Immigration, Employer Focus Contact Form

*First Name

*Last Name

*Email Address

*Phone Number

*Zip

Street Address

Apt/Ste

Incident Street Address

Incident Apt/Ste

*Incident Zip

Business Phone

Cellular or Pager

Business Web Address

Have you ever, or do you currently own your own business?
Yes  No 

What is your position with your business?

How many employees at the business?

What is the general nature of the business?

Does your business typically employ foreign born workers who are not citizens of the U.S.?
Yes  No 

Does your business typically employ foreign born workers who are not citizens of the U.S. on a temporary basis?
Yes  No 

If you answered yes to the preceding question, then which Department of Labor temporary work visa program does your business typically use?
H-1B  H-1B  H-1B  H-1B

If other please specify in the space provided

Has your business been involved with an employment based immigration for a foreign born worker at your company?
Yes  No 

Additional Comments

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