Teachers Council - Educational Leadership in America

 


Visa Transfer Application Form

  • * Required Field
  • To expedite the processing of your application, resume must be submitted with this application form. Please click button below to upload your resume.
   If you have taught or are currently teaching in the U.S., please complete:
  How did you hear about us? * Internet Search
Referral, please indicate the name:
Other, please specify:
Personal Information  
  First Name*
  Last Name*
  Gender*
  Date of Birth* (MM/DD/YYYY)
  Marital Status *
  Social Security Number
  Home Phone*
  Cell Phone
  Email*
  Street*
  City*
  State*
  Zip Code*
  Home Country*
  Address at Home Country
Education
  Degree*
  School Name*
  Major*
  From* (mm/dd/yyyy)
  To* (mm/dd/yyyy)
  School Location*
     
Current School  
  School Name
  Subject(s) Teaching/Taught
  School Address
  School State
  Teaching License 1*
  License1 Expiration Date* (MM/DD/YYYY)
  Teaching License 2
  License2 Expiration Date (MM/DD/YYYY)
Petitioner(H-1B Visa)
  Corporate/School Name
  Federal Employer ID #
  Corporate/School Address
  Official Phone #
  Signing Official
  Title
  Date of Incorporation
  Nature of Business
  Number of Employees
  Job Title
  Work Location
  Start Date
  End Date
  Wage Offered
     
Visa Status  
  General  
  Current Visa*
Note: Everyone needs to fill out General information Plus:
H-1/H-4 Part A
J-1/J-2 Part B
F-1 Part C
  Visa Expiration Date* (MM/DD/YYYY)
  I-94#
  Last US Arrival Date (MM/DD/YYYY)
  Passport#
  Passport Issue Date (MM/DD/YYYY)
  Passport Expiration Date (MM/DD/YYYY)
  Employment/Sponsorship*
  Transcript Evaluation*
(If yes, name of evaluation company)
  Part A (H-1/H-4 Visa Holders)
 

1st Travel To Outside of the US With H visa

 Leave (MM/DD/YYYY) Return (MM/DD/YYYY)
  2nd Travel With H visa Leave (MM/DD/YYYY) Return (MM/DD/YYYY)
  3rd Travel With H visa Leave (MM/DD/YYYY) Return (MM/DD/YYYY)
     
  Part B (J-1 Visa Holders. If you have a J-2 Visa, enter your spouse's information)
  J-1 Visa Status*
  No Objection Letter?
  Objection Letter Date (MM/DD/YYYY)
  USCIS Case Number
  DOS intent to provide waiver
  Date of DOS Letter (MM/DD/YYYY)
  Waiver Granted, Case Number
     
  Part C (F-1 Visa Holders)
  School Name
  I-20 Starting Date (MM/DD/YYYY)
  I-20 Expiration Date (MM/DD/YYYY)
  Graduate Date
  OPT Starting Date (MM/DD/YYYY)
  OPT Expiration Date (MM/DD/YYYY)
     
Family Member 1  
  Name
  Relationship
  Date of Birth (MM/DD/YYYY)
  Visa Status
  Visa Expiration Date (MM/DD/YYYY)
  I-94#
  Last Arrival Date (MM/DD/YYYY)
  SSN
  Passport#
  PassPort Issue Date (MM/DD/YYYY)
  Passport Expiration Date (MM/DD/YYYY)
Family Member 2  
  Name
  Relationship
  Date of Birth (MM/DD/YYYY)
  Visa Status
  Visa Expiration Date (MM/DD/YYYY)
  I-94#
  Last Arrival Date (MM/DD/YYYY)
  SSN
  Passport#
  PassPort Issue Date (MM/DD/YYYY)
  Passport Expiration Date (MM/DD/YYYY)
Family Member 3  
  Name
  Relationship
  Date of Birth (MM/DD/YYYY)
  Visa Status
  Visa Expiration Date (MM/DD/YYYY)
  I-94#
  Last Arrival Date (MM/DD/YYYY)
  SSN
  Passport#
  PassPort Issue Date (MM/DD/YYYY)
  Passport Expiration Date (MM/DD/YYYY)
     
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