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International Programs

Request for Prevailing Wage & Sponsored Employment

Select the type of request you have:

Request for Prevailing Wage and H1-B petition
Request for TN petition
Request for Prevailing Wage and E3 petition
Other

Requestor Point-of-Contact Information

* Requestor Name:

* Department:
* Contact Phone:
* Contact Email:
   

Job Offer Information
* Employee Name:
* Job Title:

* Position No.:
* Is the position description current and accurate in PeopleAdmin? Yes No
* New Employee? Yes No
If yes, did person apply online?  Yes No
Number of hours per week:
*Name of Supervisor
*Job Title of Supervisor
*Does this employee supervise? Yes No

If yes, number of employees the position will supervise:
*Current Immigration Status (e.g. J-1, F-1 OPT, H-1B etc.):

*Expires on: (MM/DD/YY)
*Department will sponsor employee’s immigration status from (MM/DD/YY) to (MM/DD/YY)
*Will travel be required during employment?   Yes No

If yes, explain travel requirements:

*What annual salary do you intend to pay (specific amount, no range):
*Physical location of the job duties (KUMC campus address with building and room; or complete address if not on campus, including county):

If the employee be working or contracted with any other employer while working for KUMC please include the employer’s name:

Has the department applied for or obtained approval from the Vice Chancellor for Academic Affairs to sponsor the employee for Permanent Residency

Yes No

Minimum Job Requirements for the Position

*Minimum US diploma/degree required:

If “Other degree”, specify degree required

* Indicate the major(s) and/or field(s) of study required (May list more than one related major and more than than one field):
*Does the employer require a second US diploma / degree Yes No

If yes, indicate the second US diploma / degree and the major(s) and/or field(s) of study required

*Is training for the job opportunity required

 Yes No

If yes, specify the minimum number of months of training required for the position (NOT the amount of training the employee has)

Indicate the field(s) / name(s) of training required (may list more than one related field and more than
one type):

*Is employment experience required?

 Yes No

If yes, specify the minimum number of months of experience required for the employee to perform the job duties. (NOT the amount of experience the employee has.)
Indicate the occupation required:

Special requirements – List specific skills, licenses/certificates/certifications, and requirements of the
job opportunity
*FedEx Account Number:
H-1B, E3, and TN Petition Fees

All petition fees must be paid by the employer. The department needs to select the appropriate fee below based on the petition type and request that checks be made payable to: U.S. Department of Homeland Security, Washington, D.C. 2052 8; FEIN: 54-0592745. Immigration requires that a separate check be submitted for each fee.

Note: A separate, additional fee of $1,225 is required for the optional premium processing service.
Employee is a new employee to KUMC, and is currently inside the U.S. Fee: $325 and $500
Employee is a KUMC employee moving from one status to another (i.e. J-1 to H-1B) Fee $325 and $500
Employee is presently employed at KUMC and this petition is to extend current status Fee: $325
Employee will be applying for a visa abroad and arriving from outside the U.S. Fee: $325 and $500
Employee is presently employed at KUMC and this petition is to amend current status. Fee $325

 

Print this completed form before submitting and use to support the check request.

IMPORTANT: After submitting this form, provide the following documents in this checklist in order to complete the petition request to the Office of International Programs (OIP) 4016 Student Center, Mail Stop 3033.