A job offer is required and the U.S. employer must file an Immigrant Petition for Alien Worker, Form I-140, on behalf of the applicant. A sample letter offering a job contingent upon the results of a background check or other criteria.I864 is evaluated on interview day, NVC only checks for completeness. I think you'll be fine at NVC if'n you throw in the stuff I mentioned. The letter looks good and sufficient. Make sure of the following. The first step for hiring foreign workers in North Carolina is to file a PERM labor application with the Department of Labor. An employer has to want to hire you for a job that qualifies for a visa. In the opening paragraph of the letter enter the job position that is being offered, then enter the name of the company that is the Employer. If patients are seen at a practice site that is not located in a HPSA, then this physician would fill a Flex slot.