EB-3 Registered Nurse Application Personal InformationFull Legal Name (as shown on passport) *Full AddressEmail Address *Cell Phone Number *WhatsApp Phone NumberFacebook Messenger NameImmediate Family Information(Spouse and Dependents under 21 who are also immigrating)U.S. Immigration HistoryHave you ever applied for a U.S. nonimmigrant visa before?YesNo(If Yes: Visa Classification, Date Applied, Location Applied, Outcome (Granted/Refused), Visa Number)Have you ever overstayed a U.S. visa?YesNoCurrent/Previous U.S. Status (if applicable)Has a U.S. immigrant visa petition ever been filed for you?YesNo(If Yes: Immigrant Visa Number, Date Issued)Has your U.S. visa ever been canceled?Has a Labor Certification ever been filed on your behalf?YesNo(If Yes: Occupation, Location, Date, Outcome)Date of Last Entry to the U.S. (if applicable)Place of Last Entry (if applicable)Employment HistoryMinimum 3 entries recommended (Start with most recent)Employment InformationEmployment DatesPosition TitleHours Per WeekEmployer NameEmployer Full AddressPrimary DutiesEmployment InformationEmployment InformationThree Character ReferencesAdditional QuestionsRequired DocumentsHas your U.S. visa ever been canceled?YesNoWhat University did you attend?Can you provide these documents below? Select all that apply.Photocopy of Academic TranscriptPhotocopy 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 possibleAny awards that pertain to the position applying for (if applicable)All licenses and certifications (if applicable)Photocopy of your Most Recent Pay Stub3 Letters of Recommendations that can vouch for your character and work ethicPhotocopy 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 English Speaking?1-Not Very, to 10-Very ConfidentWhat would you rate your understanding of English Writing?1-Not Very, to 10-Very ConfidentWhat would you rate your understanding of English Reading?1-Not Very, to 10-Very ConfidentHow confident are you that you could pass an English Proficiency Test?1-Not Very, to 10-Very ConfidentWhy do you want to come to America and work?Have you ever been denied a Visa in the United States?YesNoHave you ever overstayed a Visa in the United States?YesNoDo you have any health issues that may prevent you from immigrating into the United States?YesNoDo you have a criminal record that may prevent you from immigrating 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 4 years of work to your first employer in the United States?YesNo TextSend Message
