any prior U.S. visa history or a copy of visa?
  97. 98Visa Copy Upload
  98. 99Which one is this person applying for?
  99. 100is this person in the U.S. right now with other visa?
  100. 101If this person is in the U.S. right now, what is current visa or immigration status?
  101. 102Page Break
  102. 103Page Break
  103. 1044th Family Member Information
  104. 105Last / Family Name
  105. 106First / Given Name
  106. 107Middle Name
  107. 108Date of Birth
  108. 109Gender
  109. 110Relationship
  110. 111City of Birth
  111. 112Country of Birth
  112. 113Birth Certificate (Combine with the original and English translated PDF file)
  113. 114Upload this person's most recent unexpired passport
  114. 115Does this person has changed name before?
  115. 116Name Change Certification Copy Upload
  116. 117Does this person has any prior U.S. visa history or a copy of visa?
  117. 118Visa Copy Upload
  118. 119Which one is this person applying for?
  119. 120Is this person in the U.S. right now with other visa?
  120. 121If this person is in the U.S. right now, what is current visa or immigration status?
  121. 1225th Family Member Information
  122. 123Last / Family Name
  123. 124First / Given Name
  124. 125Middle Name
  125. 126Date of Birth
  126. 127Gender
  127. 128Relationship
  128. 129City of Birth
  129. 130Country of Birth
  130. 131Birth Certificate (Combine with the original and English translated PDF file)
  131. 132Upload this person's most recent unexpired passport
  132. 133Does this person has changed name before?
  133. 134Name Change Certification Copy Upload
  134. 135Does this person has any prior U.S. visa history or a copy of visa?
  135. 136Visa Copy Upload
  136. 137Which one is this person applying for?
  137. 138Is this person in the U.S. right now with other visa?
  138. 139If this person is in the U.S. right now, what is current visa or immigration status?
  139. 140Page Break
  140. 1416th Family Member Information
  141. 142Last / Family Name
  142. 143First / Given Name
  143. 144Middle Name
  144. 145Date of Birth
  145. 146Gender
  146. 147Relationship
  147. 148City of Birth
  148. 149Country of Birth
  149. 150Birth Certificate (Combine with the original and English translated PDF file)
  150. 151Upload this person's most recent unexpired passport
  151. 152Does this person has changed name before?
  152. 153Name Change Certification Copy Upload
  153. 154Does this person has any prior U.S. visa history or a copy of visa?
  154. 155Visa Copy Upload
  155. 156Which one is this person applying for?
  156. 157Is this person in the U.S. right now with other visa?
  157. 158If this person is in the U.S. right now, what is current visa or immigration status?
  158. 159Page Break
  159. 1607th Family Member Information
  160. 161Last / Family Name
  161. 162First / Given Name
  162. 163Middle Name
  163. 164Date of Birth
  164. 165Gender
  165. 166Relationship
  166. 167City of Birth
  167. 168Country of Birth
  168. 169Birth Certificate (Combine with the original and English translated PDF file)
  169. 170Upload your most recent unexpired passport
  170. 171Does this person has changed name before?
  171. 172Name Change Certification Copy Upload
  172. 173Does this person has any prior U.S. visa history or a copy of visa?
  173. 174Visa Copy Upload
  174. 175Which one is this person applying for?
  175. 176Is this person in the U.S. right now with other visa?
  176. 177If this person is in the U.S. right now, what is current visa or immigration status?
  177. 178Page Break
  178. 179Has this person ever had a U.S. visa denial, and does this person has a copy of the denial letter?
  179. 180Denial Letter Copy Upload
  180. 181Criminal / Police Record (within 6 months old report only- PDF with original and English translation in one file)
  181. 182Does this person has any criminal record with a final judgment document?
  182. 183Final Judgement Document (If any - PDF with original and English translation in one file)
  183. 184Criminal / Police Record (within 6 months old report only- PDF with original and English translation in one file)
  184. 185Does this person has any criminal record with a final judgment document?
  185. 186Final Judgement Document (If any - PDF with original and English translation in one file)
  186. 187Do you have more family members applying with you?
  187. 188Do you have more family members applying with you?
  188. 189Do you have more family members applying with you?
  189. 190Do you have more family members applying with you?
  190. 191If this person is currently in the U.S., when was the most recent arrival date?
  191. 192If this person is currently in the U.S., when was the most recent arrival date?
  192. 193If this person is currently in the U.S., when was the most recent arrival date?
  193. 194If this person is currently in the U.S., when was the most recent arrival date?
  194. 195Has this person ever had a U.S. visa denial, and does this person has a copy of the denial letter?
  195. 196Denial Letter Copy Upload
  196. 197Has this person ever had a U.S. visa denial, and does this person has a copy of the denial letter?
  197. 198Denial Letter Copy Upload
  198. 199Has this person ever had a U.S. visa denial, and does this person has a copy of the denial letter?
  199. 200Denial Letter Copy Upload
  200. 201Has this person ever had a U.S. visa denial, and does this person has a copy of the denial letter?
  201. 202Denial Letter Copy Upload
  202. 203Has this person ever had a U.S. visa denial, and does this person has a copy of the denial letter?
  203. 204Denial Letter Copy Upload
  204. 205Has this person ever had a U.S. visa denial, and does this person has a copy of the denial letter?
  205. 206Denial Letter Copy Upload
  206. 207Do you have any criminal history?
  207. 208Does this person has any criminal history?
  208. 209Page Break
  209. 210Does this person has any criminal history?
  210. 211Does this person has any criminal history?
  211. 212Criminal / Police Record (within 6 months old report only- PDF with original and English translation in one file)
  212. 213Does this person has any criminal record with a final judgment document?
  213. 214Final Judgement Document (If any - PDF with original and English translation in one file)
  214. 215Does this person has any criminal history?
  215. 216Criminal / Police Record (within 6 months old report only- PDF with original and English translation in one file)
  216. 217Does this person has any criminal record with a final judgment document?
  217. 218Final Judgement Document (If any - PDF with original and English translation in one file)

International Recruiting Partner

Agency legal name, license, sourcing countries, caregiver supply capacity and operational compliance. The original Jotform detailed agency questionnaire has been retrieved. Field types, branching and secure upload still need migration.

Original International Caregiver & CNA Recruitment Partner Application114 verified source questions and content items · review only

These question labels come from the original Jotform. Secure document upload, required flags, branching, and submission tracking are not yet migrated to this page.

  1. 1International Caregiver & CNA Recruitment Partner Application
  2. 2COMPANY INFORMATION
  3. 3Legal Company Name
  4. 4Business Registration Number
  5. 5Year Established
  6. 6Head Office Address
  7. 7Business Website
  8. 8Business LinkedIn Link
  9. 9Business Facebook Link
  10. 10Primary Contact Person
  11. 11Nationality
  12. 12Email
  13. 13Business Phone
  14. 14Personal Cell Number
  15. 15Average Recruited During the Past 6 Months
  16. 16Current Recruitment Sources
  17. 17APPLICANT SCREENING & QUALITY CONTROL
  18. 18Describe Your Applicant Screening Process.
  19. 19BUSINESS NETWORK
  20. 20Why Are You or Your Organization Interested in Becoming a Newland Group Recruitment Partner?
  21. 21Describe Your Recruitment Experience.
  22. 22CERTIFICATION
  23. 23Certification Statement I certify that the information provided in this application is true and complete to the best of my knowledge. Our organization agrees to conduct business with professionalism, integrity, transparency, and ethical recruiting practices, comply with all applicable laws and regulations, and follow all Newland Group Recruitment Partner Policies.
  24. 24Authorized Representative
  25. 25Title
  26. 26Signature
  27. 27Date
  28. 28Submit Application
  29. 29Business Instagram Link
  30. 30Number of Branch Offices
  31. 31Total Recruiters
  32. 32Number of Applicants Placed Annually
  33. 33Trade Name (if applicable)
  34. 34Personal WhatsApp Number
  35. 35Business WhatsApp Phone
  36. 36Total Full-Time Employees
  37. 37RECRUITMENT EXPERIENCE
  38. 38Does Your Organization Own or Operate?
  39. 39Realistically, How Many Qualified and Affordable Caregiver & CNA Applicants Can You Recruit Within the Next 6 Months?
  40. 40Future Caregiver/CNA Recruitment Sources
  41. 41Which Types of Candidates Can Your Organization Recruit?
  42. 42Explain
  43. 43Explain
  44. 44Explain
  45. 45Explain
  46. 46Explain Your Recruitment Strategy
  47. 47Target Recruiting Cities
  48. 48Do You Organize Job Fairs?
  49. 49Years in Recruitment Experience
  50. 50How Many Job Fairs Per Year?
  51. 51Job Fair Venue Types
  52. 52Explain
  53. 53How Do You Verify Employment History and Qualifications?
  54. 54Do You Conduct Background Checks or Reference Verification?
  55. 55Do You Have Established Relationships With
  56. 56BUSINESS REFERENCES
  57. 57Is Your Organization Legally Registered as a Business?
  58. 58PARTNERSHIP QUESTIONS
  59. 59Can You or Your Organization Provide References?
  60. 60PRIMARY CONTACT INFORMATION
  61. 61LinkedIn Link
  62. 62Facebook Link
  63. 63Instagram Link
  64. 64Title / Position
  65. 65Current Country / City
  66. 66Current Job
  67. 67Which Nationalities of Caregivers and CNAs Can Your Organization Recruit?
  68. 68Explain
  69. 69Do You Verify Employment History and Qualifications?
  70. 70Do You Evaluate English Communication Skills?
  71. 71If Yes, What Type of English Skills Evaluation Do You Conduct?
  72. 72Have You or Your Organization Ever Recruited Caregivers or CNAs Before?
  73. 73Explain
  74. 74Can You Recruit Qualified Caregiver & CNA Applicants Who Are Willing and Financially Able to Pay Their Own EB-3 Program Costs, Including Attorney Fees, U.S. Government Filing Fees, and Program Service Fees (Approximately USD $30,000–$35,000)?
  75. 75EB-3 VISA EXPERIENCE
  76. 76How Familiar Are You With the U.S. EB-3 Green Card Program?
  77. 77Does Your Organization Have Experience Recruiting for the U.S. EB-3 Visa Program?
  78. 78How Many Years of EB-3 Recruitment Experience Does Your Organization Have?
  79. 79Approximately How Many EB-3 Applicants Has Your Organization Recruited?
  80. 80Which EB-3 Categories Has Your Organization Recruited For?
  81. 81Which Countries Has Your Organization Recruited EB-3 Applicants From?
  82. 82Which Stages of the EB-3 Process Is Your Organization Familiar With?
  83. 83Do You Conduct Drug Testing for Your Candidates?
  84. 84Why is your organization the best choice to represent Newland Group?
  85. 85How will your organization promote the Newland Group EB-3 Green Card Program?
  86. 86How will your organization promote the Newland Group EB-3 Green Card Program?
  87. 87How will your organization maintain professionalism, integrity, transparency, and ethical recruiting practices?
  88. 88Name
  89. 89Email
  90. 90Country Name
  91. 91Relationship
  92. 92Phone
  93. 931ST REFERENCE
  94. 94Company Name
  95. 95Title
  96. 962ND REFERENCE
  97. 97Name
  98. 98Country Name
  99. 99Relationship
  100. 100Company Name
  101. 101Title
  102. 102Phone
  103. 103Email
  104. 104REQUIRED DOCUMENTS
  105. 105Business Registration Certificate
  106. 106Primary Contact Face Picture
  107. 107Marketing Materials
  108. 108Office Photos
  109. 109Team Picture
  110. 110Business Awards & Certifications
  111. 111SOURCE OF REFERRAL
  112. 112How Did You Hear About Newland Group?
  113. 113May We Thank the Person Who Referred You?
  114. 114May We Thank the Organization Who Referred You?