ZPayment Page – Spanish – DataConnect365

Complete el siguiente formulario para crear su perfil de trabajo

Name*

First NameLast Name
Date of Birth*

DayMonthYear
Date
Phone Number*

Country CodeArea CodePhone Number
Email*
example@example.com
Country of Origin*
Do you have a driver's license in your country of origin?*

YesNo
Are you currently in the United States on a visa?*

YesNo
What type of visa do you currently have?*

H-2AH-2B
When does your visa expire?*

DayMonthYear
Date
Have you worked in the US before with a visa?*

YesNo
What Type of visa did you have?*

H-2AH-2B
What state did you work in?*
Did you have a driver's license in the US?*

YesNo
What state is your license from?*
How many years have you worked in the US?*
What was the last year you worked in the US?*
What type of work did you perform while in the US?*

LandscapingConstructionHospitalityFarming
What type of work experience do you have?*

LandscapingConstructionHospitalityFarming
What type of landscaping work did you perform?*

MowingIrrigationCarpentryPaver InstallationRetaining WallsPlantingMulchingPrunningPool InstallationConcreteSnow PlowingSnow ShovelingOther
What type of construction work did you perform?*

DemolitionMasonryCarpentryConcreteRoofingPlumbingElectricalWeldingOther
What type of hospitality work did you perform?*

Hotel ServiceCleaningRestarauntDishwashingWaiter/WaitressBartenderSki Lift OperatorSki Resort HospitalityOther
What Company/Companies did you work for?*

Checkout*

DataConnect SubscriptionYour worker profile will be added to our database of visa seekers and sent to employers in the United State of America who are enrolled in visa programs.

$200.00

Total

$0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Should be Empty: