Name of person or total number of workers or trainees you are filing for:
List the alien's and any dependent family members' prior periods of stay in H classification in the U.S. for the last six years. Be sure to list only those periods in which the alien and/or family members were actually in the U.S. in an H classification. If more space is needed, attach an additional sheet.
Classification sought (Check one):
H-1A
Registered professional nurse
H-1B5
Athlete
H-1B1
Specialty occupation
H-1BS
Essential Support Personnel for H-1B entertainer or athlete
H-1B2
Exceptional services relating to a cooperative research and development project administered by the U.S. Department of Defense
H-2A
Agricultural worker
H-1B3
Artist, entertainer or fashion model of national or international acclaim
H-2B
Nonagricultural worker
H-1B4
Artist or entertainer in unique or traditional art form
H-3
Trainee
H-3
Special education exchange visitor program
Section 1. Complete this section if filing for H-1A or H-1B classification
Describe the proposed duties
Alien's present occupation and summary of prior work experience
Section 2. Complete this section if filing for H-2A or H-2B classification
Explain your temporary need for the alien's services (attach a separate paper if additional space is needed).
Section 3. Complete this section if filing for H-2A classification
The petitioner and each employer consent to allow government access to the site where the labor is being performed for the purpose of determining compliance with H-2A requirements. The petitioner further agrees to notify the Service in the manner and within the time frame specified if an H-2A worker absconds or if the authorized employment ends more than five days before the relating certification document expires, and pay liquidated damages of ten dollars for each instance where it cannot demonstrate compliance with this notification requirement. The petitioner also agrees to pay liquidated damages of two hundred dollars for each instance where it cannot be demonstrated that the H-2A worker either departed the United States or obtained authorized status during the period of admission or within five days of early termination, whichever comes first.
The petitioner must execute Part A. If the petitioner is the employer's agent, the employer must execute Part B. If there are joint employers, they must each execute Part C.
Part A. Petitioner:
By filing this petition, I agree to the conditions of H-2A employment, and agree to the notice requirements and limited liabilities defined in 8 CFR 214.2(h)(3)(vi).
Petitioner's signature
Date
Part B. Employer who is not petitioner:
I certify that I have authorized the party filing this petition to act as my agent in this regard. I assume full responsibility for all representations made by this agent on my behalf, and agree to the conditions of H-2A eligibility.
Employer's signature
Date
Part C. Joint Employers:
I agree to the conditions of H-2A eligibility.
Joint employer's signature(s)
Date
Joint employer's signature(s)
Date
Joint employer's signature(s)
Date
Joint employer's signature(s)
Date
Joint employer's signature(s)
Date
Section 4. Complete this section if filing for H-3 classification.
If you answer "yes" to any of the following questions, attach a full explanation.
a.
Is the training you intend to provide, or similar training, available in the alien's country?
No
Yes
b.
Will the training benefit the alien in pursuing a career abroad?
No
Yes
c.
Does the training involve productive employment incidental to training?
No
Yes
d.
Does the alien already have skills related to the training?
No
Yes
e.
Is this training an effort to overcome a labor shortage?
No
Yes
f.
Do you intend to employ the alien abroad at the end of this training?
No
Yes
If you do not intend to employ this person abroad at the end of this training, explain why you wish to incur the cost of providing this training, and your expected return from this training.
