PERMANENT RESIDENCE SUPPORT FORM (To be completed by UCLA Department and returned to: Julie Zamoyski, 12-138 CHS, 172216, fax 7-2269, ext. 5-7050) Please include a one-time review fee of $400. UCLA departments may use a Recharge Request Form (P-39) or personal check made payable to the U.C. Regents. APPLICANT’S NAME DEPARTMENT ____________________________ __________________________________ TITLE OF THE POSITION BEING OFFERED _______________________ ANNUAL SALARY _________ STEP ________ PROPOSED DURATION OF EMPLOYMENT _______________________ SOURCE OF FUNDS FOR THE POSITION _________________________ UCLA Account/Fund name/number _______________________________ If grant funded, expiration date of the grant(s) ______________________ Name of Principal Investigator ___________________________________ BRIEF DESCRIPTION OF JOB DUTIES JOB REQUIREMENTS Minimum Education (Degree) _________________ Minimum Experience (Years) _________________ ATTACHMENTS 1. A memo from the Department Chair justifying the need to fill the position and how the alien will benefit UCLA. See attached sample letter. 2. A memo from the Department Chair requesting clarification of payment of legal fees. See attached sample letter. 3. A copy of the alien’s CURRICULUM VITAE (which shows highest degree received, work experience and special skills). _________________________ ___________________ ______________ Type/Print Name Division Chief Signature Date _________________________ ___________________ ______________ Type/Print Name Dept Chair Signature Date (DOSM 10/04) PERMANENT RESIDENCE POLICY The School of Medicine will offer assistance with permanent residency to departments who wish to sponsor individuals who meet the following criteria: 1. Minimum job title of Assistant Professor or Assistant Researcher (Professional Researcher series). 2. Minimum length of available funding: 3+ years. 3. Position must be 100% time with full benefits, and duration of employment should have no specific intended termination date. 4. The position must be permanent in that the employee will be a member of the UC retirement system. 5. If funding is from a grant(s) with an expiration date of less than 3 years, there must be a strong probability of grant renewal which is substantiated (i.e. by the history of the PI’s ability to obtain funding). 6. We will only sponsor individuals who qualify for permanent residence sponsorship in a labor certification exempt category. 7. Julie Zamoyski of the Visa and Licensing Office is the only authorized signature for a permanent residency petition submitted on behalf of the School of Medicine. No letters or documents relating to these matters should be signed without consultation with the License & Visa Section of the Dean’s Office. Contact Julie Zamoyski for assistance and consultation in regard to U.S. permanent residency. Phone: (310) 825-7050 Fax: (310) 267-2269 E-mail: jzamoyski@mednet.ucla.edu OUTSTANDING PROFESSORS AND RESEARCHERS If a School of Medicine Department has offered a permanent faculty or research appointment to an individual who has at least three years of experience in the academic field, and who qualifies as being recognized internationally as outstanding in the field, that person may qualify for permanent resident status as an Outstanding Professor or Researcher. Labor certification is not required for this category. To determine if the person qualifies, see below: I. Evidence that the professor or researcher is recognized internationally as outstanding in the specific academic area may consist of at least two of the following: Documentation of the alien’s receipt of major international prizes or awards for outstanding achievement in the academic field; Documentation of the alien’s membership in associations in the academic field which require outstanding achievements of their members; Published material in professional publications written by others about the alien’s work in the academic field. Such material shall include the title, date and author of the material, and any necessary translation; Evidence of the alien’s participation on a panel, or individually, as the judge of the work of others in the same or an allied academic field; Evidence of the alien’s original scientific or scholarly research contributions to the academic field; or Evidence of the alien’s authorship books or articles (in scholarly journals with international circulation) in the academic field. II. Evidence that the alien has at least three years of experience in teaching and/or research in the academic field. Experience in teaching or research while working on an advanced degree will only be acceptable if the alien has acquired the degree, and if the teaching duties were such that he or she had full responsibility for the class taught or if the research conducted toward the degree has been recognized within the academic field as outstanding. If it appears the individual will qualify for this category, please submit materials as outlined on the permanent resident support form to Julie Zamoyski in the Dean’s Office. Please allow approximately 2 weeks for a response. Please note the documents submitted may be reviewed outside of the School of Medicine and the university by immigration attorneys. After review of the documents submitted in support of the request for permanent residence sponsorship, you will be notified by the Dean’s Office.