| Name: |
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| Phone: |
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| Have you ever been to the U.S.? |
Yes
No |
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If so, when?
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| Are you in the U.S.? |
Yes
No |
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If so, what status are you in?
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| If you are not a citizen of the U.S., what is your country of nationality? |
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| Are you married or engaged to be married? |
Yes
No |
| What is the immigrant/citizenship status of your spose? |
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| Have you ever been married in the past? |
Yes
No |
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If so, when?
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| Have you ever filed an immigrant petition or had someone file an immigrant petition on your behalf before? |
Yes
No |
| Do you have any family members in the U.S. who are citizens or lawful permanent residents? |
Yes
No |
| Have you ever entered the U.S. unlawfully? |
Yes
No |
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If so, when and how long did you stay?
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| Have you ever overstayed your status in the U.S.? |
Yes
No |
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If so, for how long and when?
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| Do you have any children? |
Yes
No
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| What is the highest level of education you have attained? |
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| If you have a degree, what is your degree in? |
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| Are you currently employed? |
Yes
No |
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If so, where?
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| Does your company have an office in the U.S? |
Yes
No |
| How long have you been in your profession? |
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| Have you ever been convicted of any crimes? |
Yes
No |
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If so, what crimes and when?
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| Why do you want to come to the U.S.? |
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| Any additional comments: |
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| Please enter the code: |
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