Skip to content
Shqiptare Albanian
Ju lutemi plotesoni formen dhe nje punonjes i CAMBA do ju kontaktoje. Plotesoni vetem nje forme per familje, dhe jepni sa me shume informacion te jete e mundur.
Complete only one form per household, and provide as much information as possible.
*
1.
Emër
First name
(Required.)
*
2.
Mbiemër
Last name
(Required.)
*
3.
Emaili (nese nuk keni email shkruani x)
Email (If you don’t have an email please type: x)*
(Required.)
*
4.
Numri i telefonit
Phone Number
(Required.)
*
5.
Adresa: numri rruga, qyteti, kodi postar, NY
What is your address: Street, City, NY
(Required.)
*
6.
Kur keni hyre ne Shtetet e Bashkuara te Amerikes?
When did you arrive in the United States? Example: 12/31/2005
(Required.)
*
7.
Statusi i emigrimit
What is your current immigration status?
(Required.)
I denuar me kusht humanitar nga Afghanistani (AHP)
Afghan Humanitarian Parolee
I denuar me kusht humanitar nga Ukraina (UHP)
Ukrainian Humanitarian Parolee
I denuar me kusht humanitar nga Haiti (HHP)
Haitian Humanitarian Parolee (HHP)
I denuar me kusht humanitar nga Haiti (HHP)
Cuban/Haitian Entrant (CHE)
Refugjat (REF)
Refugee
Azilant kerkues (ASY)
Asylee
Amerikano - Aziatik (AMR)
Amerasian
Mbajtes Vize Speciale Emigrimi (SIV)
Special Immigration Visa holder
Viktime e Trafikut Njerezor (VOT)
Victim of Human Trafficking (VOT)
Tjeter
Other
Amerasiático
8.
Cili eshte niveli i gjuhes angleze? (Me poshte zgjidh nje)*
What is your English level? (chose one)
Aspak
None
Minimal
Minimal
Mesatar
Good
Rrjedhshem
Fluent
9.
Me duhet te punoj ne 3 muajt e ardhshem:
I need to work in the next 3 months:
Po
Yes
Jo
No
*
10.
Jam i gatshem te punoj ne nivel fillestar:
I am willing to work an entry level position:
(Required.)
Po
Yes
Jo
No
11.
Cfare lloj ndihme kerkoni? (Ploteso ketu)
What help do you need? (Fill in the blank)
Ju lutemi na jepni 2 jave kohe qe tu kontaktojme. Do t’ju kontaktojme sipas informacionit qe keni dhene ne forme. Ju falenderojme per mirekuptimin!
Please allow us up to two weeks to contact you. We will contact you according to the information provided on the list. Thank you for understanding!