IMMIGRATION LAW GROUP LLP
2880
Zanker Road, Suite 201
San
Jose, CA 95134
Phone:
(408) 432-9200
Fax:
(408) 432-9191
Employment Based AOS
Questionnaire
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Please answer the following questions:
Name:
Male
o
Female
o
First
Middle Last
Home Address:
Street
Address
City
State Zip
Code
Marital Status:
o
Married
o
Single*
o
Divorced
o
Widowed Date of Marriage:
*
If there is a possibility of marriage,
please contact the attorney immediately
to discuss.
Place of Marriage:
Former Husbands or Wives:
o
Yes
o
No
Name of former husband or wife (maiden):
Date of Birth:
Date & Place of Marriage:
Date & Place of termination of marriage:
Other names used (include maiden name):
Home Phone Number: (
)
Email address: _________________________
Work Address:
Street
Address
City
State Zip
Code
Work Phone Number: (
)
Current Occupation:
Date of Birth:
City,
State/Province and Country of Birth:
________
Social Security Number:
- -
I-94
Number:
Consulate where Visa was issued:
Date of last arrival:
City & State of last entry:
Were you inspected by a U.S. Immigration
Officer?
o
Yes
o
No
Please list the full names, dates of
birth, U.S. immigration status, and
addresses for each of your children:
Have you ever applied for permanent
residency before?
o
Yes
o
No
If yes, please explain:
List your present and past membership in
or affiliation with every political
organization, association, fund,
foundation, party, club, society, or
similar group in the United States or in
any other place since your 16th
birthday. Include any foreign military
service in this part. Include the name
of organization, location, dates of
membership from and to, and the nature
of the organization.
If your answer is
“Yes” on any one of these questions,
explain on a separate piece of paper.
Answering “Yes” does not necessarily
mean that you are not entitled to
register for permanent residence or
adjust status.
Have
you ever, in or outside the U.S.:
a.
knowingly
committed any crime of moral turpitude
or a drug-related offense for which you
have not been arrested?
b.
Been arrested, cited charged,
indicted, fined, or imprisoned for
breaking or violating any law or
ordinance, excluding traffic violations?
c.
Been the beneficiary of a pardon,
amnesty,
rehabilitation decree, other act
of clemency or similar action?
d.
Exercised diplomatic immunity to
avoid prosecution for a criminal offense
in the U.S.?
o Yes
o No
Have
you received public assistance in the
U.S. from any source, including the U.S.
government or any state, country, city,
or municipality (other than emergency
medical treatment), or are you likely to
receive public assistance in the future?
o Yes
o No
Have
you ever:
