University of California, Irvine
Sponsorship Authorization Request Form
Regular Rank Faculty
STEP ONE - APPLICANT Please complete this section and forward to your Chair.
LABOR CERTIFICATION (Special Handling, Form ETA 750)
Applicant must apply within eighteen months from date of UC Irvine Offer Letter.
OUTSTANDING PROFESSOR OR RESEARCHER PETITION Immigrant Petition for Alien Worker (Form I-140)
Applicant must have at least three years of teaching or research experience in their field.
FAMILY BASED CASE Applicant is married to a United States Citizen.
Please Print or Type
EMPLOYEE NAME (Last, First, Middle)
Signature
Home School and Department Name
Department Address and Zot Code
Work Telephone Number
Electronic E-Mail Address
Academic Title and Step
Date on Letter of Appointment
Date
STEP TWO - To be completed by Chair and Dean.
Chair Signature
Date
Dean Signature
Date
Departmental Contact Name
Telephone and E-Mail Address
DEAN’S OFFICE, PLEASE FORWARD THIS APPLICATION TO:
Office of Academic Personnel, 354 Aldrich Hall, Zot Code 1015
AUTHORIZATION APPROVED:
Vice Provost
Date
STEP THREE - APPLICANT
Once all the necessary signatures have been obtained, this original form will be returned to the department address you have provided
above. The Office of Academic Personnel will then collect necessary supporting documentation and forward a copy of your
Sponsorship Authorization Request Form and additional materials to Seyfarth Shaw LLP. An attorney from Seyfarth Shaw LLP will
communicate with you once the firm has received your package.
NOTE: This original signed Authorization Form will be required at the time of your first appointment.
01/09
UCI-AP-85