PERM Labor Certification Evaluation Questionnaire- Optional Special Recruitment (OSR)

I. Information about Employer

School Name: ___________________________________________

County & State of the place of Employment: _______________

II. Information about Job Offered

1. Job title: ____________________________________

2. Basic annual salary: ____________________

3. Description of job duties: _______________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

4. Minimum requirements

Degree level (Bachelor’s, Master’s, Doctoral): __________________

Field of study: ________________

Experience:_________________________ (year/month)

5. Name of the print media in which the position was advertised: ____________________________

____________________________________ (Please attach a copy of the advertisement if available.)

6. Dates of the print advertisement: ___________________________________

7. Date of the employment determination: _____________________________ (Please attach a copy of the offer letter if available.)

Please e-mail the completed Evaluation Questionnaire and your resume to zliu@niwus.com for a free evaluation. As an alternative, you may download and complete the Questionnaire, and fax it to (713) 974-3463.