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
Requestor Point-of-Contact Information
* Requestor Name:
Job Offer Information
* Position No.:
If yes, number of employees the position will supervise:
*Expires on: (MM/DD/YY)
If yes, explain travel requirements:
*What annual salary do you intend to pay (specific amount, no range):
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
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):
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
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
*Is employment experience required?
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.)
Special requirements – List specific skills, licenses/certificates/certifications, and requirements of the
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.
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.