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从Atomeocean转出H1b的问卷

Employment

Date From:
[ ] Month: ________
[ ] Day: ________
[ ] Year: ________

Date To:
[ ] Month: ________
[ ] Day: ________
[ ] Year: ________
[ ] ☐ To Present

Name of Employer:
[ ________________________________ ]

Country/Region:
[ ________________________________ ]

Street Address:
[ ________________________________ ]

Address 2:
[ ________________________________ ]

City:
[ ________________________________ ]

State/Province/Region:
[ ________________________________ ]

Zip Code:
[ ________________________________ ]

Is this Employer a university or affiliated nonprofit entity, a nonprofit research organization or governmental research organization?
[ ] Yes
[ ] No

Type of Business:
[ ________________________________ ]

Hours per Week:
[ ________ ] hours

Is the position part-time?
[ ] Yes
[ ] No

Base Annual Salary:
[ $________ ]
If current employment, provide the current base annual salary.
Only the following characters are valid: 0-9, period (.) and/or comma (,). Do not enter special characters ($, £, etc).

Salary Currency:
[ ________________ ] (e.g. USD)

Job Title:
[ ________________________________ ]

Job Duties:
[ ________________________________________________________


________________________________________________________ ]
Please provide detailed description including:

  • Duties performed
  • Use of tools/machines/equipment
  • Skills/software/technologies
  • Qualifications/certifications/licenses
    Maximum 4,000 characters. Data exceeding limit will be truncated. To avoid loss, enter "see attached document" and upload in Attach Documents section.

Please indicate all techniques, methodologies, or other skills used:
[ ________________________________________________________ ]

Supervisor's Name (first and last name):
[ ________________________________ ]

Supervisor's Phone Number:
[ (__) - ]

Supervisor's Email Address:
[ ________________________________ ]

Supervisor's Job Title:
[ ________________________________ ]