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Instructions for Completing the ETA 750B Application for Alien Employment Certification

You may download a copy of the ETA 750B at this link. Please print out the form and print clearly in ink or use a typewriter to complete the form. If a question does not apply to you, please write "N/A" in the space provided. Please provide two ETA750Bs with your original handwritten signature and one copy.

1. Name of Alien (Family name in capital letters)
  • Please enter your full name.

2. Present Address (No., Street, City and Town, State or Province and ZIP code)
  • Please enter your current address, whether in the US or outside of the US.

3. Type of Visa (If in U.S.)
  • If you are in the US, please enter the type of visa that you have, i.e. J-1, F-1, H-1B, etc.

4. Alien's Birth date(Month, Day, Year)
  • Please enter your date of birth. Do not use a number for the month. Please write it out, e.g. October 22, 1971.

5. Birthplace (City or Town, State or Province)
  • Please enter your birthplace.

6. Present Nationality or Citizenship (Country)
  • Please enter the country of your current nationality or citizenship.

7. Address in the United States Where Alien Will Reside
  • Please enter the address in the US where you live or will live.

8. Name and Address of Prospective Employer if Alien has job offer in U.S.
  • If you are in the US, please enter the business name and address of your current employer. If you are outside of the US, please enter the business name and address of your prospective employer, if you have a job offer in the US.

9. Occupation in which Alien is Seeking Work
  • Please enter the occupation in which you are seeking work. Acceptable entries include physicist, gastroenterologist, and electrical engineering. Entries such as "professor" or "scientific research" are not acceptable.

10. "X" the appropriate box below and furnish the information required for the box marked
  • Please check the appropriate box. If you checked 10b, and will work in Alaska, Arizona, California, Colorado, The Commonwealth of the Northern Mariana Islands (CNMI), Guam, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Michigan, Maryland, Minnesota, Missouri, Montana, Nebraska, Nevada, New Jersey, New York, North Dakota, Ohio, Oregon, Pennsylvania, South Dakota, Utah, Washington, Wisconsin, or Wyoming, please enter "Lincoln, NE". If you will work in Alabama, Arkansas, Connecticut, Delaware, the District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maine, Massachusetts, Mississippi, New Hampshire, New Mexico, North Carolina, Oklahoma, Puerto Rico, Rhode Island, South Carolina, Tennessee, Texas, Vermont, Virginia, the U.S. Virgin Islands, or West Virginia, please enter "Mesquite, TX".

11. Names and Addresses of Schools, Colleges and Universities Attended (include trade or vocational training facilities)
  • Please enter the names and addresses of schools, colleges, and universities that you attended. Identify all educational facilities, including trade or vocational schools, that you attended which give evidence of your education and training related to the occupation listed in Item 9

12. Additional Qualifications and Skills Alien Possesses and Proficiency in the use of Tools, Machines or Equipment Which Would Help Establish if Alien Meets Requirements for Occupation in Item 9.
  • Please enter "see petition package".

13. List Licenses (Professional, journeymen, etc.)
  • Please enter "see petition package".

14. List Documents Attached Which are Submitted as Evidence that Alien Possesses the Education, Training, Experience, and Abilities Represented
  • Please enter "see petition package".

15. WORK EXPERIENCE List all jobs held during the last three (3) years. Also, list any other jobs related to the occupation for which the alien is seeking certification as indicated in Item 9.
  • Please list all jobs that you have held during the last 3 years.

SIGNATURE OF ALIEN
  • Please sign and date where it asks for the "signature of alien".

NAME OF AGENT
  • Please leave the fields where it asks for the name and address of the agent blank.

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