PERM Labor Certification Info Sheet
Documents
- Employer’s company brochure, if any, or printout of the company’s website;
- Employer’s most recent federal tax return;
- Alien’s resume;
- Alien’s employment verification letter(s) relevant to the position offered by the Employer; and
- Alien’s diploma, transcript,U.S. degree evaluation, if applicable, and any professional license(s) relevant to the position offered by the Employer.
I. Information about Employer and the Job Offer to the Alien
GeneralInformation
Full Legal Name
DBA Name
Federal EIN
Business Address
Telephone Number
Fax Number
Year Established
Total Number of U.S. Employees
Number of Employees in the Petitioned Position
Annual Gross Income
Annual Net Income
Nature of Business Activity
North American Industrial Classification System Code (NAICS)/(Please verify on your tax returns or previous immigration petitions)
Signing Officer Information
Full Name (First, Middle, Last)
Title
Phone Number
E-mail Address
Job Offer Information
Proposed Job Title
Standard Occupational Classification (SOC Code, if known)
Total Hours per Week / /wk
Work schedule of a working day / am to pm
Annual Salary
Overtime Hourly Salary
Address where Alien will work (if different from Business address)
County and State of the place of employment
Occupational title of Alien’s immediate supervisor
Number of employees Alien will supervise
Has this position been offered to or occupied by others before? / Yes No
If yes to the above, please answer the following:
- What academic degree(s) did such individuals have?
- How many years of relevant experience did such individuals have?
- What license(s) did such individuals have?
- What are the job duties of such individuals?
Please attach a separate sheet of paper with this information, if needed.
Will travel be required in order to perform the job duties? If yes, please provide details (e.g., area(s), frequency, and nature of the travel).
Will work be performed at multiple worksites? If yes, please give address of other worksites.
Description of job duties in detail
Hint:Please draft the fullest possible description of the job’s most important functions and skills, and the credentials at a minimum to perform each and every one of those important functions and skills. Note especially,
- The more quantifiable, objective and specific, the better;
- Break down the generalized description into specific job functions; and
- Find out the very specific aspects of the job functions, and the specific skills or knowledge required to perform these functions. Enumerate them as special requirements.
MinimumRequirements of the Job Offer Position:
Note: This is not necessarily the same as the degree and experience that the Alienhas.
Degree Level (Associate’s, Bachelor’s, Master’s, or Doctoral)
Major Field(s) of Study
Is Foreign Degree Acceptable? / Yes No
Formal Vocational Training Required / Yes No;
If yes, how many months?
Type of Training
Type of Experience Required
Duration of Experience Required
Special Requirements (e.g., specific skills, licenses, certificates, foreign language)
Routine Recruitment Procedures
Has the Employer sponsored PERM applications (for any position) in the past? / Yes No
If yes to the above, what forms of recruitment has the Employer used? / Employer website
3rd party website, e.g., newspaper websites
Employee referral program with incentives
Campus placement office(s)
Job fairs
On-campus recruitment
Trade or professional organizations
Private employment firms
Local and ethnic newspapers
Radio and TV advertisements
Has the Employer ever sponsored PERM applications for the position now offered to the Alien? / Yes No
If yes to the above, what forms of recruitment has the Employer used? / Employer website
3rd party website, e.g., newspaper websites
Employee referral program with incentives
Campus placement office(s)
Job fairs
On-campus recruitment
Trade or professional organizations
Private employment firms
Local and ethnic newspapers
Radio and TV advertisements
Does the Employer have in-house media (electronic or printed)? / Yes No
Is there a bargaining representative at the worksite for workers? / Yes No
Have there been any layoffs in the area in the last 6 months? / Yes No
II. Information about Alien Employee
- Information about You
Last Name
First Name
Middle Name
Current Address
Street Number and Name
Apt./Ste./Flr.
City, State, Zip code
General Information
Daytime Phone #
Country of Citizenship
Date of Birth
Country of Birth
City of Birth
Class of Admission
USCIS A# (if any)
I-94 #
- Your Education
Name and Address of College/University / Degree / Field of Study / Year Completed
- Work Experience (Please includeany experience for the past 3 years; and all other related experience for more than 3 years)
Current Employer
Name
Address
City, State, Zip Code
Date Started (mm/yy)
Date Left (mm/yy) / Current
Type of Business
Job Title
No. of Hours per Week
Name and Phone Number of Supervisor
Describe in detail the duties performed, including use of tools, machines, equipment
Past Employer
Name
Address
City, State, Zip Code
Date Started (mm/yy)
Date Left (mm/yy)
Type of Business
Job Title
No. of Hours per Week
Name and Phone Number of Supervisor
Describe in detail the duties performed, including use of tools, machines, equipment
Past Employer
Name
Address
City, State, Zip Code
Date Started (mm/yy)
Date Left (mm/yy)
Type of Business
Job Title
No. of Hours per Week
Name and Phone Number of Supervisor
Describe in detail the duties performed, including use of tools, machines, equipment
Past Employer
Name
Address
City, State, Zip Code
Date Started (mm/yy)
Date Left (mm/yy)
Type of Business
Job Title
No. of Hours per Week
Name and Phone Number of Supervisor
Describe in detail the duties performed, including use of tools, machines, equipment
Past Employer
Name
Address
City, State, Zip Code
Date Started (mm/yy)
Date Left (mm/yy)
Type of Business
Job Title
No. of Hours per Week
Name and Phone Number of Supervisor
Describe in detail the duties performed, including use of tools, machines, equipment
Past Employer
Name
Address
City, State, Zip Code
Date Started (mm/yy)
Date Left (mm/yy)
Type of Business
Job Title
No. of Hours per Week
Name and Phone Number of Supervisor
Describe in detail the duties performed, including use of tools, machines, equipment
CERTIFICATION
I understand that the foregoing information provided in the Questionnaire and given to Liu & Associates, PLLC will be used to prepare related immigration form(s) that I will need to sign for the petition/application.
I understand that when I sign the immigration form(s), I am certifying under penalty of perjury under the laws of the United States of America that the information in the immigration form(s) as well as all evidence submitted with the petition/application is true and correct.
Name of Petitioner
Name of Petitioner’s Representative/Signing Officer
Re-type Name of Petitioner’s Representative/Signing Officer to confirm electronic signature
Date
Name of Beneficiary
Re-type Name of Beneficiary to confirm electronic signature
Date