See if you qualify for the EB-3 Unskilled Worker Visa/Green Card Please complete and submit this form to see if you qualify for the EB-3 Unskilled Worker / Green Card. "*" indicates required fields Step 1 of 9 11% Name* Email* Country of birth*SelectAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsType of job desired* Referral Complete Address* Have you ever before applied for permanent resident status in the U.S. (this refers exclusively to the I-485 Adjustment of Status Application within the United States or application for Immigrant Visa at the U.S. Consulate Abroad)?* Yes No Explanation*Have you ever been denied admission to the United States?* Yes No Explanation*Have you ever been denied a visa to the United States?* Yes No Explanation*Have you ever worked in the United States without authorization?* Yes No Explanation*Have you ever violated the terms or conditions of your nonimmigrant status?* Yes No Explanation*Are you presently or have you ever been in removal, exclusion, rescission, or deportation proceedings?* Yes No Explanation*Have you ever been issued a final order of exclusion, deportation, or removal?* Yes No Explanation*Have you ever had a prior final order of exclusion, deportation, or removal reinstated?* Yes No Explanation* Have you ever held lawful permanent resident status which was later rescinded?* Yes No Explanation*Have you ever been granted voluntary departure by an immigration officer or an immigration judge but failed to depart within the allotted time?* Yes No Explanation*Have you ever applied for any kind of relief or protection from removal, exclusion, or deportation?* Yes No Explanation*Have you ever been a J nonimmigrant exchange visitor who was subject to the two-year foreign residence requirement?* Yes No Explanation*If you have ever been a J nonimmigrant exchange visitor who was subject to the two-year foreign residence requirement have you complied with the foreign residence requirement?* Yes No Explanation*If you have ever been a J nonimmigrant exchange visitor who was subject to the two-year foreign residence requirement have you been granted a waiver or has Department of State issued a favorable waiver recommendation letter for you?* Yes No Explanation*Have you ever been arrested, cited, charged, or detained for any reason by any law enforcement official?* Yes No Explanation*Have you ever committed a crime of any kind (even if you were not arrested, cited, charged with, or tried for that crime)?* Yes No Explanation* Have you ever pled guilty to or been convicted of a crime of offense?* Yes No Explanation*Have you ever been ordered punished by a judge or had conditions imposed on your that restrained your liberty?* Yes No Explanation*Have you ever been a defendant or the accused in a criminal proceeding?* Yes No Explanation*Have you ever violated any controlled substance law or regulation of a state, the United States, or a foreign country?* Yes No Explanation*Have you ever been convicted of two or more offense (other than purely political offenses) for which the combined sentences to confinement were five years or more?* Yes No Explanation*Have you ever illicitly (illegally) trafficked or benefited from the trafficking of any controlled substances, such as chemicals, illegal drugs, or narcotics?* Yes No Explanation*Have you ever knowingly aided, abetted, assisted, conspired, or colluded in the illicit trafficking of any illegal narcotic or other controlled substances?* Yes No Explanation*Have you ever engaged in prostitution or are you coming to the United States to engage in prostitution?* Yes No Explanation* Have you ever directly or indirectly procured (or attempted to procure) or imported prostitutes or person for the purpose of prostitution?* Yes No Explanation*Have you ever received any proceeds or money from prostitution?* Yes No Explanation*Do you intend to engage in illegal gambling or any other form of commercialized vice, such as prostitution, bootlegging, or the sale of child pornography, while in the United States?* Yes No Explanation*Have you ever exercised immunity (diplomatic or otherwise) to avoid being prosecuted for a criminal offense in the United States?* Yes No Explanation*Have you ever, while serving as a foreign government official, been responsible for or directly carried out violation of religious freedoms?* Yes No Explanation*Have you ever induced by force, fraud, or coercion (or otherwise been involved in) the trafficking of persons for commercial sex acts?* Yes No Explanation*Have you ever trafficked a person into involuntary servitude, peonage, debt bondage, or slavery? Trafficking includes recruiting, harboring, transporting, providing, or obtaining a person for labor or services through the use of force, fraud, or coercion.* Yes No Explanation*Have you ever knowingly aided, abetted, assisted, conspired, or colluded with others in trafficking persons for commercial sex acts or involuntary servitude peonage, debt bondage, or slavery?* Yes No Explanation* Have you ever engaged in money laundering or have you ever knowingly aided, assisted, conspired, or colluded with others in money laundering or do you seek to enter the United States to engage in such activity?* Yes No Explanation*Do you intend to engage in any activity that violates or evades any law relating to espionage (including spying) or sabotage in the United States?* Yes No Explanation*Engage in any activity in the United States that violates or evades any law prohibiting the export from the United States of goods, technology, or sensitive information?* Yes No Explanation*Engage in any activity whose purpose includes opposing, controlling, or overthrowing the U.S. Government by force, violence, or other unlawful means while in the United States?* Yes No Explanation*Engage in any activity that could endanger the welfare, safety, or security of the United States?* Yes No Explanation*Engage in any other unlawful activity?* Yes No Explanation*Are you engaged in or, upon your entry into the United States, do you intend to engage in any activity that could have potentially serious adverse foreign policy consequences for the United States?* Yes No Explanation*Have you ever served in, been a member of, assisted, or participated in any military unit, paramilitary unit, policy unit, self-defense unit, vigilante unit, rebel group, guerrilla group, militia, insurgent organization, or any other armed group?* Yes No Explanation* Have you ever been a member of, or in any way affiliated with, the Communist Party or any other totalitarian party (in the United States or abroad)?* Yes No Explanation*Have you received public assistance in the United States from any source, including the U.S. Government or any state, county, city, or municipality (other than emergency medical treatment)?* Yes No Explanation*Are you likely to receive public assistance in the future in the United States from any source, including the U.S. Government or any state, county, city, or municipality (other than emergency medical treatment)?* Yes No Explanation*Have you ever failed or refused to attend or to remain in attendance at any removal proceeding filed against you on or after April 1, 1997?* Yes No Explanation*Have you ever submitted fraudulent or counterfeit documentation to any U.S. Government official to obtain or attempt to obtain any immigration benefit, including a visa or entry into the United States?* Yes No Explanation*Have you ever lied about, concealed, or misrepresented any information on an application or petition to obtain a visa, other documentation required for entry into the United States, admission to the United States, or any other kind of immigration benefit?* Yes No Explanation*Have you ever falsely claimed to be a U.S. citizen (in writing or any other way)?* Yes No Explanation*Have you ever been a stowaway on a vessel or aircraft arriving in the United States?* Yes No Explanation* Have you ever knowingly encouraged, induced, assisted, abetted, or aided any foreign national to enter or to try to enter the United States illegally (alien smuggling)?* Yes No Explanation*Are you under a final order of civil penalty for violating INA section 274C for use of fraudulent documents?* Yes No Explanation*Acts involving torture or genocide?* Yes No Explanation*Killing any person?* Yes No Explanation*Intentionally and severely injuring any person?* Yes No Explanation*Engaging in any kind of sexual contact or relations with any person who was being forced or threatened?* Yes No Explanation*Limiting or denying any person's ability to exercise religious beliefs?* Yes No Explanation*Have you ever been excluded, deported, or removed from the United States or have you ever departed the United States on your own after having been ordered excluded, deported, or removed from the United States?* Yes No Explanation* Have you ever entered the United States without being inspected and admitted or paroled?* Yes No Explanation*Have you been unlawfully present in the United States for more than 180 days but less than a year, and then departed the United States?* Yes No Explanation*Have you been unlawfully present in the United States for one year or more and then departed the United States?* Yes No Explanation*Have you ever reentered or attempted to reenter the United States without being inspected and admitted or paroled after: Having been unlawfully present in the United States for more than one year in the aggregate?* Yes No Explanation*Having been deported, excluded, or removed from the United States?* Yes No Explanation*Do you plan to practice polygamy in the United States?* Yes No Explanation*Have you ever assisted in detaining, retaining, or withholding custody of a U.S. citizen child outside the United States from a U.S. citizen who has been granted custody of the child?* Yes No Explanation*Have you ever voted in violation of any Federal, state, or local constitutional provision, statute, ordinance, or regulation in the United States?* Yes No Explanation* Have you ever renounced U.S. citizenship to avoid being taxed by the United States?* Yes No Explanation*Have you ever applied for exemption or discharge from training or service in the U.S. armed forces or in the U.S. on the ground that you are a foreign national?* Yes No Explanation*Have you ever been relieved or discharged from such training or service on the ground that you are a foreign national?* Yes No Explanation*Have you ever been convicted of desertion from the U.S. armed forces?* Yes No Explanation*Have you ever left or remained outside the United States to avoid or evade training or service in the U.S. armed forces in time of war or a period declared by the President to be a national emergency?* Yes No Explanation*NotesPlease upload your Resume/CV here*Max. file size: 256 MB.With my signature below I confirm that the above answers are true.*
