Date of birth

Organization

Email *

Phone *

Country Of Birth *

Address

State

City *

Postal code *

Country *

Highest earned degree

Do you have any licenses or certificates that are relevant for your work?

Have you received any nationally or internationally recognized prizes or awards for excellence in the field of endeavor? Please explain.

Do you have or have you had any membership in associations, which require outstanding achievements of their members?

The membership must be based on some criteria that makes it exclusive and shows extraordinary ability. E.g. regular paid membership in IEEE is open to everyone, but becoming a IEEE Fellow has a higher bar.

Summarize your top contributions/achievements in your profession.

Has your work changed your field or industry? Did it make a lot of money for your employer? Did you invent something or create something that was useful for many other people in your profession? Quantify the value of your contribution if possible.

Have you authored books, scholarly articles, instruction manuals, blog posts, videos? Please describe and provide links or attach copies below.

Only materials related to your profession. If you are an software engineer but you write blogs about movies, that does not help your case. But a popular blog or YouTube channel where you teach others how to code and get into FAANG is good evidence.

Have you invented anything? Do you have any patents in your name or are you listed on any patent applications?

Has a company or employer used anything that you created? E.g. a new manufacturing method, an algorithm, a new business model?

Has your work or research received funding from the federal government?

Yes

Have you or has your work been in the news? Include links to any news articles, interviews, media coverage.

Do not include materials that are not related to your profession. E.g. if you are a scientist/researcher, only articles about your research work are relevant. If you were in a local paper or blog talking about your photography hobby, that is not relevant.

Have you ever participated, either individually or on a panel, as a judge of the work of others in in your specialty or a related field?

E.g. reviewed manuscripts for a peer-reviewed scientific journal, were on a panel of judges for an incubator or business plan competition, worked as an instructor or teacher to train others in your occupation.

Have you been in a leading or critical role for a company that has a distinguished reputation?

E.g. you were the VP of Business Development for a company and you helped them grow faster than ever; you were the lead engineer on a project that improved the company's manufacturing efficiency and increased profits. Be specific about numbers!

Has your work been displayed at artistic exhibitions or showcase?

is there anything else you think we should know about you that might help explain how you are exceptional at your job or how the US would benefit from giving you a green card?

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