INITIAL IMMIGRATION CONFERENCE INFORMATION

Please note; all fields denoted by an asterisk (*) are required, and your form will not be accepted if these are not completed.

*Is this form being completed by the alien seeking consultation? 

If no, please provide the following information about yourself (the person completing this form):

Name:
Relationship to Alien:
Email Address:
Mailing Address:
 

Alien Information

*Ever been in the United States?
If no, please stop and click here to access the form you need to complete.

  *Name
Family:
First:
Middle:

  United States Mailing Address (if any)
c/o:
Street:
City/State/ZIP:

  *Telephone
:
:
:
:

*Date of Birth (MM/DD/YY):
*City and Country of Birth:
*Present Citizenship (Country):
*City, Country of Mother's Birth:
*City, Country of Father's Birth:
Any grandparents born in the United States?


 

*Marital Status:
  If married, Spouse's...
Name:
Citizenship:
Country of Birth:


 

  *Last Residence Abroad
Street:
City:
Country:

Date last entered the United States (MM/DD/YY):
Place (City, State) of Last Entry:

Present Visa Status:
Date Current United States Status Expires (I-94) (MM/DD/YY):
*Ever violated status in United States?
If yes, please provide details:
*Ever been given a J-Visa which subjects you to the two (2) year foreign residency requirement?

*Ever been employed in the United States? 
If yes, please provide the name of the employer:

Educational background (High School, College Degrees, etc.):
Alien or spouse ever served in any United States military forces?
Current and any prior occupations:
Names of children, their ages and countries of birth:

 

*Ever applied for permanent residence in the United States?
If yes, date and place applied:
Please list names, relationship, and immigration status of other direct relatives (parents, brothers, sisters) now living in the United States:
*By whom were you referred (friend, lawyer, search engine, etc.)?  Please be specific (Google, Yahoo, John Smith, etc.).
*Describe the immigration problem or desired new Visa/Status:

 

Have you previously paid another party for a consultation concerning this immigration matter?
If yes, please provide their name and location along with the immigration benefit(s) or results they indicated they could obtain:

*E-mail Address:

(If you would like a copy of this completed form, please print one now.)

By clicking the Submit button, you affirm that you understand this information is provided only for the purpose of requesting a consultation and is not intended to establish an attorney client relationship.

Having problems submitting this form? Please call (405) 843-1037.