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The Build Fellowship intake form

Company information
Company representative information
First name
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Last name
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Email
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Job title
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Company information
Company trade name (DBA)
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Company legal name
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Company website
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Company LinkedIn
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Company type
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State of registration
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Company headquarters
Street address
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City
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Zip code
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Signatory information
First name
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Last name
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Email
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Job title
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Financial information
Billing contact first name
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Billing contact last name
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Billing contact email
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Company funding level
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Concurrent law firm information
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What is a concurrent law firm?

The law firm hired by a Candidate's full-time employer to help process their full-time cap-exempt H-1B visa, after receiving a visa through The Build Fellowship

Law firm name
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Concurrent law firm contact information
First name
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Last name
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Email
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Please fill in this required field.
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