Nombre
Correo electrónico
Teléfono
*Incluya el código de área o del país
Ciudad
Provincia/estado
1 Canada
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland & Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
2 United States
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
3 Mexico
Chihuahua
Sonora
Coahuila
Durango
Oaxaca
Tamaulipas
Jalisco
Zacatecas
Baja California Sur
Chiapas
Veracruz
Baja California
Nuevo Leon
Guerrero
San Luis Potosi
Michoacan
Campeche
Sinaloa
Quintana Roo
Yucatan
Puebla
Guanajuato
Nayarit
Tabasco
Mexico
Hidalgo
Queretaro
Colima
Aguascalientes
Morelos
Tlaxcala
Nombre del empleador/representante de la agencia
Puesto/departamento
REGISTRO