Department Worksheet for Minimum Prevailing Wage

VCU Immigration Services
817 W. Franklin Street, Room 122
P.O. Box 843043
Richmond, VA 23284
Phone: (804) 828-­‐0595 ·∙ Fax (804) 828-­‐2552
Department Worksheet for Minimum Prevailing Wage
Name of employee (beneficiary):__________________________________________________________ _______________
Last
First
Employing department (petitioner):________________________________________________________ _______________
Federal Express/UPS Acct # ______________________________________
$500 Journal Voucher ___________________
VCU job title: _________________________________________________________________________________________
Type of Employment: Postdoc Teaching and Research Classified Staff
NEW: Attach a comprehensive job posting notice or position description (EWP) that details what employee will do and
any fields of research the employee will be involved with. If one does not exist, you must create one. Acceptable
templates are found at:
http://www.hr.vcu.edu/pdf_docs/AP_Faculty_Position_Description.doc
http://www.toolkit.vcu.edu/instructfacultydescription.doc
Working Title and name of immediate supervisor____________________________________________________________
Phone number _____________________________________ E-­‐mail ___________________________________________
Personnel Administrator ________________________________________________________________________________
Phone number ________________________________________ E-­‐mail _________________________________________
Regarding position (if not applicable, please type “N/A”):
Number of full-­‐time workers employee will supervise. _____________ ___________________________________________
List any possible travel requirements for the position, e.g., for research, conferences etc.
_____________________________________________________________________________________________________
List any working conditions that affect rate of pay (hazardous conditions, extra physical expectations, etc.).
_____________________________________________________________________________________________________
Minimum degree required ________________________________ List any/all field(s) of degree acceptable for position.
_____________________________________________________________________________________________________
Is an additional degree required for the position? If so explain
_____________________________________________________________________________________________________
List any additional job training and/or previous employment experience required. Specify number of months and fields.
_____________________________________________________________________________________________________
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List any special skills, licenses/certifications required for the position.
_____________________________________________________________________________________________________
List all complete physical addresses where employee will be working.
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Dates of employment (mm/dd/yy): Begin date: ______________________ End date: ___________________________
(Maximum three years. Dates must agree with dates of employment on letter of support.)
Appointment is Full-­‐time (40 hours per week)
Appointment is Part-­‐time (anything less than 40 hours per week)
Full-­‐time proposed salary: _____________________ for 12 months.
If not full-­‐time, give hours per week will work. __________________
$____________ /hour (if less than full time.)
NOTE: "Department of Labor regulations require employers to keep records of ‘hours worked each day and each week’ for all
part-­‐time H-­‐1B employees, regardless whether the part-­‐time employee is paid a fixed salary, and regardless of whether the
employer currently keeps such hourly records for its other part-­‐time salaried employees." This information must be kept with
the personnel administrator in your department (see time sheet example link).
NOTE: H-­‐1B status is only allowed for those in a specialty occupation. To qualify as a specialty occupation, the position
must meet one of the following criteria (8 CFR § 214.1):
1. A baccalaureate or higher degree or its equivalent is normally the minimum requirement for entry into the
particular position;
2. The degree requirement is common to the industry in parallel positions among similar organizations or, in the
alternative, an employer may show that its particular position is so complex or unique that it can be performed
only by an individual with a degree;
3. The employer normally requires a degree or its equivalent for the position; or
4. The nature of the specific duties are so specialized and complex that knowledge required to perform the duties is
usually associated with the attainment of a baccalaureate or higher degree.
By signing this form, the department chair and personnel administrator pledge that the information above for the position is
accurate and that this is a specialty occupation.
Department chair: ____________________________________________________ Date: ____________________________
(Printed name)
(Signature in blue ink)
Personnel administrator: ______________________________________________ Date: ____________________________
(Printed name) (Signature in blue ink)
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