Immigration Questionnaire


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Persons seeking legal representation with our law firm may wish to schedule a telephonic or in-person consultation with any of our attorneys. Call our receptionist at (415) 777-4445 to schedule a legal consultation with our attorney. Please call us during our regular business hours (9:00 am to 5:30 PM, Pacific Time). The cost of the consultation is $200 (U.S.) for 60 minutes.
When you call to schedule your consultation, please be prepared to pay the fee by check, which must be received prior to the appointment.
On the day of your consultation please call the office at (415) 777-4445 at the time scheduled. Legal consultations are scheduled every 60 minutes from 10:00 AM to 4:00 PM, excluding lunch time (noon to 1:30 PM). If you call late, this will decrease the amount of time that you will be able to spend speaking with the attorney. If you must cancel or reschedule your consultation, you must do so at least 24 hours in advance in order to obtain a refund.
If you retain our law firm on the day of your consultation, we will be happy to credit the $200 consultation fee toward the overall cost of your case.


Basic Information

Last Name:
First Name:
Middle Name:
Address:
City:
State:
ZIP/Postal Code:
Country
E-mail Address:
Home Phone:
Work Phone:
Date of Birth:
Country of Birth:

What type of immigration assistance are you seeking?

Family Information

Husband/Wife
Check if Not Applicable
Full Name:
Current Address (put "same" if you live together):

Date of Birth:
Place of Birth:
Date of Marriage:
Place of Marriage:
Children
Total Number of Sons and Daughters:

Name	Sex	Date of Birth	Place of Birth	Citizen of






Immigration History

Current Immigration Status:
Date Status Expires:
I-94 Number:
Date of First Entry into US:
Last Entry into US:
Total Entries into US:
Check every type of immigration status that you have ever held and provide the dates:

Immigration Status	Date(s)	Immigration Status	Date(s)
B Visitor:		E Trader/Investor:
F Student:		H-1B Professional:
J Exchange Visitor:		K Fiancee:
L Manager:		O Outstanding Ability:
P Performer/Athlete:		R Religious Worker:
T/N Canadian Worker:		Other:
Check each one that you or your spouse have ever applied for or been the beneficiary of:

Y(You) / S(Spouse)		Date Filed	Sponsor	Attorney	Result
	Green Card
	Immigrant petition
	Labor certification
	Asylum
	Amnesty

Have you or your spouse ever had any immigration problems? In particular, have you or your spouse ever been under deportation, rescission, or exclusion proceedings? Please describe in detail:

Employment History

List your qualifications for employment in the U.S.:

Educational Background

Please list all your education anywhere in the world:

Level	School & Location	Degree & Field	Number of Years	Graduate?
High School:
College/University:
College/University:
College/University:
Other Schooling:

Other Informatilon

Have you ever been arrested or convicted of a crime anywhere in the world (even if the conviction was expunged or removed from your record) or have you ever had any problems with the police?
If yes, please explain in detail:

  Have you ever been denied a visa to come to the United States?
  If yes, when and what kind of visa:

Is there anything, not already covered in this form, that you feel we should know?

Statement of Truthfulness

"By pressing the Submit Questionnaire button below, I certify that all of the information contained in this form is true and correct to the best of my knowledge."
Type in your name:
Type in today's date: