Family Name (required)
Given name (required)
E-mail address (required)
Marital Status (required) SingleMarriedSeparatedDivorcedWidowed
Age (required) Below 21 years of ageOver 21 years of age
Country of citizenship (required)
Country of residence
Do you have a university or college degree? YesNo
What is the highest level of your education? Ph.D.MasterBachelorCollege Diploma/CertificateHigh School
Do you have at least 1 year of full-time executive or managerial experience within the past 3 years outside the United States? YesNo
What is your title of position?
What is the profession/industry you are working in?
Does your present employer have a branch office in the United States, or will your present employer open a branch office in the United States? YesNo
Have you invested or do you wish to invest at least $50,000 in a business in the United States? YesNo
Do you or will you own at least 51% of your business in the United States? YesNo
Do you or will you work in an executive or managerial position for your U.S. business? YesNo
