talentacquisition.visasolutionshealthcare.com
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107.178.254.45
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URL:
https://talentacquisition.visasolutionshealthcare.com/
Submission: On November 06 via automatic, source rescanner — Scanned from DE
Submission: On November 06 via automatic, source rescanner — Scanned from DE
Form analysis 1 forms found in the DOM
POST https://visasolutions.formstack.com/forms/index.php
<form method="post" accept-charset="UTF-8" novalidate="" enctype="multipart/form-data" action="https://visasolutions.formstack.com/forms/index.php" class="fsForm fsMultiColumn" id="fsForm4432258">
<input type="hidden" name="form" value="4432258">
<input type="hidden" name="viewkey" value="Ou71mcVQ5C">
<input type="hidden" name="password" value="">
<input type="hidden" name="hidden_fields" id="hidden_fields4432258" value="">
<input type="hidden" name="incomplete" id="incomplete4432258" value="">
<input type="hidden" name="incomplete_password" id="incomplete_password4432258">
<input type="hidden" name="referrer" id="referrer4432258" value="https://talentacquisition.visasolutionshealthcare.com/">
<input type="hidden" name="referrer_type" id="referrer_type4432258" value="js">
<input type="hidden" name="_submit" value="1">
<input type="hidden" name="style_version" value="3">
<input type="hidden" id="viewparam" name="viewparam" value="858630">
<div id="requiredFieldsError" style="display:none;">Please fill in a valid value for all required fields</div>
<div id="invalidFormatError" style="display:none;">Please ensure all values are in a proper format.</div>
<div id="resumeConfirm" style="display:none;">Are you sure you want to leave this form and resume later?</div>
<div id="resumeConfirmPassword" style="display: none;">Are you sure you want to leave this form and resume later? If so, please enter a password below to securely save your form.</div>
<div id="saveAndResume" style="display: none;">Save and Resume Later</div>
<div id="saveResumeProcess" style="display: none;">Save and get link</div>
<div id="fileTypeAlert" style="display:none;">You must upload one of the following file types for the selected field:</div>
<div id="embedError" style="display:none;">There was an error displaying the form. Please copy and paste the embed code again.</div>
<div id="applyDiscountButton" style="display:none;">Apply Discount</div>
<div id="dcmYouSaved" style="display:none;">You saved</div>
<div id="dcmWithCode" style="display:none;">with code</div>
<div id="submitButtonText" style="display:none;">Submit</div>
<div id="submittingText" style="display:none;">Submitting</div>
<div id="validatingText" style="display:none;">Validating</div>
<div id="autocaptureDisabledText" style="display:none;"></div>
<div id="paymentInitError" style="display:none;">There was an error initializing the payment processor on this form. Please contact the form owner to correct this issue.</div>
<div id="checkFieldPrompt" style="display:none;">Please check the field: </div>
<div id="translatedWord-fields" style="display:none;">Fields</div>
<div class="fsPage" id="fsPage4432258-1">
<div id="ReactContainer4432258" style="display:none" class="FsReactContainerInitApp" data-fs-react-app-id="4432258"></div>
<div class="fsSection fs2Col" id="fsSection111860694">
<div class="fsSectionHeader">
<div class="fsSectionText">
<p style="text-align: center;">Prevailing Wage Determination</p>
<p align="center"><strong>INFORMATION NEEDED FOR DEPT. OF LABOR</strong></p>
<p align="center"><strong>(Labor Condition Application and prevailing wage requests)</strong></p>
</div>
</div>
<div id="fsRow4432258-2" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111860695" lang="en" fs-field-type="text" fs-field-validation-name="Job title of offered position:">
<label id="label111860695" class="fsLabel fsRequiredLabel" for="field111860695">Job title of offered position:<span class="fsRequiredMarker">*</span> </label>
<input type="text" id="field111860695" name="field111860695" size="50" required="" value="" class="fsField fsFormatText fsRequired " aria-required="true">
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111861183" lang="en" fs-field-type="textarea" fs-field-validation-name="Detailed job description of offered position:">
<label id="label111861183" class="fsLabel fsRequiredLabel" for="field111861183">Detailed job description of offered position:<span class="fsRequiredMarker">*</span> </label>
<textarea id="field111861183" class="fsField fsRequired " name="field111861183" rows="10" cols="50" required="" aria-required="true"></textarea>
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-3" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111861665" lang="en" fs-field-type="datetime" fs-field-validation-name="Start date of intended employment:">
<fieldset role="group" aria-labelledby="fsLegend111861665" id="label111861665">
<legend id="fsLegend111861665" class="fsLabel fsRequiredLabel fsLabelVertical"><span>Start date of intended employment:<span class="fsRequiredMarker">*</span></span></legend>
<div class="fieldset-content">
<!-- Used to pull in url for jquery -->
<span aria-hidden="true" style="display:none;" id="fsCalendar111861665ImageUrl">https://visasolutions.formstack.com/forms/images/2/calendar.png</span>
<input data-skip-validation="" data-date-format="m/d/YY" type="hidden" id="field111861665Format" name="field111861665Format" value="MDY">
<div class="hidden"><label for="field111861665M">Month</label></div>
<select id="field111861665M" name="field111861665M" class=" fsField fsRequired" aria-required="true">
<option value=""> </option>
<option value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
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<div class="hidden"><label for="field111861665D">Day</label></div>
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<option value=""> </option>
<option value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select>
<div class="hidden"><label for="field111861665Y">Year</label></div>
<select id="field111861665Y" name="field111861665Y" class=" fsField fsRequired" aria-required="true">
<option value=""> </option>
<option value="2016">2016</option>
<option value="2017">2017</option>
<option value="2018">2018</option>
<option value="2019">2019</option>
<option value="2020">2020</option>
<option value="2021">2021</option>
<option value="2022">2022</option>
<option value="2023">2023</option>
<option value="2024">2024</option>
<option value="2025">2025</option>
<option value="2026">2026</option>
</select>
<input data-skip-validation="" type="text" id="fsCalendar111861665Link" class="fsCalendarPickerLink hasDatepicker" style="display:none;" aria-hidden="true"><img class="ui-datepicker-trigger"
src="https://visasolutions.formstack.com/forms/images/2/calendar.png" alt="Select Date" title="Select Date" aria-hidden="true">
<div id="fsCalendar111861665" class="fsCalendar" style=" position:absolute"></div>
</div>
</fieldset>
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111860705" lang="en" fs-field-type="text" fs-field-validation-name="Legal name of company:">
<label id="label111860705" class="fsLabel fsRequiredLabel" for="field111860705">Legal name of company:<span class="fsRequiredMarker">*</span> </label>
<input type="text" id="field111860705" name="field111860705" size="50" required="" value="" class="fsField fsFormatText fsRequired fsAutocomplete ui-autocomplete-input" aria-required="true" autocomplete="off"><span role="status"
aria-live="polite" class="ui-helper-hidden-accessible"></span>
<input type="hidden" id="field111860705_options" value="101 or more|51 - 100|21 - 50|1 - 20||">
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<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-4" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111861773" lang="en" fs-field-type="text" fs-field-validation-name="Trade name / Doing Business As for company if applicable: ">
<label id="label111861773" class="fsLabel" for="field111861773">Trade name / Doing Business As for company if applicable: </label>
<input type="text" id="field111861773" name="field111861773" size="50" value="" class="fsField fsFormatText fsAutocomplete ui-autocomplete-input" autocomplete="off"><span role="status" aria-live="polite"
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<input type="hidden" id="field111861773_options" value="101 or more|51 - 100|21 - 50|1 - 20||">
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<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111861764" lang="en" fs-field-type="address" fs-field-validation-name="Complete company address:">
<span id="label111861764" class="fsLabel fsRequiredLabel">Complete company address:<span class="fsRequiredMarker">*</span></span>
<div class="fsSubFieldGroup">
<div class="fsSubField fsFieldAddress">
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<label class="fsSupporting" for="field111861764-address">Address Line 1</label>
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<div class="fsSubField fsFieldAddress2">
<input type="text" id="field111861764-address2" aria-label="Address Line 2" name="field111861764-address2" size="50" value="" class="fsField fsFieldAddress2">
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<label class="fsSupporting" for="field111861764-city">City</label>
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<div class="fsSubField fsFieldState">
<select id="field111861764-state" aria-label="State" name="field111861764-state" required="" class="fsField fsFieldState fsRequired" aria-required="true">
<option value=""> </option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
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<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VI">Virgin Islands (US)</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
<option value="AA">Armed Forces (the) Americas</option>
<option value="AE">Armed Forces Europe</option>
<option value="AP">Armed Forces Pacific</option>
<option value="APO">Army Post Office (U.S. Army and U.S. Air Force)</option>
<option value="FPO">Fleet Post Office (U.S. Navy and U.S. Marine Corps)</option>
</select>
<label class="fsSupporting" for="field111861764-state">State</label>
</div>
<div class="fsSubField fsFieldZip">
<input type="text" id="field111861764-zip" aria-label="ZIP Code" name="field111861764-zip" size="6" value="" required="" class="fsField fsFieldZip fsFormatZipUS fsRequired" aria-required="true">
<label class="fsSupporting" for="field111861764-zip">ZIP Code</label>
</div>
</div>
<div class="clear"></div>
</div>
<div class="fs-clear"></div>
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<div id="fsRow4432258-5" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111861785" lang="en" fs-field-type="phone" fs-field-validation-name="Company telephone number:">
<label id="label111861785" class="fsLabel fsRequiredLabel" for="field111861785">Company telephone number:<span class="fsRequiredMarker">*</span> </label>
<input type="tel" id="field111861785" name="field111861785" size="2" required="" value="" class="fsField fsFormatPhoneUS fsRequired" aria-required="true" data-country="US" data-format="national">
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111861802" lang="en" fs-field-type="number" fs-field-validation-name="Company’s Federal Employer Identification Number (FEIN):">
<label id="label111861802" class="fsLabel fsRequiredLabel" for="field111861802">Company’s Federal Employer Identification Number (FEIN):<span class="fsRequiredMarker">*</span> </label>
<input type="number" step="any" id="field111861802" name="field111861802" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111861802").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-6" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111861807" lang="en" fs-field-type="text" fs-field-validation-name="Nature of company’s business:">
<label id="label111861807" class="fsLabel fsRequiredLabel" for="field111861807">Nature of company’s business:<span class="fsRequiredMarker">*</span> </label>
<input type="text" id="field111861807" name="field111861807" size="50" required="" value="" class="fsField fsFormatText fsRequired fsAutocomplete ui-autocomplete-input" aria-required="true" autocomplete="off"><span role="status"
aria-live="polite" class="ui-helper-hidden-accessible"></span>
<input type="hidden" id="field111861807_options" value="101 or more|51 - 100|21 - 50|1 - 20||">
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111861854" lang="en" fs-field-type="number" fs-field-validation-name="Year company was established:">
<label id="label111861854" class="fsLabel fsRequiredLabel" for="field111861854">Year company was established:<span class="fsRequiredMarker">*</span> </label>
<input type="number" step="any" id="field111861854" name="field111861854" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111861854").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
</div>
<div class="fs-clear"></div>
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<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111861857" lang="en" fs-field-type="number" fs-field-validation-name="Company’s gross annual income:">
<label id="label111861857" class="fsLabel fsRequiredLabel" for="field111861857">Company’s gross annual income:<span class="fsRequiredMarker">*</span> </label>
<span class="fsCurrency fsCurrencyPrefix">$</span>
<input type="number" step="any" id="field111861857" name="field111861857" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111861857").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
<span class="fsCurrency fsCurrencySuffix"></span>
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111861861" lang="en" fs-field-type="text" fs-field-validation-name="Company’s contact person’s name:">
<label id="label111861861" class="fsLabel fsRequiredLabel" for="field111861861">Company’s contact person’s name:<span class="fsRequiredMarker">*</span> </label>
<input type="text" id="field111861861" name="field111861861" size="50" required="" value="" class="fsField fsFormatText fsRequired fsAutocomplete ui-autocomplete-input" aria-required="true" autocomplete="off"><span role="status"
aria-live="polite" class="ui-helper-hidden-accessible"></span>
<input type="hidden" id="field111861861_options" value="101 or more|51 - 100|21 - 50|1 - 20||">
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<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111861875" lang="en" fs-field-type="text" fs-field-validation-name="Company’s contact person’s job title:">
<label id="label111861875" class="fsLabel fsRequiredLabel" for="field111861875">Company’s contact person’s job title:<span class="fsRequiredMarker">*</span> </label>
<input type="text" id="field111861875" name="field111861875" size="50" required="" value="" class="fsField fsFormatText fsRequired fsAutocomplete ui-autocomplete-input" aria-required="true" autocomplete="off"><span role="status"
aria-live="polite" class="ui-helper-hidden-accessible"></span>
<input type="hidden" id="field111861875_options" value="101 or more|51 - 100|21 - 50|1 - 20||">
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111861894" lang="en" fs-field-type="email" fs-field-validation-name="Company’s contact person’s email address:">
<label id="label111861894" class="fsLabel fsRequiredLabel" for="field111861894">Company’s contact person’s email address:<span class="fsRequiredMarker">*</span> </label>
<input type="email" id="field111861894" name="field111861894" size="50" required="required" value="" class="fsField fsFormatEmail fsRequired" aria-required="true">
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-9" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111861883" lang="en" fs-field-type="number" fs-field-validation-name="Offered salary:">
<label id="label111861883" class="fsLabel fsRequiredLabel" for="field111861883">Offered salary:<span class="fsRequiredMarker">*</span> </label>
<span class="fsCurrency fsCurrencyPrefix">$</span>
<input type="number" step="any" id="field111861883" name="field111861883" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111861883").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
<span class="fsCurrency fsCurrencySuffix"></span>
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111862171" lang="en" fs-field-type="address" fs-field-validation-name="Complete address of place of employment:">
<span id="label111862171" class="fsLabel fsRequiredLabel">Complete address of place of employment:<span class="fsRequiredMarker">*</span></span>
<div class="fsSubFieldGroup">
<div class="fsSubField fsFieldAddress">
<input type="text" id="field111862171-address" aria-label="Address Line 1" name="field111862171-address" size="50" value="" required="" class="fsField fsFieldAddress fsRequired" aria-required="true">
<label class="fsSupporting" for="field111862171-address">Address Line 1</label>
</div>
<div class="fsSubField fsFieldAddress2">
<input type="text" id="field111862171-address2" aria-label="Address Line 2" name="field111862171-address2" size="50" value="" class="fsField fsFieldAddress2">
<label class="fsSupporting" for="field111862171-address2">Address Line 2</label>
</div>
<div class="fsSubField fsFieldCity">
<input type="text" id="field111862171-city" name="field111862171-city" size="15" aria-label="City" value="" required="" class="fsField fsFieldCity fsRequired" aria-required="true">
<label class="fsSupporting" for="field111862171-city">City</label>
</div>
<div class="fsSubField fsFieldState">
<select id="field111862171-state" aria-label="State" name="field111862171-state" required="" class="fsField fsFieldState fsRequired" aria-required="true">
<option value=""> </option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VI">Virgin Islands (US)</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
<option value="AA">Armed Forces (the) Americas</option>
<option value="AE">Armed Forces Europe</option>
<option value="AP">Armed Forces Pacific</option>
<option value="APO">Army Post Office (U.S. Army and U.S. Air Force)</option>
<option value="FPO">Fleet Post Office (U.S. Navy and U.S. Marine Corps)</option>
</select>
<label class="fsSupporting" for="field111862171-state">State</label>
</div>
<div class="fsSubField fsFieldZip">
<input type="text" id="field111862171-zip" aria-label="ZIP Code" name="field111862171-zip" size="6" value="" required="" class="fsField fsFieldZip fsFormatZipUS fsRequired" aria-required="true">
<label class="fsSupporting" for="field111862171-zip">ZIP Code</label>
</div>
</div>
<div class="clear"></div>
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-10" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111862242" lang="en" fs-field-type="number" fs-field-validation-name="Total number of employees:">
<label id="label111862242" class="fsLabel fsRequiredLabel" for="field111862242">Total number of employees:<span class="fsRequiredMarker">*</span> </label>
<input type="number" step="any" id="field111862242" name="field111862242" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111862242").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111862244" lang="en" fs-field-type="number" fs-field-validation-name="Total number of employees in H-1B status:">
<label id="label111862244" class="fsLabel fsRequiredLabel" for="field111862244">Total number of employees in H-1B status:<span class="fsRequiredMarker">*</span> </label>
<input type="number" step="any" id="field111862244" name="field111862244" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111862244").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-11" class="fsRow fsFieldRow fsLastRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111862289" lang="en" fs-field-type="radio" fs-field-validation-name="Is this for only one location?">
<fieldset role="group" aria-labelledby="fsLegend111862289" id="label111862289">
<legend id="fsLegend111862289" class="fsLabel fsRequiredLabel fsLabelVertical"><span>Is this for only one location?<span class="fsRequiredMarker">*</span></span></legend>
<div class="fieldset-content">
<label class="fsOptionLabel vertical" for="field111862289_1"><input type="radio" id="field111862289_1" name="field111862289" value="yes" class="fsField fsRequired vertical" aria-required="true">yes</label>
<label class="fsOptionLabel vertical" for="field111862289_2"><input type="radio" id="field111862289_2" name="field111862289" value="no" class="fsField fsRequired vertical" aria-required="true">no</label>
</div>
</fieldset>
</div>
<div class="fs-clear"></div>
</div>
</div>
</div>
<div class="fsPage fsHiddenPage fsHidden" id="fsPage4432258-2">
<div class="fsSection fsFirstSection fs2Col fsHidden" id="fsSection111862303">
<div class="fsSectionHeader">
</div>
<div id="fsRow4432258-13" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111862304" lang="en" fs-field-type="text" fs-field-validation-name="Job title of offered position:">
<label id="label111862304" class="fsLabel fsRequiredLabel" for="field111862304">Job title of offered position:<span class="fsRequiredMarker">*</span> </label>
<input type="text" id="field111862304" name="field111862304" size="50" required="" value="" class="fsField fsFormatText fsRequired " aria-required="true" disabled="disabled">
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111862305" lang="en" fs-field-type="textarea" fs-field-validation-name="Detailed job description of offered position:">
<label id="label111862305" class="fsLabel fsRequiredLabel" for="field111862305">Detailed job description of offered position:<span class="fsRequiredMarker">*</span> </label>
<textarea id="field111862305" class="fsField fsRequired " name="field111862305" rows="10" cols="50" required="" aria-required="true" disabled="disabled"></textarea>
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-14" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111862306" lang="en" fs-field-type="datetime" fs-field-validation-name="Start date of intended employment:">
<fieldset role="group" aria-labelledby="fsLegend111862306" id="label111862306">
<legend id="fsLegend111862306" class="fsLabel fsRequiredLabel fsLabelVertical"><span>Start date of intended employment:<span class="fsRequiredMarker">*</span></span></legend>
<div class="fieldset-content">
<!-- Used to pull in url for jquery -->
<span aria-hidden="true" style="display:none;" id="fsCalendar111862306ImageUrl">https://visasolutions.formstack.com/forms/images/2/calendar.png</span>
<input data-skip-validation="" data-date-format="m/d/YY" type="hidden" id="field111862306Format" name="field111862306Format" value="MDY" disabled="">
<div class="hidden"><label for="field111862306M">Month</label></div>
<select id="field111862306M" name="field111862306M" class=" fsField fsRequired" aria-required="true" disabled="disabled">
<option value=""> </option>
<option value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
</select>
<div class="hidden"><label for="field111862306D">Day</label></div>
<select id="field111862306D" name="field111862306D" class=" fsField fsRequired" aria-required="true" disabled="disabled">
<option value=""> </option>
<option value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select>
<div class="hidden"><label for="field111862306Y">Year</label></div>
<select id="field111862306Y" name="field111862306Y" class=" fsField fsRequired" aria-required="true" disabled="disabled">
<option value=""> </option>
<option value="2016">2016</option>
<option value="2017">2017</option>
<option value="2018">2018</option>
<option value="2019">2019</option>
<option value="2020">2020</option>
<option value="2021">2021</option>
<option value="2022">2022</option>
<option value="2023">2023</option>
<option value="2024">2024</option>
<option value="2025">2025</option>
<option value="2026">2026</option>
</select>
<input data-skip-validation="" type="text" id="fsCalendar111862306Link" class="fsCalendarPickerLink hasDatepicker" style="display:none;" aria-hidden="true" disabled="disabled"><img class="ui-datepicker-trigger"
src="https://visasolutions.formstack.com/forms/images/2/calendar.png" alt="Select Date" title="Select Date" aria-hidden="true">
<div id="fsCalendar111862306" class="fsCalendar" style=" position:absolute"></div>
</div>
</fieldset>
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111862307" lang="en" fs-field-type="text" fs-field-validation-name="Legal name of company:">
<label id="label111862307" class="fsLabel fsRequiredLabel" for="field111862307">Legal name of company:<span class="fsRequiredMarker">*</span> </label>
<input type="text" id="field111862307" name="field111862307" size="50" required="" value="" class="fsField fsFormatText fsRequired fsAutocomplete ui-autocomplete-input" aria-required="true" disabled="disabled" autocomplete="off"><span
role="status" aria-live="polite" class="ui-helper-hidden-accessible"></span>
<input type="hidden" id="field111862307_options" value="101 or more|51 - 100|21 - 50|1 - 20||" disabled="">
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-15" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111862308" lang="en" fs-field-type="text" fs-field-validation-name="Trade name / Doing Business As for company if applicable: ">
<label id="label111862308" class="fsLabel" for="field111862308">Trade name / Doing Business As for company if applicable: </label>
<input type="text" id="field111862308" name="field111862308" size="50" value="" class="fsField fsFormatText fsAutocomplete ui-autocomplete-input" disabled="disabled" autocomplete="off"><span role="status" aria-live="polite"
class="ui-helper-hidden-accessible"></span>
<input type="hidden" id="field111862308_options" value="101 or more|51 - 100|21 - 50|1 - 20||" disabled="">
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111862309" lang="en" fs-field-type="address" fs-field-validation-name="Complete company address:">
<span id="label111862309" class="fsLabel fsRequiredLabel">Complete company address:<span class="fsRequiredMarker">*</span></span>
<div class="fsSubFieldGroup">
<div class="fsSubField fsFieldAddress">
<input type="text" id="field111862309-address" aria-label="Address Line 1" name="field111862309-address" size="50" value="" required="" class="fsField fsFieldAddress fsRequired" aria-required="true" disabled="disabled">
<label class="fsSupporting" for="field111862309-address">Address Line 1</label>
</div>
<div class="fsSubField fsFieldAddress2">
<input type="text" id="field111862309-address2" aria-label="Address Line 2" name="field111862309-address2" size="50" value="" class="fsField fsFieldAddress2" disabled="disabled">
<label class="fsSupporting" for="field111862309-address2">Address Line 2</label>
</div>
<div class="fsSubField fsFieldCity">
<input type="text" id="field111862309-city" name="field111862309-city" size="15" aria-label="City" value="" required="" class="fsField fsFieldCity fsRequired" aria-required="true" disabled="disabled">
<label class="fsSupporting" for="field111862309-city">City</label>
</div>
<div class="fsSubField fsFieldState">
<select id="field111862309-state" aria-label="State" name="field111862309-state" required="" class="fsField fsFieldState fsRequired" aria-required="true" disabled="disabled">
<option value=""> </option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VI">Virgin Islands (US)</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
<option value="AA">Armed Forces (the) Americas</option>
<option value="AE">Armed Forces Europe</option>
<option value="AP">Armed Forces Pacific</option>
<option value="APO">Army Post Office (U.S. Army and U.S. Air Force)</option>
<option value="FPO">Fleet Post Office (U.S. Navy and U.S. Marine Corps)</option>
</select>
<label class="fsSupporting" for="field111862309-state">State</label>
</div>
<div class="fsSubField fsFieldZip">
<input type="text" id="field111862309-zip" aria-label="ZIP Code" name="field111862309-zip" size="6" value="" required="" class="fsField fsFieldZip fsFormatZipUS fsRequired" aria-required="true" disabled="disabled">
<label class="fsSupporting" for="field111862309-zip">ZIP Code</label>
</div>
</div>
<div class="clear"></div>
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-16" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111862310" lang="en" fs-field-type="number" fs-field-validation-name="Company telephone number:">
<label id="label111862310" class="fsLabel fsRequiredLabel" for="field111862310">Company telephone number:<span class="fsRequiredMarker">*</span> </label>
<input type="number" step="any" id="field111862310" name="field111862310" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true" disabled="disabled">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111862310").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111862311" lang="en" fs-field-type="number" fs-field-validation-name="Company’s Federal Employer Identification Number (FEIN):">
<label id="label111862311" class="fsLabel fsRequiredLabel" for="field111862311">Company’s Federal Employer Identification Number (FEIN):<span class="fsRequiredMarker">*</span> </label>
<input type="number" step="any" id="field111862311" name="field111862311" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true" disabled="disabled">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111862311").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-17" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111862312" lang="en" fs-field-type="text" fs-field-validation-name="Nature of company’s business:">
<label id="label111862312" class="fsLabel fsRequiredLabel" for="field111862312">Nature of company’s business:<span class="fsRequiredMarker">*</span> </label>
<input type="text" id="field111862312" name="field111862312" size="50" required="" value="" class="fsField fsFormatText fsRequired fsAutocomplete ui-autocomplete-input" aria-required="true" disabled="disabled" autocomplete="off"><span
role="status" aria-live="polite" class="ui-helper-hidden-accessible"></span>
<input type="hidden" id="field111862312_options" value="101 or more|51 - 100|21 - 50|1 - 20||" disabled="">
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111862313" lang="en" fs-field-type="number" fs-field-validation-name="Year company was established:">
<label id="label111862313" class="fsLabel fsRequiredLabel" for="field111862313">Year company was established:<span class="fsRequiredMarker">*</span> </label>
<input type="number" step="any" id="field111862313" name="field111862313" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true" disabled="disabled">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111862313").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-18" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111862314" lang="en" fs-field-type="number" fs-field-validation-name="Company’s gross annual income:">
<label id="label111862314" class="fsLabel fsRequiredLabel" for="field111862314">Company’s gross annual income:<span class="fsRequiredMarker">*</span> </label>
<span class="fsCurrency fsCurrencyPrefix">$</span>
<input type="number" step="any" id="field111862314" name="field111862314" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true" disabled="disabled">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111862314").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
<span class="fsCurrency fsCurrencySuffix"></span>
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111862315" lang="en" fs-field-type="text" fs-field-validation-name="Company’s contact person’s name:">
<label id="label111862315" class="fsLabel fsRequiredLabel" for="field111862315">Company’s contact person’s name:<span class="fsRequiredMarker">*</span> </label>
<input type="text" id="field111862315" name="field111862315" size="50" required="" value="" class="fsField fsFormatText fsRequired fsAutocomplete ui-autocomplete-input" aria-required="true" disabled="disabled" autocomplete="off"><span
role="status" aria-live="polite" class="ui-helper-hidden-accessible"></span>
<input type="hidden" id="field111862315_options" value="101 or more|51 - 100|21 - 50|1 - 20||" disabled="">
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-19" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111862316" lang="en" fs-field-type="text" fs-field-validation-name="Company’s contact person’s job title:">
<label id="label111862316" class="fsLabel fsRequiredLabel" for="field111862316">Company’s contact person’s job title:<span class="fsRequiredMarker">*</span> </label>
<input type="text" id="field111862316" name="field111862316" size="50" required="" value="" class="fsField fsFormatText fsRequired fsAutocomplete ui-autocomplete-input" aria-required="true" disabled="disabled" autocomplete="off"><span
role="status" aria-live="polite" class="ui-helper-hidden-accessible"></span>
<input type="hidden" id="field111862316_options" value="101 or more|51 - 100|21 - 50|1 - 20||" disabled="">
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111862317" lang="en" fs-field-type="text" fs-field-validation-name="Company’s contact person’s email address:">
<label id="label111862317" class="fsLabel fsRequiredLabel" for="field111862317">Company’s contact person’s email address:<span class="fsRequiredMarker">*</span> </label>
<input type="text" id="field111862317" name="field111862317" size="50" required="" value="" class="fsField fsFormatText fsRequired fsAutocomplete ui-autocomplete-input" aria-required="true" disabled="disabled" autocomplete="off"><span
role="status" aria-live="polite" class="ui-helper-hidden-accessible"></span>
<input type="hidden" id="field111862317_options" value="101 or more|51 - 100|21 - 50|1 - 20||" disabled="">
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-20" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111862318" lang="en" fs-field-type="number" fs-field-validation-name="Offered salary:">
<label id="label111862318" class="fsLabel fsRequiredLabel" for="field111862318">Offered salary:<span class="fsRequiredMarker">*</span> </label>
<span class="fsCurrency fsCurrencyPrefix">$</span>
<input type="number" step="any" id="field111862318" name="field111862318" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true" disabled="disabled">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111862318").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
<span class="fsCurrency fsCurrencySuffix"></span>
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111862319" lang="en" fs-field-type="address" fs-field-validation-name="Complete address of place of employment:">
<span id="label111862319" class="fsLabel fsRequiredLabel">Complete address of place of employment:<span class="fsRequiredMarker">*</span></span>
<div class="fsSubFieldGroup">
<div class="fsSubField fsFieldAddress">
<input type="text" id="field111862319-address" aria-label="Address Line 1" name="field111862319-address" size="50" value="" required="" class="fsField fsFieldAddress fsRequired" aria-required="true" disabled="disabled">
<label class="fsSupporting" for="field111862319-address">Address Line 1</label>
</div>
<div class="fsSubField fsFieldAddress2">
<input type="text" id="field111862319-address2" aria-label="Address Line 2" name="field111862319-address2" size="50" value="" class="fsField fsFieldAddress2" disabled="disabled">
<label class="fsSupporting" for="field111862319-address2">Address Line 2</label>
</div>
<div class="fsSubField fsFieldCity">
<input type="text" id="field111862319-city" name="field111862319-city" size="15" aria-label="City" value="" required="" class="fsField fsFieldCity fsRequired" aria-required="true" disabled="disabled">
<label class="fsSupporting" for="field111862319-city">City</label>
</div>
<div class="fsSubField fsFieldState">
<select id="field111862319-state" aria-label="State" name="field111862319-state" required="" class="fsField fsFieldState fsRequired" aria-required="true" disabled="disabled">
<option value=""> </option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VI">Virgin Islands (US)</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
<option value="AA">Armed Forces (the) Americas</option>
<option value="AE">Armed Forces Europe</option>
<option value="AP">Armed Forces Pacific</option>
<option value="APO">Army Post Office (U.S. Army and U.S. Air Force)</option>
<option value="FPO">Fleet Post Office (U.S. Navy and U.S. Marine Corps)</option>
</select>
<label class="fsSupporting" for="field111862319-state">State</label>
</div>
<div class="fsSubField fsFieldZip">
<input type="text" id="field111862319-zip" aria-label="ZIP Code" name="field111862319-zip" size="6" value="" required="" class="fsField fsFieldZip fsFormatZipUS fsRequired" aria-required="true" disabled="disabled">
<label class="fsSupporting" for="field111862319-zip">ZIP Code</label>
</div>
</div>
<div class="clear"></div>
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-21" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111864474" lang="en" fs-field-type="number" fs-field-validation-name="Total number of employees:">
<label id="label111864474" class="fsLabel fsRequiredLabel" for="field111864474">Total number of employees:<span class="fsRequiredMarker">*</span> </label>
<input type="number" step="any" id="field111864474" name="field111864474" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true" disabled="disabled">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111864474").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111864433" lang="en" fs-field-type="number" fs-field-validation-name="Total number of employees in H-1B status:">
<label id="label111864433" class="fsLabel fsRequiredLabel" for="field111864433">Total number of employees in H-1B status:<span class="fsRequiredMarker">*</span> </label>
<input type="number" step="any" id="field111864433" name="field111864433" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true" disabled="disabled">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111864433").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-22" class="fsRow fsFieldRow fsLastRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111862322" lang="en" fs-field-type="radio" fs-field-validation-name="Do you have any additional locations?">
<fieldset role="group" aria-labelledby="fsLegend111862322" id="label111862322">
<legend id="fsLegend111862322" class="fsLabel fsRequiredLabel fsLabelVertical"><span>Do you have any additional locations?<span class="fsRequiredMarker">*</span></span></legend>
<div class="fieldset-content">
<label class="fsOptionLabel vertical" for="field111862322_1"><input type="radio" id="field111862322_1" name="field111862322" value="yes" class="fsField fsRequired vertical" aria-required="true" disabled="disabled">yes</label>
<label class="fsOptionLabel vertical" for="field111862322_2"><input type="radio" id="field111862322_2" name="field111862322" value="no" class="fsField fsRequired vertical" aria-required="true" disabled="disabled">no</label>
</div>
</fieldset>
</div>
<div class="fs-clear"></div>
</div>
</div>
</div>
<div class="fsPage fsHiddenPage fsHidden" id="fsPage4432258-3">
<div class="fsSection fsFirstSection fs2Col fsHidden" id="fsSection111866885">
<div class="fsSectionHeader">
</div>
<div id="fsRow4432258-24" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111866886" lang="en" fs-field-type="text" fs-field-validation-name="Job title of offered position:">
<label id="label111866886" class="fsLabel fsRequiredLabel" for="field111866886">Job title of offered position:<span class="fsRequiredMarker">*</span> </label>
<input type="text" id="field111866886" name="field111866886" size="50" required="" value="" class="fsField fsFormatText fsRequired " aria-required="true" disabled="disabled">
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111866887" lang="en" fs-field-type="textarea" fs-field-validation-name="Detailed job description of offered position:">
<label id="label111866887" class="fsLabel fsRequiredLabel" for="field111866887">Detailed job description of offered position:<span class="fsRequiredMarker">*</span> </label>
<textarea id="field111866887" class="fsField fsRequired " name="field111866887" rows="10" cols="50" required="" aria-required="true" disabled="disabled"></textarea>
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-25" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111866888" lang="en" fs-field-type="datetime" fs-field-validation-name="Start date of intended employment:">
<fieldset role="group" aria-labelledby="fsLegend111866888" id="label111866888">
<legend id="fsLegend111866888" class="fsLabel fsRequiredLabel fsLabelVertical"><span>Start date of intended employment:<span class="fsRequiredMarker">*</span></span></legend>
<div class="fieldset-content">
<!-- Used to pull in url for jquery -->
<span aria-hidden="true" style="display:none;" id="fsCalendar111866888ImageUrl">https://visasolutions.formstack.com/forms/images/2/calendar.png</span>
<input data-skip-validation="" data-date-format="m/d/YY" type="hidden" id="field111866888Format" name="field111866888Format" value="MDY" disabled="">
<div class="hidden"><label for="field111866888M">Month</label></div>
<select id="field111866888M" name="field111866888M" class=" fsField fsRequired" aria-required="true" disabled="disabled">
<option value=""> </option>
<option value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
</select>
<div class="hidden"><label for="field111866888D">Day</label></div>
<select id="field111866888D" name="field111866888D" class=" fsField fsRequired" aria-required="true" disabled="disabled">
<option value=""> </option>
<option value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select>
<div class="hidden"><label for="field111866888Y">Year</label></div>
<select id="field111866888Y" name="field111866888Y" class=" fsField fsRequired" aria-required="true" disabled="disabled">
<option value=""> </option>
<option value="2016">2016</option>
<option value="2017">2017</option>
<option value="2018">2018</option>
<option value="2019">2019</option>
<option value="2020">2020</option>
<option value="2021">2021</option>
<option value="2022">2022</option>
<option value="2023">2023</option>
<option value="2024">2024</option>
<option value="2025">2025</option>
<option value="2026">2026</option>
</select>
<input data-skip-validation="" type="text" id="fsCalendar111866888Link" class="fsCalendarPickerLink hasDatepicker" style="display:none;" aria-hidden="true" disabled="disabled"><img class="ui-datepicker-trigger"
src="https://visasolutions.formstack.com/forms/images/2/calendar.png" alt="Select Date" title="Select Date" aria-hidden="true">
<div id="fsCalendar111866888" class="fsCalendar" style=" position:absolute"></div>
</div>
</fieldset>
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111866889" lang="en" fs-field-type="text" fs-field-validation-name="Legal name of company:">
<label id="label111866889" class="fsLabel fsRequiredLabel" for="field111866889">Legal name of company:<span class="fsRequiredMarker">*</span> </label>
<input type="text" id="field111866889" name="field111866889" size="50" required="" value="" class="fsField fsFormatText fsRequired fsAutocomplete ui-autocomplete-input" aria-required="true" disabled="disabled" autocomplete="off"><span
role="status" aria-live="polite" class="ui-helper-hidden-accessible"></span>
<input type="hidden" id="field111866889_options" value="101 or more|51 - 100|21 - 50|1 - 20||" disabled="">
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-26" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111866890" lang="en" fs-field-type="text" fs-field-validation-name="Trade name / Doing Business As for company if applicable: ">
<label id="label111866890" class="fsLabel" for="field111866890">Trade name / Doing Business As for company if applicable: </label>
<input type="text" id="field111866890" name="field111866890" size="50" value="" class="fsField fsFormatText fsAutocomplete ui-autocomplete-input" disabled="disabled" autocomplete="off"><span role="status" aria-live="polite"
class="ui-helper-hidden-accessible"></span>
<input type="hidden" id="field111866890_options" value="101 or more|51 - 100|21 - 50|1 - 20||" disabled="">
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111866891" lang="en" fs-field-type="address" fs-field-validation-name="Complete company address:">
<span id="label111866891" class="fsLabel fsRequiredLabel">Complete company address:<span class="fsRequiredMarker">*</span></span>
<div class="fsSubFieldGroup">
<div class="fsSubField fsFieldAddress">
<input type="text" id="field111866891-address" aria-label="Address Line 1" name="field111866891-address" size="50" value="" required="" class="fsField fsFieldAddress fsRequired" aria-required="true" disabled="disabled">
<label class="fsSupporting" for="field111866891-address">Address Line 1</label>
</div>
<div class="fsSubField fsFieldAddress2">
<input type="text" id="field111866891-address2" aria-label="Address Line 2" name="field111866891-address2" size="50" value="" class="fsField fsFieldAddress2" disabled="disabled">
<label class="fsSupporting" for="field111866891-address2">Address Line 2</label>
</div>
<div class="fsSubField fsFieldCity">
<input type="text" id="field111866891-city" name="field111866891-city" size="15" aria-label="City" value="" required="" class="fsField fsFieldCity fsRequired" aria-required="true" disabled="disabled">
<label class="fsSupporting" for="field111866891-city">City</label>
</div>
<div class="fsSubField fsFieldState">
<select id="field111866891-state" aria-label="State" name="field111866891-state" required="" class="fsField fsFieldState fsRequired" aria-required="true" disabled="disabled">
<option value=""> </option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VI">Virgin Islands (US)</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
<option value="AA">Armed Forces (the) Americas</option>
<option value="AE">Armed Forces Europe</option>
<option value="AP">Armed Forces Pacific</option>
<option value="APO">Army Post Office (U.S. Army and U.S. Air Force)</option>
<option value="FPO">Fleet Post Office (U.S. Navy and U.S. Marine Corps)</option>
</select>
<label class="fsSupporting" for="field111866891-state">State</label>
</div>
<div class="fsSubField fsFieldZip">
<input type="text" id="field111866891-zip" aria-label="ZIP Code" name="field111866891-zip" size="6" value="" required="" class="fsField fsFieldZip fsFormatZipUS fsRequired" aria-required="true" disabled="disabled">
<label class="fsSupporting" for="field111866891-zip">ZIP Code</label>
</div>
</div>
<div class="clear"></div>
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-27" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111866892" lang="en" fs-field-type="number" fs-field-validation-name="Company telephone number:">
<label id="label111866892" class="fsLabel fsRequiredLabel" for="field111866892">Company telephone number:<span class="fsRequiredMarker">*</span> </label>
<input type="number" step="any" id="field111866892" name="field111866892" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true" disabled="disabled">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111866892").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111866893" lang="en" fs-field-type="number" fs-field-validation-name="Company’s Federal Employer Identification Number (FEIN):">
<label id="label111866893" class="fsLabel fsRequiredLabel" for="field111866893">Company’s Federal Employer Identification Number (FEIN):<span class="fsRequiredMarker">*</span> </label>
<input type="number" step="any" id="field111866893" name="field111866893" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true" disabled="disabled">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111866893").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-28" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111866894" lang="en" fs-field-type="text" fs-field-validation-name="Nature of company’s business:">
<label id="label111866894" class="fsLabel fsRequiredLabel" for="field111866894">Nature of company’s business:<span class="fsRequiredMarker">*</span> </label>
<input type="text" id="field111866894" name="field111866894" size="50" required="" value="" class="fsField fsFormatText fsRequired fsAutocomplete ui-autocomplete-input" aria-required="true" disabled="disabled" autocomplete="off"><span
role="status" aria-live="polite" class="ui-helper-hidden-accessible"></span>
<input type="hidden" id="field111866894_options" value="101 or more|51 - 100|21 - 50|1 - 20||" disabled="">
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111866895" lang="en" fs-field-type="number" fs-field-validation-name="Year company was established:">
<label id="label111866895" class="fsLabel fsRequiredLabel" for="field111866895">Year company was established:<span class="fsRequiredMarker">*</span> </label>
<input type="number" step="any" id="field111866895" name="field111866895" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true" disabled="disabled">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111866895").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-29" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111866896" lang="en" fs-field-type="number" fs-field-validation-name="Company’s gross annual income:">
<label id="label111866896" class="fsLabel fsRequiredLabel" for="field111866896">Company’s gross annual income:<span class="fsRequiredMarker">*</span> </label>
<span class="fsCurrency fsCurrencyPrefix">$</span>
<input type="number" step="any" id="field111866896" name="field111866896" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true" disabled="disabled">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111866896").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
<span class="fsCurrency fsCurrencySuffix"></span>
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111866897" lang="en" fs-field-type="text" fs-field-validation-name="Company’s contact person’s name:">
<label id="label111866897" class="fsLabel fsRequiredLabel" for="field111866897">Company’s contact person’s name:<span class="fsRequiredMarker">*</span> </label>
<input type="text" id="field111866897" name="field111866897" size="50" required="" value="" class="fsField fsFormatText fsRequired fsAutocomplete ui-autocomplete-input" aria-required="true" disabled="disabled" autocomplete="off"><span
role="status" aria-live="polite" class="ui-helper-hidden-accessible"></span>
<input type="hidden" id="field111866897_options" value="101 or more|51 - 100|21 - 50|1 - 20||" disabled="">
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-30" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111866898" lang="en" fs-field-type="text" fs-field-validation-name="Company’s contact person’s job title:">
<label id="label111866898" class="fsLabel fsRequiredLabel" for="field111866898">Company’s contact person’s job title:<span class="fsRequiredMarker">*</span> </label>
<input type="text" id="field111866898" name="field111866898" size="50" required="" value="" class="fsField fsFormatText fsRequired fsAutocomplete ui-autocomplete-input" aria-required="true" disabled="disabled" autocomplete="off"><span
role="status" aria-live="polite" class="ui-helper-hidden-accessible"></span>
<input type="hidden" id="field111866898_options" value="101 or more|51 - 100|21 - 50|1 - 20||" disabled="">
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111866899" lang="en" fs-field-type="text" fs-field-validation-name="Company’s contact person’s email address:">
<label id="label111866899" class="fsLabel fsRequiredLabel" for="field111866899">Company’s contact person’s email address:<span class="fsRequiredMarker">*</span> </label>
<input type="text" id="field111866899" name="field111866899" size="50" required="" value="" class="fsField fsFormatText fsRequired fsAutocomplete ui-autocomplete-input" aria-required="true" disabled="disabled" autocomplete="off"><span
role="status" aria-live="polite" class="ui-helper-hidden-accessible"></span>
<input type="hidden" id="field111866899_options" value="101 or more|51 - 100|21 - 50|1 - 20||" disabled="">
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-31" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111866900" lang="en" fs-field-type="number" fs-field-validation-name="Offered salary:">
<label id="label111866900" class="fsLabel fsRequiredLabel" for="field111866900">Offered salary:<span class="fsRequiredMarker">*</span> </label>
<span class="fsCurrency fsCurrencyPrefix">$</span>
<input type="number" step="any" id="field111866900" name="field111866900" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true" disabled="disabled">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111866900").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
<span class="fsCurrency fsCurrencySuffix"></span>
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111866901" lang="en" fs-field-type="address" fs-field-validation-name="Complete address of place of employment:">
<span id="label111866901" class="fsLabel">Complete address of place of employment:</span>
<div class="fsSubFieldGroup">
<div class="fsSubField fsFieldAddress">
<input type="text" id="field111866901-address" aria-label="Address Line 1" name="field111866901-address" size="50" value="" class="fsField fsFieldAddress" disabled="disabled">
<label class="fsSupporting" for="field111866901-address">Address Line 1</label>
</div>
<div class="fsSubField fsFieldAddress2">
<input type="text" id="field111866901-address2" aria-label="Address Line 2" name="field111866901-address2" size="50" value="" class="fsField fsFieldAddress2" disabled="disabled">
<label class="fsSupporting" for="field111866901-address2">Address Line 2</label>
</div>
<div class="fsSubField fsFieldCity">
<input type="text" id="field111866901-city" name="field111866901-city" size="15" aria-label="City" value="" class="fsField fsFieldCity" disabled="disabled">
<label class="fsSupporting" for="field111866901-city">City</label>
</div>
<div class="fsSubField fsFieldState">
<select id="field111866901-state" aria-label="State" name="field111866901-state" class="fsField fsFieldState" disabled="disabled">
<option value=""> </option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VI">Virgin Islands (US)</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
<option value="AA">Armed Forces (the) Americas</option>
<option value="AE">Armed Forces Europe</option>
<option value="AP">Armed Forces Pacific</option>
<option value="APO">Army Post Office (U.S. Army and U.S. Air Force)</option>
<option value="FPO">Fleet Post Office (U.S. Navy and U.S. Marine Corps)</option>
</select>
<label class="fsSupporting" for="field111866901-state">State</label>
</div>
<div class="fsSubField fsFieldZip">
<input type="text" id="field111866901-zip" aria-label="ZIP Code" name="field111866901-zip" size="6" value="" class="fsField fsFieldZip fsFormatZipUS" disabled="disabled">
<label class="fsSupporting" for="field111866901-zip">ZIP Code</label>
</div>
</div>
<div class="clear"></div>
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-32" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111866902" lang="en" fs-field-type="number" fs-field-validation-name="Total number of employees:">
<label id="label111866902" class="fsLabel fsRequiredLabel" for="field111866902">Total number of employees:<span class="fsRequiredMarker">*</span> </label>
<input type="number" step="any" id="field111866902" name="field111866902" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true" disabled="disabled">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111866902").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111866903" lang="en" fs-field-type="number" fs-field-validation-name="Total number of employees in H-1B status:">
<label id="label111866903" class="fsLabel fsRequiredLabel" for="field111866903">Total number of employees in H-1B status:<span class="fsRequiredMarker">*</span> </label>
<input type="number" step="any" id="field111866903" name="field111866903" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true" disabled="disabled">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111866903").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-33" class="fsRow fsFieldRow fsLastRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111866904" lang="en" fs-field-type="radio" fs-field-validation-name="Do you have any additional locations?">
<fieldset role="group" aria-labelledby="fsLegend111866904" id="label111866904">
<legend id="fsLegend111866904" class="fsLabel fsRequiredLabel fsLabelVertical"><span>Do you have any additional locations?<span class="fsRequiredMarker">*</span></span></legend>
<div class="fieldset-content">
<label class="fsOptionLabel vertical" for="field111866904_1"><input type="radio" id="field111866904_1" name="field111866904" value="yes" class="fsField fsRequired vertical" aria-required="true" disabled="disabled">yes</label>
<label class="fsOptionLabel vertical" for="field111866904_2"><input type="radio" id="field111866904_2" name="field111866904" value="no" class="fsField fsRequired vertical" aria-required="true" disabled="disabled">no</label>
</div>
</fieldset>
</div>
<div class="fs-clear"></div>
</div>
</div>
</div>
<div class="fsPage fsHiddenPage fsHidden" id="fsPage4432258-4">
<div class="fsSection fsFirstSection fs2Col fsHidden" id="fsSection111866949">
<div class="fsSectionHeader">
</div>
<div id="fsRow4432258-35" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111866950" lang="en" fs-field-type="text" fs-field-validation-name="Job title of offered position:">
<label id="label111866950" class="fsLabel fsRequiredLabel" for="field111866950">Job title of offered position:<span class="fsRequiredMarker">*</span> </label>
<input type="text" id="field111866950" name="field111866950" size="50" required="" value="" class="fsField fsFormatText fsRequired " aria-required="true" disabled="disabled">
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111866951" lang="en" fs-field-type="textarea" fs-field-validation-name="Detailed job description of offered position:">
<label id="label111866951" class="fsLabel fsRequiredLabel" for="field111866951">Detailed job description of offered position:<span class="fsRequiredMarker">*</span> </label>
<textarea id="field111866951" class="fsField fsRequired " name="field111866951" rows="10" cols="50" required="" aria-required="true" disabled="disabled"></textarea>
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-36" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111866952" lang="en" fs-field-type="datetime" fs-field-validation-name="Start date of intended employment:">
<fieldset role="group" aria-labelledby="fsLegend111866952" id="label111866952">
<legend id="fsLegend111866952" class="fsLabel fsRequiredLabel fsLabelVertical"><span>Start date of intended employment:<span class="fsRequiredMarker">*</span></span></legend>
<div class="fieldset-content">
<!-- Used to pull in url for jquery -->
<span aria-hidden="true" style="display:none;" id="fsCalendar111866952ImageUrl">https://visasolutions.formstack.com/forms/images/2/calendar.png</span>
<input data-skip-validation="" data-date-format="m/d/YY" type="hidden" id="field111866952Format" name="field111866952Format" value="MDY" disabled="">
<div class="hidden"><label for="field111866952M">Month</label></div>
<select id="field111866952M" name="field111866952M" class=" fsField fsRequired" aria-required="true" disabled="disabled">
<option value=""> </option>
<option value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
</select>
<div class="hidden"><label for="field111866952D">Day</label></div>
<select id="field111866952D" name="field111866952D" class=" fsField fsRequired" aria-required="true" disabled="disabled">
<option value=""> </option>
<option value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select>
<div class="hidden"><label for="field111866952Y">Year</label></div>
<select id="field111866952Y" name="field111866952Y" class=" fsField fsRequired" aria-required="true" disabled="disabled">
<option value=""> </option>
<option value="2016">2016</option>
<option value="2017">2017</option>
<option value="2018">2018</option>
<option value="2019">2019</option>
<option value="2020">2020</option>
<option value="2021">2021</option>
<option value="2022">2022</option>
<option value="2023">2023</option>
<option value="2024">2024</option>
<option value="2025">2025</option>
<option value="2026">2026</option>
</select>
<input data-skip-validation="" type="text" id="fsCalendar111866952Link" class="fsCalendarPickerLink hasDatepicker" style="display:none;" aria-hidden="true" disabled="disabled"><img class="ui-datepicker-trigger"
src="https://visasolutions.formstack.com/forms/images/2/calendar.png" alt="Select Date" title="Select Date" aria-hidden="true">
<div id="fsCalendar111866952" class="fsCalendar" style=" position:absolute"></div>
</div>
</fieldset>
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111866953" lang="en" fs-field-type="text" fs-field-validation-name="Legal name of company:">
<label id="label111866953" class="fsLabel fsRequiredLabel" for="field111866953">Legal name of company:<span class="fsRequiredMarker">*</span> </label>
<input type="text" id="field111866953" name="field111866953" size="50" required="" value="" class="fsField fsFormatText fsRequired fsAutocomplete ui-autocomplete-input" aria-required="true" disabled="disabled" autocomplete="off"><span
role="status" aria-live="polite" class="ui-helper-hidden-accessible"></span>
<input type="hidden" id="field111866953_options" value="101 or more|51 - 100|21 - 50|1 - 20||" disabled="">
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-37" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111866954" lang="en" fs-field-type="text" fs-field-validation-name="Trade name / Doing Business As for company if applicable: ">
<label id="label111866954" class="fsLabel" for="field111866954">Trade name / Doing Business As for company if applicable: </label>
<input type="text" id="field111866954" name="field111866954" size="50" value="" class="fsField fsFormatText fsAutocomplete ui-autocomplete-input" disabled="disabled" autocomplete="off"><span role="status" aria-live="polite"
class="ui-helper-hidden-accessible"></span>
<input type="hidden" id="field111866954_options" value="101 or more|51 - 100|21 - 50|1 - 20||" disabled="">
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111866955" lang="en" fs-field-type="address" fs-field-validation-name="Complete company address:">
<span id="label111866955" class="fsLabel fsRequiredLabel">Complete company address:<span class="fsRequiredMarker">*</span></span>
<div class="fsSubFieldGroup">
<div class="fsSubField fsFieldAddress">
<input type="text" id="field111866955-address" aria-label="Address Line 1" name="field111866955-address" size="50" value="" required="" class="fsField fsFieldAddress fsRequired" aria-required="true" disabled="disabled">
<label class="fsSupporting" for="field111866955-address">Address Line 1</label>
</div>
<div class="fsSubField fsFieldAddress2">
<input type="text" id="field111866955-address2" aria-label="Address Line 2" name="field111866955-address2" size="50" value="" class="fsField fsFieldAddress2" disabled="disabled">
<label class="fsSupporting" for="field111866955-address2">Address Line 2</label>
</div>
<div class="fsSubField fsFieldCity">
<input type="text" id="field111866955-city" name="field111866955-city" size="15" aria-label="City" value="" required="" class="fsField fsFieldCity fsRequired" aria-required="true" disabled="disabled">
<label class="fsSupporting" for="field111866955-city">City</label>
</div>
<div class="fsSubField fsFieldState">
<select id="field111866955-state" aria-label="State" name="field111866955-state" required="" class="fsField fsFieldState fsRequired" aria-required="true" disabled="disabled">
<option value=""> </option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VI">Virgin Islands (US)</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
<option value="AA">Armed Forces (the) Americas</option>
<option value="AE">Armed Forces Europe</option>
<option value="AP">Armed Forces Pacific</option>
<option value="APO">Army Post Office (U.S. Army and U.S. Air Force)</option>
<option value="FPO">Fleet Post Office (U.S. Navy and U.S. Marine Corps)</option>
</select>
<label class="fsSupporting" for="field111866955-state">State</label>
</div>
<div class="fsSubField fsFieldZip">
<input type="text" id="field111866955-zip" aria-label="ZIP Code" name="field111866955-zip" size="6" value="" required="" class="fsField fsFieldZip fsFormatZipUS fsRequired" aria-required="true" disabled="disabled">
<label class="fsSupporting" for="field111866955-zip">ZIP Code</label>
</div>
</div>
<div class="clear"></div>
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-38" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111866956" lang="en" fs-field-type="number" fs-field-validation-name="Company telephone number:">
<label id="label111866956" class="fsLabel fsRequiredLabel" for="field111866956">Company telephone number:<span class="fsRequiredMarker">*</span> </label>
<input type="number" step="any" id="field111866956" name="field111866956" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true" disabled="disabled">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111866956").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111866957" lang="en" fs-field-type="number" fs-field-validation-name="Company’s Federal Employer Identification Number (FEIN):">
<label id="label111866957" class="fsLabel fsRequiredLabel" for="field111866957">Company’s Federal Employer Identification Number (FEIN):<span class="fsRequiredMarker">*</span> </label>
<input type="number" step="any" id="field111866957" name="field111866957" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true" disabled="disabled">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111866957").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-39" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111866958" lang="en" fs-field-type="text" fs-field-validation-name="Nature of company’s business:">
<label id="label111866958" class="fsLabel fsRequiredLabel" for="field111866958">Nature of company’s business:<span class="fsRequiredMarker">*</span> </label>
<input type="text" id="field111866958" name="field111866958" size="50" required="" value="" class="fsField fsFormatText fsRequired fsAutocomplete ui-autocomplete-input" aria-required="true" disabled="disabled" autocomplete="off"><span
role="status" aria-live="polite" class="ui-helper-hidden-accessible"></span>
<input type="hidden" id="field111866958_options" value="101 or more|51 - 100|21 - 50|1 - 20||" disabled="">
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111866959" lang="en" fs-field-type="number" fs-field-validation-name="Year company was established:">
<label id="label111866959" class="fsLabel fsRequiredLabel" for="field111866959">Year company was established:<span class="fsRequiredMarker">*</span> </label>
<input type="number" step="any" id="field111866959" name="field111866959" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true" disabled="disabled">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111866959").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-40" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111866960" lang="en" fs-field-type="number" fs-field-validation-name="Company’s gross annual income:">
<label id="label111866960" class="fsLabel fsRequiredLabel" for="field111866960">Company’s gross annual income:<span class="fsRequiredMarker">*</span> </label>
<span class="fsCurrency fsCurrencyPrefix">$</span>
<input type="number" step="any" id="field111866960" name="field111866960" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true" disabled="disabled">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111866960").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
<span class="fsCurrency fsCurrencySuffix"></span>
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111866961" lang="en" fs-field-type="text" fs-field-validation-name="Company’s contact person’s name:">
<label id="label111866961" class="fsLabel fsRequiredLabel" for="field111866961">Company’s contact person’s name:<span class="fsRequiredMarker">*</span> </label>
<input type="text" id="field111866961" name="field111866961" size="50" required="" value="" class="fsField fsFormatText fsRequired fsAutocomplete ui-autocomplete-input" aria-required="true" disabled="disabled" autocomplete="off"><span
role="status" aria-live="polite" class="ui-helper-hidden-accessible"></span>
<input type="hidden" id="field111866961_options" value="101 or more|51 - 100|21 - 50|1 - 20||" disabled="">
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-41" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111866962" lang="en" fs-field-type="text" fs-field-validation-name="Company’s contact person’s job title:">
<label id="label111866962" class="fsLabel fsRequiredLabel" for="field111866962">Company’s contact person’s job title:<span class="fsRequiredMarker">*</span> </label>
<input type="text" id="field111866962" name="field111866962" size="50" required="" value="" class="fsField fsFormatText fsRequired fsAutocomplete ui-autocomplete-input" aria-required="true" disabled="disabled" autocomplete="off"><span
role="status" aria-live="polite" class="ui-helper-hidden-accessible"></span>
<input type="hidden" id="field111866962_options" value="101 or more|51 - 100|21 - 50|1 - 20||" disabled="">
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111866963" lang="en" fs-field-type="text" fs-field-validation-name="Company’s contact person’s email address:">
<label id="label111866963" class="fsLabel fsRequiredLabel" for="field111866963">Company’s contact person’s email address:<span class="fsRequiredMarker">*</span> </label>
<input type="text" id="field111866963" name="field111866963" size="50" required="" value="" class="fsField fsFormatText fsRequired fsAutocomplete ui-autocomplete-input" aria-required="true" disabled="disabled" autocomplete="off"><span
role="status" aria-live="polite" class="ui-helper-hidden-accessible"></span>
<input type="hidden" id="field111866963_options" value="101 or more|51 - 100|21 - 50|1 - 20||" disabled="">
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-42" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111866964" lang="en" fs-field-type="number" fs-field-validation-name="Offered salary:">
<label id="label111866964" class="fsLabel fsRequiredLabel" for="field111866964">Offered salary:<span class="fsRequiredMarker">*</span> </label>
<span class="fsCurrency fsCurrencyPrefix">$</span>
<input type="number" step="any" id="field111866964" name="field111866964" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true" disabled="disabled">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111866964").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
<span class="fsCurrency fsCurrencySuffix"></span>
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111866965" lang="en" fs-field-type="address" fs-field-validation-name="Complete address of place of employment:">
<span id="label111866965" class="fsLabel">Complete address of place of employment:</span>
<div class="fsSubFieldGroup">
<div class="fsSubField fsFieldAddress">
<input type="text" id="field111866965-address" aria-label="Address Line 1" name="field111866965-address" size="50" value="" class="fsField fsFieldAddress" disabled="disabled">
<label class="fsSupporting" for="field111866965-address">Address Line 1</label>
</div>
<div class="fsSubField fsFieldAddress2">
<input type="text" id="field111866965-address2" aria-label="Address Line 2" name="field111866965-address2" size="50" value="" class="fsField fsFieldAddress2" disabled="disabled">
<label class="fsSupporting" for="field111866965-address2">Address Line 2</label>
</div>
<div class="fsSubField fsFieldCity">
<input type="text" id="field111866965-city" name="field111866965-city" size="15" aria-label="City" value="" class="fsField fsFieldCity" disabled="disabled">
<label class="fsSupporting" for="field111866965-city">City</label>
</div>
<div class="fsSubField fsFieldState">
<select id="field111866965-state" aria-label="State" name="field111866965-state" class="fsField fsFieldState" disabled="disabled">
<option value=""> </option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VI">Virgin Islands (US)</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
<option value="AA">Armed Forces (the) Americas</option>
<option value="AE">Armed Forces Europe</option>
<option value="AP">Armed Forces Pacific</option>
<option value="APO">Army Post Office (U.S. Army and U.S. Air Force)</option>
<option value="FPO">Fleet Post Office (U.S. Navy and U.S. Marine Corps)</option>
</select>
<label class="fsSupporting" for="field111866965-state">State</label>
</div>
<div class="fsSubField fsFieldZip">
<input type="text" id="field111866965-zip" aria-label="ZIP Code" name="field111866965-zip" size="6" value="" class="fsField fsFieldZip fsFormatZipUS" disabled="disabled">
<label class="fsSupporting" for="field111866965-zip">ZIP Code</label>
</div>
</div>
<div class="clear"></div>
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-43" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111866966" lang="en" fs-field-type="number" fs-field-validation-name="Total number of employees:">
<label id="label111866966" class="fsLabel fsRequiredLabel" for="field111866966">Total number of employees:<span class="fsRequiredMarker">*</span> </label>
<input type="number" step="any" id="field111866966" name="field111866966" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true" disabled="disabled">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111866966").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111866967" lang="en" fs-field-type="number" fs-field-validation-name="Total number of employees in H-1B status:">
<label id="label111866967" class="fsLabel fsRequiredLabel" for="field111866967">Total number of employees in H-1B status:<span class="fsRequiredMarker">*</span> </label>
<input type="number" step="any" id="field111866967" name="field111866967" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true" disabled="disabled">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111866967").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-44" class="fsRow fsFieldRow fsLastRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111866969" lang="en" fs-field-type="radio" fs-field-validation-name="Do you have any additional locations?">
<fieldset role="group" aria-labelledby="fsLegend111866969" id="label111866969">
<legend id="fsLegend111866969" class="fsLabel fsRequiredLabel fsLabelVertical"><span>Do you have any additional locations?<span class="fsRequiredMarker">*</span></span></legend>
<div class="fieldset-content">
<label class="fsOptionLabel vertical" for="field111866969_1"><input type="radio" id="field111866969_1" name="field111866969" value="yes" class="fsField fsRequired vertical" aria-required="true" disabled="disabled">yes</label>
<label class="fsOptionLabel vertical" for="field111866969_2"><input type="radio" id="field111866969_2" name="field111866969" value="no" class="fsField fsRequired vertical" aria-required="true" disabled="disabled">no</label>
</div>
</fieldset>
</div>
<div class="fs-clear"></div>
</div>
</div>
</div>
<div class="fsPage fsHiddenPage fsHidden" id="fsPage4432258-5">
<div class="fsSection fsFirstSection fs2Col fsHidden" id="fsSection111866977">
<div class="fsSectionHeader">
</div>
<div id="fsRow4432258-46" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111866978" lang="en" fs-field-type="text" fs-field-validation-name="Job title of offered position:">
<label id="label111866978" class="fsLabel fsRequiredLabel" for="field111866978">Job title of offered position:<span class="fsRequiredMarker">*</span> </label>
<input type="text" id="field111866978" name="field111866978" size="50" required="" value="" class="fsField fsFormatText fsRequired " aria-required="true" disabled="disabled">
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111866979" lang="en" fs-field-type="textarea" fs-field-validation-name="Detailed job description of offered position:">
<label id="label111866979" class="fsLabel fsRequiredLabel" for="field111866979">Detailed job description of offered position:<span class="fsRequiredMarker">*</span> </label>
<textarea id="field111866979" class="fsField fsRequired " name="field111866979" rows="10" cols="50" required="" aria-required="true" disabled="disabled"></textarea>
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-47" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111866980" lang="en" fs-field-type="datetime" fs-field-validation-name="Start date of intended employment:">
<fieldset role="group" aria-labelledby="fsLegend111866980" id="label111866980">
<legend id="fsLegend111866980" class="fsLabel fsRequiredLabel fsLabelVertical"><span>Start date of intended employment:<span class="fsRequiredMarker">*</span></span></legend>
<div class="fieldset-content">
<!-- Used to pull in url for jquery -->
<span aria-hidden="true" style="display:none;" id="fsCalendar111866980ImageUrl">https://visasolutions.formstack.com/forms/images/2/calendar.png</span>
<input data-skip-validation="" data-date-format="m/d/YY" type="hidden" id="field111866980Format" name="field111866980Format" value="MDY" disabled="">
<div class="hidden"><label for="field111866980M">Month</label></div>
<select id="field111866980M" name="field111866980M" class=" fsField fsRequired" aria-required="true" disabled="disabled">
<option value=""> </option>
<option value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
</select>
<div class="hidden"><label for="field111866980D">Day</label></div>
<select id="field111866980D" name="field111866980D" class=" fsField fsRequired" aria-required="true" disabled="disabled">
<option value=""> </option>
<option value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select>
<div class="hidden"><label for="field111866980Y">Year</label></div>
<select id="field111866980Y" name="field111866980Y" class=" fsField fsRequired" aria-required="true" disabled="disabled">
<option value=""> </option>
<option value="2016">2016</option>
<option value="2017">2017</option>
<option value="2018">2018</option>
<option value="2019">2019</option>
<option value="2020">2020</option>
<option value="2021">2021</option>
<option value="2022">2022</option>
<option value="2023">2023</option>
<option value="2024">2024</option>
<option value="2025">2025</option>
<option value="2026">2026</option>
</select>
<input data-skip-validation="" type="text" id="fsCalendar111866980Link" class="fsCalendarPickerLink hasDatepicker" style="display:none;" aria-hidden="true" disabled="disabled"><img class="ui-datepicker-trigger"
src="https://visasolutions.formstack.com/forms/images/2/calendar.png" alt="Select Date" title="Select Date" aria-hidden="true">
<div id="fsCalendar111866980" class="fsCalendar" style=" position:absolute"></div>
</div>
</fieldset>
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111866981" lang="en" fs-field-type="text" fs-field-validation-name="Legal name of company:">
<label id="label111866981" class="fsLabel fsRequiredLabel" for="field111866981">Legal name of company:<span class="fsRequiredMarker">*</span> </label>
<input type="text" id="field111866981" name="field111866981" size="50" required="" value="" class="fsField fsFormatText fsRequired fsAutocomplete ui-autocomplete-input" aria-required="true" disabled="disabled" autocomplete="off"><span
role="status" aria-live="polite" class="ui-helper-hidden-accessible"></span>
<input type="hidden" id="field111866981_options" value="101 or more|51 - 100|21 - 50|1 - 20||" disabled="">
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-48" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111866982" lang="en" fs-field-type="text" fs-field-validation-name="Trade name / Doing Business As for company if applicable: ">
<label id="label111866982" class="fsLabel" for="field111866982">Trade name / Doing Business As for company if applicable: </label>
<input type="text" id="field111866982" name="field111866982" size="50" value="" class="fsField fsFormatText fsAutocomplete ui-autocomplete-input" disabled="disabled" autocomplete="off"><span role="status" aria-live="polite"
class="ui-helper-hidden-accessible"></span>
<input type="hidden" id="field111866982_options" value="101 or more|51 - 100|21 - 50|1 - 20||" disabled="">
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111866983" lang="en" fs-field-type="address" fs-field-validation-name="Complete company address:">
<span id="label111866983" class="fsLabel fsRequiredLabel">Complete company address:<span class="fsRequiredMarker">*</span></span>
<div class="fsSubFieldGroup">
<div class="fsSubField fsFieldAddress">
<input type="text" id="field111866983-address" aria-label="Address Line 1" name="field111866983-address" size="50" value="" required="" class="fsField fsFieldAddress fsRequired" aria-required="true" disabled="disabled">
<label class="fsSupporting" for="field111866983-address">Address Line 1</label>
</div>
<div class="fsSubField fsFieldAddress2">
<input type="text" id="field111866983-address2" aria-label="Address Line 2" name="field111866983-address2" size="50" value="" class="fsField fsFieldAddress2" disabled="disabled">
<label class="fsSupporting" for="field111866983-address2">Address Line 2</label>
</div>
<div class="fsSubField fsFieldCity">
<input type="text" id="field111866983-city" name="field111866983-city" size="15" aria-label="City" value="" required="" class="fsField fsFieldCity fsRequired" aria-required="true" disabled="disabled">
<label class="fsSupporting" for="field111866983-city">City</label>
</div>
<div class="fsSubField fsFieldState">
<select id="field111866983-state" aria-label="State" name="field111866983-state" required="" class="fsField fsFieldState fsRequired" aria-required="true" disabled="disabled">
<option value=""> </option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VI">Virgin Islands (US)</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
<option value="AA">Armed Forces (the) Americas</option>
<option value="AE">Armed Forces Europe</option>
<option value="AP">Armed Forces Pacific</option>
<option value="APO">Army Post Office (U.S. Army and U.S. Air Force)</option>
<option value="FPO">Fleet Post Office (U.S. Navy and U.S. Marine Corps)</option>
</select>
<label class="fsSupporting" for="field111866983-state">State</label>
</div>
<div class="fsSubField fsFieldZip">
<input type="text" id="field111866983-zip" aria-label="ZIP Code" name="field111866983-zip" size="6" value="" required="" class="fsField fsFieldZip fsFormatZipUS fsRequired" aria-required="true" disabled="disabled">
<label class="fsSupporting" for="field111866983-zip">ZIP Code</label>
</div>
</div>
<div class="clear"></div>
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-49" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111866984" lang="en" fs-field-type="number" fs-field-validation-name="Company telephone number:">
<label id="label111866984" class="fsLabel fsRequiredLabel" for="field111866984">Company telephone number:<span class="fsRequiredMarker">*</span> </label>
<input type="number" step="any" id="field111866984" name="field111866984" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true" disabled="disabled">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111866984").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111866985" lang="en" fs-field-type="number" fs-field-validation-name="Company’s Federal Employer Identification Number (FEIN):">
<label id="label111866985" class="fsLabel fsRequiredLabel" for="field111866985">Company’s Federal Employer Identification Number (FEIN):<span class="fsRequiredMarker">*</span> </label>
<input type="number" step="any" id="field111866985" name="field111866985" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true" disabled="disabled">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111866985").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-50" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111866986" lang="en" fs-field-type="text" fs-field-validation-name="Nature of company’s business:">
<label id="label111866986" class="fsLabel fsRequiredLabel" for="field111866986">Nature of company’s business:<span class="fsRequiredMarker">*</span> </label>
<input type="text" id="field111866986" name="field111866986" size="50" required="" value="" class="fsField fsFormatText fsRequired fsAutocomplete ui-autocomplete-input" aria-required="true" disabled="disabled" autocomplete="off"><span
role="status" aria-live="polite" class="ui-helper-hidden-accessible"></span>
<input type="hidden" id="field111866986_options" value="101 or more|51 - 100|21 - 50|1 - 20||" disabled="">
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111866987" lang="en" fs-field-type="number" fs-field-validation-name="Year company was established:">
<label id="label111866987" class="fsLabel fsRequiredLabel" for="field111866987">Year company was established:<span class="fsRequiredMarker">*</span> </label>
<input type="number" step="any" id="field111866987" name="field111866987" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true" disabled="disabled">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111866987").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-51" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111866988" lang="en" fs-field-type="number" fs-field-validation-name="Company’s gross annual income:">
<label id="label111866988" class="fsLabel fsRequiredLabel" for="field111866988">Company’s gross annual income:<span class="fsRequiredMarker">*</span> </label>
<span class="fsCurrency fsCurrencyPrefix">$</span>
<input type="number" step="any" id="field111866988" name="field111866988" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true" disabled="disabled">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111866988").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
<span class="fsCurrency fsCurrencySuffix"></span>
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111866989" lang="en" fs-field-type="text" fs-field-validation-name="Company’s contact person’s name:">
<label id="label111866989" class="fsLabel fsRequiredLabel" for="field111866989">Company’s contact person’s name:<span class="fsRequiredMarker">*</span> </label>
<input type="text" id="field111866989" name="field111866989" size="50" required="" value="" class="fsField fsFormatText fsRequired fsAutocomplete ui-autocomplete-input" aria-required="true" disabled="disabled" autocomplete="off"><span
role="status" aria-live="polite" class="ui-helper-hidden-accessible"></span>
<input type="hidden" id="field111866989_options" value="101 or more|51 - 100|21 - 50|1 - 20||" disabled="">
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-52" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111866990" lang="en" fs-field-type="text" fs-field-validation-name="Company’s contact person’s job title:">
<label id="label111866990" class="fsLabel fsRequiredLabel" for="field111866990">Company’s contact person’s job title:<span class="fsRequiredMarker">*</span> </label>
<input type="text" id="field111866990" name="field111866990" size="50" required="" value="" class="fsField fsFormatText fsRequired fsAutocomplete ui-autocomplete-input" aria-required="true" disabled="disabled" autocomplete="off"><span
role="status" aria-live="polite" class="ui-helper-hidden-accessible"></span>
<input type="hidden" id="field111866990_options" value="101 or more|51 - 100|21 - 50|1 - 20||" disabled="">
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111866991" lang="en" fs-field-type="text" fs-field-validation-name="Company’s contact person’s email address:">
<label id="label111866991" class="fsLabel fsRequiredLabel" for="field111866991">Company’s contact person’s email address:<span class="fsRequiredMarker">*</span> </label>
<input type="text" id="field111866991" name="field111866991" size="50" required="" value="" class="fsField fsFormatText fsRequired fsAutocomplete ui-autocomplete-input" aria-required="true" disabled="disabled" autocomplete="off"><span
role="status" aria-live="polite" class="ui-helper-hidden-accessible"></span>
<input type="hidden" id="field111866991_options" value="101 or more|51 - 100|21 - 50|1 - 20||" disabled="">
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-53" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111866992" lang="en" fs-field-type="number" fs-field-validation-name="Offered salary:">
<label id="label111866992" class="fsLabel fsRequiredLabel" for="field111866992">Offered salary:<span class="fsRequiredMarker">*</span> </label>
<span class="fsCurrency fsCurrencyPrefix">$</span>
<input type="number" step="any" id="field111866992" name="field111866992" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true" disabled="disabled">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111866992").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
<span class="fsCurrency fsCurrencySuffix"></span>
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111866993" lang="en" fs-field-type="address" fs-field-validation-name="Complete address of place of employment:">
<span id="label111866993" class="fsLabel fsRequiredLabel">Complete address of place of employment:<span class="fsRequiredMarker">*</span></span>
<div class="fsSubFieldGroup">
<div class="fsSubField fsFieldAddress">
<input type="text" id="field111866993-address" aria-label="Address Line 1" name="field111866993-address" size="50" value="" required="" class="fsField fsFieldAddress fsRequired" aria-required="true" disabled="disabled">
<label class="fsSupporting" for="field111866993-address">Address Line 1</label>
</div>
<div class="fsSubField fsFieldAddress2">
<input type="text" id="field111866993-address2" aria-label="Address Line 2" name="field111866993-address2" size="50" value="" class="fsField fsFieldAddress2" disabled="disabled">
<label class="fsSupporting" for="field111866993-address2">Address Line 2</label>
</div>
<div class="fsSubField fsFieldCity">
<input type="text" id="field111866993-city" name="field111866993-city" size="15" aria-label="City" value="" required="" class="fsField fsFieldCity fsRequired" aria-required="true" disabled="disabled">
<label class="fsSupporting" for="field111866993-city">City</label>
</div>
<div class="fsSubField fsFieldState">
<select id="field111866993-state" aria-label="State" name="field111866993-state" required="" class="fsField fsFieldState fsRequired" aria-required="true" disabled="disabled">
<option value=""> </option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VI">Virgin Islands (US)</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
<option value="AA">Armed Forces (the) Americas</option>
<option value="AE">Armed Forces Europe</option>
<option value="AP">Armed Forces Pacific</option>
<option value="APO">Army Post Office (U.S. Army and U.S. Air Force)</option>
<option value="FPO">Fleet Post Office (U.S. Navy and U.S. Marine Corps)</option>
</select>
<label class="fsSupporting" for="field111866993-state">State</label>
</div>
<div class="fsSubField fsFieldZip">
<input type="text" id="field111866993-zip" aria-label="ZIP Code" name="field111866993-zip" size="6" value="" required="" class="fsField fsFieldZip fsFormatZipUS fsRequired" aria-required="true" disabled="disabled">
<label class="fsSupporting" for="field111866993-zip">ZIP Code</label>
</div>
</div>
<div class="clear"></div>
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-54" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111866994" lang="en" fs-field-type="number" fs-field-validation-name="Total number of employees:">
<label id="label111866994" class="fsLabel fsRequiredLabel" for="field111866994">Total number of employees:<span class="fsRequiredMarker">*</span> </label>
<input type="number" step="any" id="field111866994" name="field111866994" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true" disabled="disabled">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111866994").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111866995" lang="en" fs-field-type="number" fs-field-validation-name="Total number of employees in H-1B status:">
<label id="label111866995" class="fsLabel fsRequiredLabel" for="field111866995">Total number of employees in H-1B status:<span class="fsRequiredMarker">*</span> </label>
<input type="number" step="any" id="field111866995" name="field111866995" required="" class="fsField fsFormatNumber fsNumberDecimals-0 fsRequired" aria-required="true" disabled="disabled">
<script>
//This script is to address some quirkiness of Safari where commas are interchangeable with decimal points on number fields.
//Normal attempts to restrict the comma such as our own validation or .replace(",", "") results in the value of the field being removed entirely.
//Below the keypress itself is being blocked as a workaround to keep our value.
document.getElementById("field111866995").addEventListener("keydown", function blockComma(e) {
if (e.code === 'Comma') {
e.preventDefault();
}
})
</script>
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-55" class="fsRow fsFieldRow fsLastRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111866996" lang="en" fs-field-type="radio" fs-field-validation-name="Do you have any additional locations?">
<fieldset role="group" aria-labelledby="fsLegend111866996" id="label111866996">
<legend id="fsLegend111866996" class="fsLabel fsRequiredLabel fsLabelVertical"><span>Do you have any additional locations?<span class="fsRequiredMarker">*</span></span></legend>
<div class="fieldset-content">
<label class="fsOptionLabel vertical" for="field111866996_1"><input type="radio" id="field111866996_1" name="field111866996" value="yes" class="fsField fsRequired vertical" aria-required="true" disabled="disabled">yes</label>
<label class="fsOptionLabel vertical" for="field111866996_2"><input type="radio" id="field111866996_2" name="field111866996" value="no" class="fsField fsRequired vertical" aria-required="true" disabled="disabled">no</label>
</div>
</fieldset>
</div>
<div class="fs-clear"></div>
</div>
</div>
</div>
<div class="fsPage fsHiddenPage fsHidden" id="fsPage4432258-6">
<div class="fsSection fsFirstSection fs2Col fsHidden" id="fsSection111867016">
<div class="fsSectionHeader">
</div>
<div id="fsRow4432258-57" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111867017" lang="en" fs-field-type="text" fs-field-validation-name="Job title of offered position:">
<label id="label111867017" class="fsLabel fsRequiredLabel" for="field111867017">Job title of offered position:<span class="fsRequiredMarker">*</span> </label>
<input type="text" id="field111867017" name="field111867017" size="50" required="" value="" class="fsField fsFormatText fsRequired " aria-required="true" disabled="disabled">
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111867018" lang="en" fs-field-type="textarea" fs-field-validation-name="Detailed job description of offered position:">
<label id="label111867018" class="fsLabel fsRequiredLabel" for="field111867018">Detailed job description of offered position:<span class="fsRequiredMarker">*</span> </label>
<textarea id="field111867018" class="fsField fsRequired " name="field111867018" rows="10" cols="50" required="" aria-required="true" disabled="disabled"></textarea>
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-58" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111867019" lang="en" fs-field-type="datetime" fs-field-validation-name="Start date of intended employment:">
<fieldset role="group" aria-labelledby="fsLegend111867019" id="label111867019">
<legend id="fsLegend111867019" class="fsLabel fsRequiredLabel fsLabelVertical"><span>Start date of intended employment:<span class="fsRequiredMarker">*</span></span></legend>
<div class="fieldset-content">
<!-- Used to pull in url for jquery -->
<span aria-hidden="true" style="display:none;" id="fsCalendar111867019ImageUrl">https://visasolutions.formstack.com/forms/images/2/calendar.png</span>
<input data-skip-validation="" data-date-format="m/d/YY" type="hidden" id="field111867019Format" name="field111867019Format" value="MDY" disabled="">
<div class="hidden"><label for="field111867019M">Month</label></div>
<select id="field111867019M" name="field111867019M" class=" fsField fsRequired" aria-required="true" disabled="disabled">
<option value=""> </option>
<option value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
</select>
<div class="hidden"><label for="field111867019D">Day</label></div>
<select id="field111867019D" name="field111867019D" class=" fsField fsRequired" aria-required="true" disabled="disabled">
<option value=""> </option>
<option value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select>
<div class="hidden"><label for="field111867019Y">Year</label></div>
<select id="field111867019Y" name="field111867019Y" class=" fsField fsRequired" aria-required="true" disabled="disabled">
<option value=""> </option>
<option value="2016">2016</option>
<option value="2017">2017</option>
<option value="2018">2018</option>
<option value="2019">2019</option>
<option value="2020">2020</option>
<option value="2021">2021</option>
<option value="2022">2022</option>
<option value="2023">2023</option>
<option value="2024">2024</option>
<option value="2025">2025</option>
<option value="2026">2026</option>
</select>
<input data-skip-validation="" type="text" id="fsCalendar111867019Link" class="fsCalendarPickerLink hasDatepicker" style="display:none;" aria-hidden="true" disabled="disabled"><img class="ui-datepicker-trigger"
src="https://visasolutions.formstack.com/forms/images/2/calendar.png" alt="Select Date" title="Select Date" aria-hidden="true">
<div id="fsCalendar111867019" class="fsCalendar" style=" position:absolute"></div>
</div>
</fieldset>
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111867020" lang="en" fs-field-type="text" fs-field-validation-name="Legal name of company:">
<label id="label111867020" class="fsLabel fsRequiredLabel" for="field111867020">Legal name of company:<span class="fsRequiredMarker">*</span> </label>
<input type="text" id="field111867020" name="field111867020" size="50" required="" value="" class="fsField fsFormatText fsRequired fsAutocomplete ui-autocomplete-input" aria-required="true" disabled="disabled" autocomplete="off"><span
role="status" aria-live="polite" class="ui-helper-hidden-accessible"></span>
<input type="hidden" id="field111867020_options" value="101 or more|51 - 100|21 - 50|1 - 20||" disabled="">
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow4432258-59" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell111867021" lang="en" fs-field-type="text" fs-field-validation-name="Trade name / Doing Business As for company if applicable: ">
<label id="label111867021" class="fsLabel" for="field111867021">Trade name / Doing Business As for company if applicable: </label>
<input type="text" id="field111867021" name="field111867021" size="50" value="" class="fsField fsFormatText fsAutocomplete ui-autocomplete-input" disabled="disabled" autocomplete="off"><span role="status" aria-live="polite"
class="ui-helper-hidden-accessible"></span>
<input type="hidden" id="field111867021_options" value="101 or more|51 - 100|21 - 50|1 - 20||" disabled="">
</div>
<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell111867022" lang="en" fs-field-type="address" fs-field-validation-name="Complete company address:">
<span id="label111867022" class="fsLabel fsRequiredLabel">Complete company address:<span class="fsRequiredMarker">*</span></span>
<div class="fsSubFieldGroup">
<div class="fsSubField fsFieldAddress">
<input type="text" id="field111867022-address" aria-label="Address Line 1" name="field111867022-address" size="50" value="" required="" class="fsField fsFieldAddress fsRequired" aria-required="true" disabled="disabled">
<label class="fsSupporting" for="field111867022-address">Address Line 1</label>
</div>
<div class="fsSubField fsFieldAddress2">
<input type="text" id="field111867022-address2" aria-label="Address Line 2" name="field111867022-address2" size="50" value="" class="fsField fsFieldAddress2" disabled="disabled">
<label class="fsSupporting" for="field111867022-address2">Address Line 2</label>
</div>
<div class="fsSubField fsFieldCity">
<input type="text" id="field111867022-city" name="field111867022-city" size="15" aria-label="City" value="" required="" class="fsField fsFieldCity fsRequired" aria-required="true" disabled="disabled">
<label class="fsSupporting" for="field111867022-city">City</label>
</div>
<div class="fsSubField fsFieldState">
<select id="field111867022-state" aria-label="State" name="field111867022-state" required="" class="fsField fsFieldState fsRequired" aria-required="true" disabled="disabled">
<option value=""> </option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
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</form>Text Content
THE POWER OF GLOBAL TALENT HEALTHCARE PROVIDERS REIMAGINED DOWNLOAD BROCHURE NEXT STEPS Prevailing Wage Determination STEP 1 Please fill in a valid value for all required fields Please ensure all values are in a proper format. Are you sure you want to leave this form and resume later? Are you sure you want to leave this form and resume later? If so, please enter a password below to securely save your form. Save and Resume Later Save and get link You must upload one of the following file types for the selected field: There was an error displaying the form. Please copy and paste the embed code again. Apply Discount You saved with code Submit Submitting Validating There was an error initializing the payment processor on this form. Please contact the form owner to correct this issue. Please check the field: Fields Prevailing Wage Determination INFORMATION NEEDED FOR DEPT. OF LABOR (Labor Condition Application and prevailing wage requests) Job title of offered position:* Detailed job description of offered position:* Start date of intended employment:* https://visasolutions.formstack.com/forms/images/2/calendar.png Month 01 02 03 04 05 06 07 08 09 10 11 12 Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 Legal name of company:* Trade name / Doing Business As for company if applicable: Complete company address:* Address Line 1 Address Line 2 City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands (US) Virginia Washington West Virginia Wisconsin Wyoming Armed Forces (the) Americas Armed Forces Europe Armed Forces Pacific Army Post Office (U.S. Army and U.S. Air Force) Fleet Post Office (U.S. Navy and U.S. Marine Corps) State ZIP Code Company telephone number:* Company’s Federal Employer Identification Number (FEIN):* Nature of company’s business:* Year company was established:* Company’s gross annual income:* $ Company’s contact person’s name:* Company’s contact person’s job title:* Company’s contact person’s email address:* Offered salary:* $ Complete address of place of employment:* Address Line 1 Address Line 2 City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands (US) Virginia Washington West Virginia Wisconsin Wyoming Armed Forces (the) Americas Armed Forces Europe Armed Forces Pacific Army Post Office (U.S. Army and U.S. Air Force) Fleet Post Office (U.S. Navy and U.S. Marine Corps) State ZIP Code Total number of employees:* Total number of employees in H-1B status:* Is this for only one location?* yes no Job title of offered position:* Detailed job description of offered position:* Start date of intended employment:* https://visasolutions.formstack.com/forms/images/2/calendar.png Month 01 02 03 04 05 06 07 08 09 10 11 12 Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 Legal name of company:* Trade name / Doing Business As for company if applicable: Complete company address:* Address Line 1 Address Line 2 City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands (US) Virginia Washington West Virginia Wisconsin Wyoming Armed Forces (the) Americas Armed Forces Europe Armed Forces Pacific Army Post Office (U.S. Army and U.S. Air Force) Fleet Post Office (U.S. Navy and U.S. Marine Corps) State ZIP Code Company telephone number:* Company’s Federal Employer Identification Number (FEIN):* Nature of company’s business:* Year company was established:* Company’s gross annual income:* $ Company’s contact person’s name:* Company’s contact person’s job title:* Company’s contact person’s email address:* Offered salary:* $ Complete address of place of employment:* Address Line 1 Address Line 2 City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands (US) Virginia Washington West Virginia Wisconsin Wyoming Armed Forces (the) Americas Armed Forces Europe Armed Forces Pacific Army Post Office (U.S. Army and U.S. Air Force) Fleet Post Office (U.S. Navy and U.S. Marine Corps) State ZIP Code Total number of employees:* Total number of employees in H-1B status:* Do you have any additional locations?* yes no Job title of offered position:* Detailed job description of offered position:* Start date of intended employment:* https://visasolutions.formstack.com/forms/images/2/calendar.png Month 01 02 03 04 05 06 07 08 09 10 11 12 Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 Legal name of company:* Trade name / Doing Business As for company if applicable: Complete company address:* Address Line 1 Address Line 2 City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands (US) Virginia Washington West Virginia Wisconsin Wyoming Armed Forces (the) Americas Armed Forces Europe Armed Forces Pacific Army Post Office (U.S. Army and U.S. Air Force) Fleet Post Office (U.S. Navy and U.S. Marine Corps) State ZIP Code Company telephone number:* Company’s Federal Employer Identification Number (FEIN):* Nature of company’s business:* Year company was established:* Company’s gross annual income:* $ Company’s contact person’s name:* Company’s contact person’s job title:* Company’s contact person’s email address:* Offered salary:* $ Complete address of place of employment: Address Line 1 Address Line 2 City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands (US) Virginia Washington West Virginia Wisconsin Wyoming Armed Forces (the) Americas Armed Forces Europe Armed Forces Pacific Army Post Office (U.S. Army and U.S. Air Force) Fleet Post Office (U.S. Navy and U.S. Marine Corps) State ZIP Code Total number of employees:* Total number of employees in H-1B status:* Do you have any additional locations?* yes no Job title of offered position:* Detailed job description of offered position:* Start date of intended employment:* https://visasolutions.formstack.com/forms/images/2/calendar.png Month 01 02 03 04 05 06 07 08 09 10 11 12 Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 Legal name of company:* Trade name / Doing Business As for company if applicable: Complete company address:* Address Line 1 Address Line 2 City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands (US) Virginia Washington West Virginia Wisconsin Wyoming Armed Forces (the) Americas Armed Forces Europe Armed Forces Pacific Army Post Office (U.S. Army and U.S. Air Force) Fleet Post Office (U.S. Navy and U.S. Marine Corps) State ZIP Code Company telephone number:* Company’s Federal Employer Identification Number (FEIN):* Nature of company’s business:* Year company was established:* Company’s gross annual income:* $ Company’s contact person’s name:* Company’s contact person’s job title:* Company’s contact person’s email address:* Offered salary:* $ Complete address of place of employment: Address Line 1 Address Line 2 City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands (US) Virginia Washington West Virginia Wisconsin Wyoming Armed Forces (the) Americas Armed Forces Europe Armed Forces Pacific Army Post Office (U.S. Army and U.S. Air Force) Fleet Post Office (U.S. Navy and U.S. Marine Corps) State ZIP Code Total number of employees:* Total number of employees in H-1B status:* Do you have any additional locations?* yes no Job title of offered position:* Detailed job description of offered position:* Start date of intended employment:* https://visasolutions.formstack.com/forms/images/2/calendar.png Month 01 02 03 04 05 06 07 08 09 10 11 12 Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 Legal name of company:* Trade name / Doing Business As for company if applicable: Complete company address:* Address Line 1 Address Line 2 City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands (US) Virginia Washington West Virginia Wisconsin Wyoming Armed Forces (the) Americas Armed Forces Europe Armed Forces Pacific Army Post Office (U.S. Army and U.S. Air Force) Fleet Post Office (U.S. Navy and U.S. Marine Corps) State ZIP Code Company telephone number:* Company’s Federal Employer Identification Number (FEIN):* Nature of company’s business:* Year company was established:* Company’s gross annual income:* $ Company’s contact person’s name:* Company’s contact person’s job title:* Company’s contact person’s email address:* Offered salary:* $ Complete address of place of employment:* Address Line 1 Address Line 2 City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands (US) Virginia Washington West Virginia Wisconsin Wyoming Armed Forces (the) Americas Armed Forces Europe Armed Forces Pacific Army Post Office (U.S. Army and U.S. Air Force) Fleet Post Office (U.S. Navy and U.S. Marine Corps) State ZIP Code Total number of employees:* Total number of employees in H-1B status:* Do you have any additional locations?* yes no Job title of offered position:* Detailed job description of offered position:* Start date of intended employment:* https://visasolutions.formstack.com/forms/images/2/calendar.png Month 01 02 03 04 05 06 07 08 09 10 11 12 Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 Legal name of company:* Trade name / Doing Business As for company if applicable: Complete company address:* Address Line 1 Address Line 2 City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands (US) Virginia Washington West Virginia Wisconsin Wyoming Armed Forces (the) Americas Armed Forces Europe Armed Forces Pacific Army Post Office (U.S. Army and U.S. Air Force) Fleet Post Office (U.S. Navy and U.S. Marine Corps) State ZIP Code Company telephone number:* Company’s Federal Employer Identification Number (FEIN):* Nature of company’s business:* Year company was established:* Company’s gross annual income:* $ Company’s contact person’s name:* Company’s contact person’s job title:* Company’s contact person’s email address:* Offered salary:* $ Complete address of place of employment:* Address Line 1 Address Line 2 City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands (US) Virginia Washington West Virginia Wisconsin Wyoming Armed Forces (the) Americas Armed Forces Europe Armed Forces Pacific Army Post Office (U.S. Army and U.S. Air Force) Fleet Post Office (U.S. Navy and U.S. Marine Corps) State ZIP Code Total number of employees:* Total number of employees in H-1B status:* Previous← Next→ Enter your save and resume password Cancel Confirm Online Form - Sales Brochure Please fill out this form STEP 2 Manpower request letter Please download a sample letter here TO BE PRINTED 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