GENERAL INFORMATION

Full Name (with last name in caps):

U.S. Address:

 

Address in your home country:

 

Email Address:

Home Telephone:

Office Telephone:

Fax number:

Social security number:

Date of Birth:

Place of Birth (City, Country):

Country of Nationality:

Employer's Name:

Employer's Main Address:

Your Worksite Address, if different:
 

Employer's Main Telephone Number:

INFORMATION REGARDING YOUR EMPLOYMENT

Job title:

Annual salary:

Provide a detailed job description including specific responsibilities:


 

Requirements for this position (include educational requirements, specific skills, experience, and expertise required):

Provide information about the importance of your work/research and how it will benefit and impact the U.S:

Provide information regarding the number of people you supervise, if any, and what type of employees they are (e.g., scientists, post docs, and technicians):

FAMILY MEMBERS

Spouse

Name:

Address:

 

Date & Place of Birth:
 

Child #1

Name:

Address:

 

Date & Place of Birth:
 

Child #2

Name:

Address:

 

Date & Place of Birth:
 

Child #3

Name:

Address:

 

Date & Place of Birth:
 

Required evidence to prove your eligibility as an Extraordinary Ability Alien - you must provide as much of the below documentation as you can (you must have at least three of the following):

• Evidence you have received nationally or internationally recognized awards or prizes (must include a description of the selective process in which recipients are chosen);
• Evidence of your membership in any professional and/or scientific societies where outstanding achievements are required (must include information regarding the requirements and/or selective process for membership);
• Evidence that others have published materials in professional journals about you and/or your work, including evidence that your work has been cited by others;
• Evidence you have judged or reviewed, or been invited to judge or review, the work of other scientists or engineers in your field;
• Copies of documentation regarding any patents you hold, or other documentation showing you have made original scientific or scholarly research contributions;
• Copy of the first pages of all published articles which you authored or co-authored. Be sure to include the page(s) where your name appears as the author;
• Evidence you have performed in a leading or critical role for an organization with a distinguished reputation; and
• Evidence you command a high salary compared to others in your field.

Additional Required Documents - please mail the following documents along with the completed questionnaire to us:

• Updated and detailed resume, including a publications list if applicable;
• Letters of reference from others in your field detailing your outstanding contributions (letter should detail how you have made original scientific contributions, if any, and the author of the letter's resume should be included);
• Copies of diplomas and/or transcripts from all universities that you have attended;
• Education evaluation, if available and you have a degree from a foreign institution;
• Copy of Form I-94 (front and back) for you, your spouse and children (if applicable);
• Copies of all passports (exclude blank pages);
• Copies of all prior U.S. work authorization documents (e.g., H-1B or O-1 approval notices, EAD, I-20s, and etc.).
• Copy of your marriage certificate (if applicable).

Although the list of documents above may appear onerous, it is important to be thorough because the more complete you are with the document gathering process, the better we can prepare your case.

After you submit the necessary information and documents to Immigration Law Group, we will write a detailed statement to support the permanent residency petition, and email a draft of this statement to you for review before all of the documents are finalized for filing with USCIS.

Immigration Law Group LLP
3590 N. First St., Suite 310
San Jose, CA 95134
Tel (408) 432-9200
Fax (408) 432-9191