Contact Information Your Name* Email Address * Contact Number * What is the job title for primary contact? Company Information Date of Business started What is the principal business activity? For example: Full service restaurant or gas station and convenience store Is the business a franchise? What is your website address for the company?If you do not have a website, you can leave a blank What is the total number of employees currently employed nationally under this CRA Business Number? What is the total number of employees currently employed at the work location (the location where you apply for LMIA)? How many employee working in this occupation (the position you are applying for LMIA) at the work location? What is the total number of Permanent Resident or Canadian employed at the work location? What is the total number of Foreign Workers as a result of previously LMO/LMIA (the employee you applied for LMO/LMIA before) and currently employed at the work location? Did you employ a Foreign Worker as a result of positive LMO in the last two years prior to December 31, 2013? Have you applied and received positive LMO/LMIA on or after December 31, 2013? Have you had LMO/LMIA revoked within the previous 2 years? Please provide the exact location where the Temporary Foreign Worker will be working? (Detailed address) CanadaUSASouth KoreaMexicoEuropeAsiaAfricaOther Were any employees laid off in the past 12 months?