Listed in the left column are the company’s job requirements for your position (either your current position or the position that the company has decided to use for its PERM labor certification application). 

Please complete the right column with information about where and when you acquired the qualifications that are described in the left column.  Please list the exact dates of employment when you obtained each of the specific qualifications described in the left column.  

If you expect to have difficulty obtaining proof of qualifications (usually proof is in the form of a detailed letter from the company where you obtained the qualification), please tell us.  Thank you for your kind attention

JOB REQUIREMENTS	Please indicate exactly where and when (dates – from and to) you acquired each of the qualifications listed in the left column