Services We Offer Career Openings Other Helps Work Authorization Information Form Name: Recruiters Name: Position: Email: Home Phone: Work#: Cell Phone: Fax: WORK INFORMATION USA: I am authorized to work for any employer: -- No Yes . . . . . Comments USA: I require sponsorship to work in this country: -- No Yes . . . . . Comments Current Visa Status: -- Active Inactive Pending Other . . . . . Comments: H1-B Visa: Date Obtained: Expiration Date: Comments: F1 Visa: Date Obtained: Expiration Date: Comments: TN1 Visa: Date Obtained: Expiration Date: Comments: Green Card Holder: -- No Yes . . . . . Date Obtained: Comments: Green Card Applied: -- No Yes . . . . . Date Applied: Comments: Permanent Resident: -- No Yes . . . . . Date Granted: Comments: By selecting the submit button you acknowledge the above information is true to the best of your ability. Thank you.

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