Request for assistance with employment-based petitions for U.S. lawful permanent residence
Employment Information
PLEASE TYPE
Employee Name:
Employee MyWSUid: Department:
Employee Email: ________________________________ Phone: ___________________________________________________
Dean or Department Head: ____________________________________________________________________________________
Employment Classification:
Teaching Faculty Non-teaching Faculty or Research
Unclassified Professional Classified Staff
Dates of Employment: From: To:
Current visa status: ____________________________________________ Expiration: _____________________________
Yes No
Is the position full time? Yes No
Is the position on tenure-track or of indefinite duration? Yes No
Is the department willing to pay the cost of sponsorship of the employee for labor certification for
LPR? Requests for assistance are considered by the Provost.
Employee Signature Date
Dean or Department Head Approval
Approved Not Approved
Comments:
Dean or Department Head Signature
Department ____________________________________________________________________________
Date
Vice President for Academic Affairs Office Approval
Approved Not Approved
Comments:
Provost
Signature
Date
