|
If you would like us to conduct a preliminary USA immigration assessment
of your eligibility to emigrate to the United States then please fill in
this form. InBIB will assess your request promptly. All of the information is
necessary for an accurate assessment. Fill in the form again for your spouse,
if applicable. This is because he or she may make a better primary applicant.
Please note that due to the amount of information required, this form is quite
long and we suggest that you print
this out, fill it in, and then transfer everything online when you are
ready.
Assessment Details
The sections below are not exclusive and some applicants may need to complete
all sections. The information that you enter here is confidential and will be
used to assess your chances of being granted permission to immigrate to the
United States of America. You will receive a response within 2 days outlining the
available visa pathways.
|
|
1. For all applicants |
| Gender: |
|
| Surname: |
|
| Given Names: |
|
| Address: |
|
| Telephone: |
|
| Fax: |
|
| Email Address: |
|
| Date of Birth: |
|
| Marital Status: |
|
| Number and Ages of any Children: |
|
Family's Interests:
(Cultural, hobbies, sports, etc.) |
|
| Nationality: |
|
| Partner's Nationality: |
|
| Academic Qualifications: |
|
| Professional Memberships: |
|
| English Ability: |
|
| Can you speak a language other than
English? |
|
| If yes, which other language(s) can you
speak? |
|
| Does your spouse speak English? |
|
| If yes, select ability: |
|
| Do you have dependents over the age of
18? |
|
| If yes, please select English
ability: |
| Dependent 1: |
|
| Dependent 2: |
|
| Dependent 3: |
|
| Have you or any member of your family
unit undergone an IELTS (English Language ability) test and if you have please
provide details: |
|
Details of relatives who are United
States citizens or permanent residents:
(Relationship, where they are living, immigration status.) |
|
What do you want to do in the USA?
(List any information relevant to your purpose for coming to the USA.) |
|
Previous Applications:
(List all previous applications here, giving date and reason for not
proceeding.) |
|
|
|
2. For employees - Employment details in past 4 years
Three employment forms are provided. Fill in as many as you require.
|
Employer 1 |
| Name of Employer: |
|
| Address of Employer: |
|
| Type of Business: |
|
| Number of Employees: |
|
Annual Turnover:
(Please specify type of currency.) |
|
| Period Employed: |
From to |
| Occupation / Position: |
|
| Responsibilities / Duties: |
|
| Other Information Considered Relevant: |
|
Employer 2 |
| Name of Employer: |
|
| Address of Employer: |
|
| Type of Business: |
|
| Number of Employees: |
|
Annual Turnover:
(Please specify type of currency.) |
|
| Period Employed: |
From to |
| Occupation / Position: |
|
| Responsibilities / Duties: |
|
| Other Information Considered Relevant: |
|
Employer 3 |
| Name of Employer: |
|
| Address of Employer: |
|
| Type of Business: |
|
| Number of Employees: |
|
Annual Turnover:
(Please specify type of currency.) |
|
| Period Employed: |
From to |
| Occupation / Position: |
|
| Responsibilities / Duties: |
|
| Other Information Considered Relevant: |
|
|
|
3. For persons involved in business
|
Main business activity over the past 5 years: |
| Name of Business: |
|
| Type of Business Structure: |
|
| Nature of Business: |
|
| Markets: |
|
| Period of Involvement: |
From to |
| Date Established: |
|
| Position Held: |
|
| Shareholding (%): |
|
| Number of Employees: |
|
| Annual Labour Costs: |
|
| Annual Turnover: |
|
Other Information:
(E.g. Details of involvement in other businesses.) |
|
| Value of Business Assets: |
|
| Value of Business Liabilities: |
|
| Have you been offered a business/job
opportunity? |
|
|
|
4. For persons involved in managing investments
|
| Has value of investments managed in (at
least) 1 of the last 5 years equalled or exceeded A$1,000,000? |
|
| List the investments and their
approximate value: |
|
|
|
5. For business skills applicants
|
| What is the combined net worth of you and
your spouse? |
|
|
|
Other Information
List any other information relevant to your assessment here. Include medical,
military and police issues.
|
|
CV/Resume Paste Area
You may "cut and paste" a detailed curriculum vitae in this area.
|
| Thank you. How did you hear
about International Business & Introduction Brokers? |
|
|
|
|
