APPLICATION FOR BELIZE EMPLOYMENT PERMIT Section A-1 (to be filled out be all applicants) Last First Middle

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1 1. / / Mm dd yy APPLICATION FOR BELIZE EMPLOYMENT PERMIT Section A-1 (to be filled out be all applicants) 2. PASSPORT PARTICULARS (a.) Passport No. (b.) Date of Issue / / (mm/dd/yy) (c.) Country of Issue (d.) Date of Expiry / / (mm/dd/yy) (e.) (Foreigner) (f.) Names (Foreigner) Last First Middle 3. PERSONAL INFORMATION (a.) Home Address: Street Town/Village/City District/Province/State Country (b.) Telephone/Fax/ (c.) Sex Male Female (d.) Date of Birth / / (mm/dd/yy) (e.) Country of Birth (f.) Marital Status Married/Common Law Single Divorced Separated (g.) Education: From To (mm/dd/yy) (mm/dd/yy) Primary / / / / Secondary / / / / Sixth Form / / / / Junior College / / / / University / / / / Other / / / / (h.) Language English Spanish Other (i.) Country of Last Residency (j.) Previous Visit Yes No If Yes, Applied for Residency/Citizenship? Yes No 4. JOB INFORMATION (a.) Intended Occupation (b.) Intended Length of Employment (Years) (c.) Intended Place of Employment Street Town/Village/City District 5. TO BE FILLED OUT IF PERSON IS ALREADY IN BELIZE (a.) Date of Arrival / / (b.) Port of Arrival Mm dd yy (c.) Immigration Status 1. Tourist Visitor 2. Business Visitor (d.) Belize Address Street No. Town/Village/City District (e.) Return Cost? Employer Applicant [Please fill out attached forms A-2, A-3 and A-4]

2 Section B (To be filled out by person applying for Temporary Self Employment) (a.) Type of Business (b.) Number of Employees (c.) Ownership of Land/Rent/Lease: Yes No If Yes. No. of Acres (d.) Amount of Investment In Business $ Section C (To be filled out by person applying for Permission to Employ a Foreigner) PARTICULARS OF EMPLOYER (a.) Name (b.) Address Street Town/Village/City District (c.) Telephone/Fax/ (d.) Type of Company Limited Sole Owner Partnership Transnational Diplomatic Agencies Non Profit (e.) Type of Business (f.) PARTICULARS OF EMPLOYMENT (a.) Is there a Belizean counterpart? If Yes, state required time needed for training Under 3 months 3 - under 6 months 6 months - under 1 year 1 - under 2 years over 2 years If No, state reasons Menial Jobs Qualified Belizeans not available (b.) State the method used to find suitable candidates from among Belizeans Personal Interviews Radio Newspaper Television Word of Mouth Other job search method (Please specify) (c.) Hours of work Salary proposed (Monthly) [I certify that to the best of my knowledge and belief the Particulars given in this application are correct.] Name Signature (d.) Return Mailing Address Street Town/Village/City District

3 SECTION A-2: FAMILY DATA APPLICATION IDENTIFICATION * Details of Spouse, unmarried children under 16 years of age and dependents. Supply all details whether or not members are to accompany applicant to Belize. * DO NOT write in the last row of the subdivided cells. For official use only. Family Details Relationship to Applicant Names Maiden Name/ Date of Birth Country of Birth Employment Accompanying Applicant 2. Spouse/Partner (First, Middle, Last) Previous Names (MM/DD/YY) Status (Yes/No) 3. Child 1. Employed 4. Son/Daughter-in-law 2. Unemployed 5. Grandchild 3.Not in Labour Force 6. Parent/Parent-in-law 7. Other relative 8. Non-relative

4 SECTION A- 3: PREVIOUS EMPLOYMENT IN BELIZE APPLICATION IDENTIFICATION * List all previous occupations and give an exact or approximate time period for when you held these jobs or positions. * You may aggregate odd jobs (Lawn work, sewing, baby-sitting, etc.) into one category of Odd jobs and give an approximate time period for when it was done. You may not enter miscellaneous for the particulars of the employer. * DO NOT write in the last row of the subdivided cells. For official use only. Employment Particulars Employed From Employed To Name of Employer Address of Employer Nature of Employer s Your precise (MM/DD/YY) (MM/DD/YY) Business Occupation

5 Section A-4: TYPE OF TRAINING APPLICANT IDENTIFICATION * Please list all the training that you have received. TYPE OF TRAINING RECEIVED Training Was a Do not write in this column. For official use only certificate/diploma received (Yes/No)

6 (For official use only) (a.) Applicant Identification (b.) Has form been vetted? Yes No Name Signature (c.) What is vetting officer s recommendation? 1. Recommended 2. Not Recommended State Reason for answer if other (d.) Was application approved? Yes No Name State reason for answer If other Signature (e.) Immigration approval Yes No (f.) Place initials here: Coded by: Keyed by: [Reasons for Disapproval/Not Recommended] 01. Insufficient Capital 02. Insufficient Data 03. Inadequate Training/Education 04. Invalid Training/Education 05. Saturated Market 06. False data on Application 07. Vetting Officer Recommendation 08. Other [Reasons for Approval/Recommended] 01. Belizean Children (proof) 02. Continuing working relationship with employer 03. Self employment - Investors who will open employment for Belizeans 04. Foreigners whose parents are of Belizean descent 05. Relationship with a Belizean for about 3-5 years (Married or Common-Law) with proof 06. Application from agricultural sector and other areas where Belizeans may find demeaning e.g. garbage disposal 07. Special or unique qualification 08. Short-term employment 09. Investors - sole proprietors or partners in business venture 10. Approval from other relevant Ministries e.g. Ministry of Tourism, Education, etc. 11. In respect of other sel-employment applications (proof that a person can support himself) 12. Retirees (Proof of retirement allowance) 13. Religious organizations (letters of support)/ voluntary workers 14. Bar waitress - (Night Clubs) 15. Other

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