Alabama Agricultural and Mechanical University
Office of Human Resources
Normal, AL 35762
Phone: 256.372.5835 Fax: 256.372.4881
EMPLOYMENT VISA REQUEST FORM
Alabama A&M University Employment Visa Request Form
Office of Human Resources 10/2018 • Page 1 of 3
This request form is to initiate the following employment visa type:
_____H-1B initial authorization for new employees or employees requiring H-1B status
_____H-1B extension for current employees already in H-1B status
_____H-1B amendment to reflect material change in position for current H-1B employee
____ J-1 Visiting Scholar and Professors
_____Permanent residence (Green Card)
____ TN for Canadian and Mexican citizens
Department Information
Department where employee/prospective employee works or will work: ___________________
Contact person in the department: ____________________________________
Contact person work extension: ____________________________________
Contact person job title: ________________________________
Supervisor’s name: ______________________________
Supervisor’s job title: _____________________________
Employee/Prospective Employee Information
Name or prospective employee or employee: _________________________________
Banner ID (if known): _________________________________________
Employment Status: ______ Full-time ______ Part-time
Employee’s highest degree earned: _____________________________
Employee’s annual salary or proposed annual salary for prospective: _____________________
Will the employee receive any additional compensation? ______ Yes _____ No
If yes, please explain:
