The Law Office of Barrie Attzs

News Links
On February 18, 2005, CIC announced a change News Detail

Thank you for taking the time to browse our site. If you are interested in working in the US and would like a free assessment of your eligibility, please complete the following questionnaire

PERSONAL INFORMATION

First Name	Family Name	Gender

Home Telephone
Business Telephone
Fax
Email

Mailing Address

Nationality:
Citizenship (please list all)
Passport Number
Email
Date of Birth (dd/mm/yyyy)
Marital Status
Date of Marriage (dd/mm/yyyy)
Number of children under the age of 18
Number of dependant children over the age of 18
Have you or your spouse had any major illness or medical problems?
Have you or your spouse have criminal record?

What are you interested in applying for?

EDUCATION (Degrees/Diplomas and beyond)

Dates of Study	University/College,School	Major	Qualification Received

WORK EXPERIENCE

Occupation (Number of years in your profession:)

Dates	Company Name	Job Title	Responsibilities

WORK EXPERIENCE

Please check if one of the following applies to you:

No Arranged Employment
Arranged Employment

Has your intended employer filled a labor condition
application (LCA) with the Department of Labor?

Have you previously held a US work permit? Yes No
If yes, please provide details:

DETAILS OF US EMPLOYER

Please provide details about the US company that intends to hire you:

Name
Telephone
Fax
Address
Zip Code
Internet Address
Contacts Name
Contacts Title
Contacts Telephone
Federal Employer/IRS #
How did you hear about Attzslaw?

Before submitting this questionnaire, please print and retain a copy of your answers for your appointment with Attzs Law.