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Complete the form below to begin your application. Our recruitment team will review your credentials and contact you for the next steps in the visa sponsorship and placement process.

Applicant Information

First Name *

Last Name *

Email Address *

Phone Number

Date of Birth *

Street Address *

City *

State/Province

ZIP / Postal Code

Country *

Position Applying For

Select Job Title *

Preferred U.S. Work Location (if any)

Education & Certification

Highest Qualification Obtained *

Field of Study / Major *

Professional Licenses / Certifications *

Have you passed or are you eligible for a U.S. licensing exam? *YesNoIn Progress

Professional Experience

Total Years of Work Experience *

Most Recent Employer / Organization *

Job Title *

Start Date *

End Date *

Key Responsibilities *

Visa & Immigration Details

Are you currently in the U.S.? *YesNo

Do you require visa sponsorship to work in the U.S.? *YesNo

Visa Type of Interest (if known)H-1BEB-2EB-3TNOther

Specify if Visa Type is Other

Document UploadsPlease attach the following (PDF or Word format preferred):

Resume / CV *

No file chosen

Professional License(s)

No file chosen

Degree or Diploma Certificate(s) *

No file chosen

Passport Bio Page

No file chosen

English Proficiency Certificate (IELTS / TOEFL) (if applicable)

Drag and Drop (or) Choose Files

Additional InformationTell us briefly why you’d like to work in the U.S. healthcare sector and how Opti NextGen can support your journey:

Declaration & ConsentBy submitting this application, I certify that all information provided is accurate and complete to the best of my knowledge. I understand that submission does not guarantee employment or visa approval. I consent to the collection, processing, and sharing of my data in accordance with Opti NextGen’s Privacy Policy and Terms & Conditions.

I agree to the Privacy Policy and Terms of Service

I understand that visa and processing fees apply as outlined in the sponsorship process.

Please do not fill in this field.

Useful Resources

What is Visa Sponsorship?
Sponsorship Process Outline
What Visa Processing Mean
Sponsorship Fees Breakdown

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Contact

Maple Avenue, Los Angeles, CA 90015
info@optinextgen.org
Monday - Friday, 9:00 AM - 5:00 PM

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