Initial Eligibility Questionnaire Name *Email Address *Phone *Do you use WhatsApp?YesNoWhat Position are you Applying For?CaregiverHousekeeperCookOtherIf you are applying as a caregiver, would you be willing and able to become a licensed Certified Nursing Assistant after you arrive into the United States?YesNoNot ApplicableDo you have a minimum of 6 months of documented and paid experience in the position you are applying for?YesNoCountry of BirthCountry of CitizenshipCan you provide these documents below? Select all that apply.Photocopy of Current ResumePhotocopy of Current PassportPhotocopies of spouse and children’s current passport if also immigrating into the United States (if applicable)Photocopies of all diplomas and transcripts received, including English Translations, if possiblePhotocopy of your Most Recent Pay Stub3 Letters of Recommendations that can vouch for your character and work ethicAny awards that pertain to the position applying for (if applicable)All licenses and certifications (if applicable)Can you able to obtain a customized letter of recommendation from your most recent employer? (We will send you more information on this if we decide to proceed with your application)Photocopy of marriage certificate and children’s birth certificates, with certified English translations (if applicable)Select all that apply.Any awards that pertain to the position applying for (if applicable)All licenses and certifications (if applicable)What would you rate your understanding of spoken English?1101-Not Very, to 10-Very ConfidentWhat would you rate your understanding of written English?1101-Not Very, to 10-Very ConfidentWhat would you rate your ability to communicate with native English speakers?1101-Not Very, to 10-Very ConfidentHow confident are you that you could pass an English Proficiency Test?1101-Not Very, to 10-Very ConfidentWhy do you want to come to America and work?Have you ever overstayed a Visa in the United States?YesNoHave you ever been denied a Visa in the United States?YesNoDo you have any health issues that may prevent you from being denied Immigration into the United States?YesNoDo you have a criminal record that may prevent you from being denied immigration into the United States?YesNoAre you willing and able to get a Driver’s License in the United States?YesNoAre you willing and able to provide your own housing upon arrival into the United States?YesNoIs there any reason why your immigration status may be denied into the United States?YesNoAre you willing to commit 2 years of work to your first employer in the United States?YesNoAre you able to pay for the entirety of this program, along with any immigration related expenses?YesNoDo you plan on immigrating any family members with you into the United States?YesNoIf “Yes”, are you able to provide a photocopy of their passports?”YesNo Send Message
