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Interstaff’s Visa Programs Application
Contact Information
Name
*
Surname
*
Email
*
If you already submitted an application and want to inquire about your application status, please email recruiting@interstaffinc.com
Mobile Phone
*
Country of Birth
*
--Select one--
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darrussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
US Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
How Did You Hear About Interstaff?
*
--Select one--
A Friend
Facebook
Google
Instagram
Interstaff Nurse
LinkedIn
WhatsApp Group
YouTube
Other
Google
*
Please share with us what you searched in Google to find us. We appreciate your insight!
Other
*
Are you a U.S. Territory Citizen or currently in the U.S. on a special Visa?
*
--Select one--
Neither
Special U.S. Visa (F-1, H-1B, J-1, etc.)
U.S. Territories Citizen
On what kind of Visa are you in the U.S. under?
*
--Select one--
F-1 Visa
Other
Are you a Canadian or Mexican citizen?
*
--Select one--
Canada
Mexico
Neither
U.S. Territories Program Application
Are You a Registered Nurse?
*
--Select one--
Yes
No
Are you currently employed as a nurse in a hospital?
*
--Select one--
Yes
No
Have you taken the American nursing exam (NCLEX) for nurses?
*
--Select one--
Not Taken
Scheduled
Passed
Failed
F-1 Visa Program Application
College / University Name
*
Degree Earned
*
--Select one--
Diploma
ADN
BSN
MSN
DNP
Other
Graduation Date
*
When does your F-1 Visa expire?
*
Have you taken the American nursing exam (NCLEX) for nurses?
*
--Select one--
Not Taken
Scheduled
Passed
Failed
Are you currently employed as a nurse in a hospital?
*
--Select one--
Yes
No
Adjustment of Status (AOS) Application
Are You a Registered Nurse?
*
--Select one--
Yes
No
Are you currently employed as a nurse in a hospital?
*
--Select one--
Yes
No
Have you taken the American nursing exam (NCLEX) for nurses?
*
--Select one--
Not Taken
Scheduled
Passed
Failed
On which visa are you operating under in the U.S.?
*
--Select one--
H-1B
H4
J-1
Other
TN Visa Program Application
Are you a current citizen of Canada or Mexico?
*
--Select one--
Canada
Mexico
Are you a General (Specialty) Nurse or Auxiliary Nurse?
*
--Select one--
General Nurse
Auxiliary Nurse
Are you currently employed as a nurse in a hospital?
*
--Select one--
Yes
No
Have you taken the American nursing exam (NCLEX) for nurses?
*
--Select one--
Not Taken
Scheduled
Passed
Failed
EB-3 Visa Program Application
Are you a Registered Nurse in your home country?
*
--Select one--
Yes
No
What is the status of your RN license?
*
--Select one--
I am in the process of renewing my license
I currently have a copy of my ACTIVE license/PIN
I am waiting for a copy of my renewed license
Do you currently work in an acute care inpatient hospital with 100+ beds?
*
--Select one--
Yes
No
Unemployed
What is your employment status?
*
--Select one--
Full-Time
Part-Time
LOCUM
Volunteer
Have you taken the American nursing exam (NCLEX) for nurses?
*
--Select one--
Not Taken
Scheduled
Passed
Failed
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