GENERAL QUESTIONNAIRE FOR CONSULTATIONS

Please, keep in mind that we give you no guarantee that we will respond to every inquiry we receive. However we assure you that will do our best to the extend that our workload allows us.

Try to fill in as much information as you can in order for us to make as realistic evaluation of your case as possible. None of the fields are obligatory, some of them would not apply to you at all, so if you do not understand a question just skip it and continue!

Full Name

Date of Birth ; Sex - (Select One) Female Male

Nationality , citizen of

Other names used (including maiden name)

Place of Birth , ,

U.S. Social Security No.

Phone number: ; E-mail address

Present U.S. Address: , ,

Father's Place of Birth:

Father's Residence:

Mother's Place of Birth:

Mother's Residence:

Were any of your grandparents born in the U.S.? (Select One) No Yes If you answered here 'Yes', please explain which grandparent was born in the US, when and where.
(Type your explanation here)

Marital Status: (Select One) Married Single Divorced Separated Widowed Spouse's Name:

Spouse's Place of Birth:

Spouse's Citizenship:

Education: (Select One) High School College ; Degrees Earned:

Do you have any special skills or qualifications? Please, explain:
(Type your explanation here)

Date/Place of last arrival in U.S.: ,

Means of travel into U.S: ; Inspected? (Select One) No Yes

Status at entry

Visa issued at the Consulate in

Date visa issued Expiration date

Date I-94 Card issued Expiration date

Has a prior visa petition ever been filed? (Select One) No Yes If YES, then answer the following:

When? Where? Approved? (Select) No Yes

What type of petition?

Have you ever been convicted of a crime? (Select) No Yes been arrested? (Select) No Yes If you answered YES to any of the two, please explain in detail:
(Type your explanation here)

Please, explain in your own words the question you have or the problem you think we could help you with.
(Type your explanation here)