• Immigration Questionnaire Form

    Provide your personal details, U.S. entry and address history, and immigration/compliance background.

  • Personal Information

  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Other names?*

  • Arrival and Entry History

  • Date of Last Arrival in the United States*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Been in the United States Before Last Entry*

  • Current and Prior U.S. Addresses

  • Date Moved to Current Address*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Have you resided at your current address for at least 5 years?*
  • Dates at Prior U.S. Address 1
     - -
    2 digit month, 2 digit day, 4 digit year
  • Dates at Prior U.S. Address 2
     - -
    2 digit month, 2 digit day, 4 digit year

  • Social Security and Work/School History

  • Do you have a Social Security Number?
  • Are you currently studying or working?*
  • From / To*
     - -
    2 digit month, 2 digit day, 4 digit year

  • School and Employment History of Last 5 years

  • School or Employment History*

  • Parents Information

  • Mother - Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Father - Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year

  • Marriage and Children

  • Do you have children?*

  • Physical Characteristics

  • Immigration and Compliance History

  • Have you ever been denied admission to the United States?*
  • Have you ever been denied a visa to the United States?*
  • Have you ever worked in the United States without authorization?*
  • Have you ever violated the terms or conditions of your nonimmigrant status?*
  • Have you ever been detained (including immigration, CBP, or ICE)?*
  • Have you ever been unlawfully present in the United States?*
  • Should be Empty:
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