How to reach
us?
Toll-free number:
1-866-360-4LAW
1-866-360-4529
Our location
Main Office:
16177 Brookhurst Ave
Fountain Valley, CA 92708.
Tel: (714) 636-6030
(714) 389-7880
>>Map
Orange County
14411 Brookhurst Ave,
Suite A
Garden Grove, CA 92843
Tel: (714) 775-7770
>>Map
Rosemead
8450 Garvey Ave. Suite 208
Rosemead, CA 91770.
Tel:
(626) 307-4000
>>Map
Other branches:
626-288-0854 (San Gabriel
Valley) |
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EXTRAORDINARY ABILITY ALIEN
QUESTIONNAIRE
Please print this form and write or type your answers into the right column
To download a MS Word version of this document, right click on
this link and select "Save Target As" (for mac users, CTRL + click).
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GENERAL INFORMATION |
| Full Name (with
last name in caps): |
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| U.S. Address:
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| Address in your home country:
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| Email Address:
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| Mobile Telephone:
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| Home Telephone:
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| Office Telephone:
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| Fax number:
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| Social security number:
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| Date of Birth:
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| Place of Birth (City, Country):
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| Country of Nationality:
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| Employer's Name:
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| Employer's Main Address:
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| Your Worksite Address, if
different: |
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| Employer's Main Telephone
Number: |
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INFORMATION REGARDING YOUR EMPLOYMENT
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| Job title:
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| Annual salary:
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| Provide a detailed job
description including specific responsibilities: |
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| Requirements for this position
(include educational requirements, specific skills, experience, and
expertise required): |
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| Provide information about the
importance of your work/research and how it will benefit and impact the
U.S: |
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| Provide information regarding
the number of people you supervise, if any, and what type of employees
they are (e.g., scientists, post docs, and technicians): |
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INFORMATION ABOUT EMPLOYEE'S FAMILY (if applicable)
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Spouse
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| Name:
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Address:
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Date & Place of Birth:
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Child #1
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| Name:
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Address:
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Date & Place of Birth:
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Child #2
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| Name:
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Address:
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Date & Place of Birth:
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Child #3
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| Name:
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Address:
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Date & Place of Birth:
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Required evidence to prove
your eligibility as an Extraordinary Ability Alien - unless you have
received a major, internationally recognized award such as the Nobel
Prize, you must provide as much of the below documentation as you can
(you must have at least three of the following):
- Evidence you have received lesser nationally or internationally
recognized awards or prizes (must include a description of the
selective process in which recipients are chosen);
- Evidence of your membership in any professional and/or
scientific societies where outstanding achievements are required
(must include information regarding the requirements and/or
selective process for membership);
- Evidence that others have published materials in professional
journals about you and/or your work, including evidence that your
work has been cited by others;
- Evidence you have judged or reviewed, or been invited to judge
or review, the work of other scientists or engineers in your field;
- Copies of documentation regarding any patents you hold, or other
documentation showing you have made original scientific or scholarly
research contributions;
- Copy of the first pages of all published articles which you
authored or co-authored. Be sure to include the page(s) where your
name appears as the author;
- Evidence you have performed in a leading or critical role for an
organization with a distinguished reputation; and
- Evidence you command a high salary compared to others in your
field.
Additional Required Documents - please mail
the following documents along with the completed questionnaire to us:
- Updated and detailed resume, including a publications list if
applicable;
- Letters of reference from others in your field detailing your
outstanding contributions (letter should detail how you have made
original scientific contributions, if any, and the author of the
letter's resume should be included);
- Copies of diplomas and/or transcripts from all universities that
you have attended;
- Education evaluation, if available and you have a degree from a
foreign institution;
- Copy of Form I-94 (front and back) for you, your spouse and
children (if applicable);
- Copies of all passports (exclude blank pages);
- Copies of all prior U.S. work authorization documents (e.g.,
H-1B or O-1 approval notices, EAD, I-20s, and etc.).
- Copy of birth certificates for you, your spouse and children (if
applicable); and
- Copy of your marriage certificate (if applicable).
Although the list of documents above may appear
onerous, it is important to be thorough because the more complete you
are with the document gathering process, the better we can prepare your
case.
After you submit the necessary information and documents to Immigration
Law Group, we will write a detailed statement to support the permanent
residency petition, and email a draft of this statement to you for
review before all of the documents are finalized for filing with the
BCIS.
Immigration Law Group LLP
2880 Zanker Road, Suite 201
San Jose, CA 95134
Tel (408) 432-9200
Fax (408) 432-9191
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Please answer the following
questions. (If your answer is "YES" on any one of these questions,
explain on a separate piece of paper.
a. Have you ever, in or outside the U.S.:
- knowingly committed any crime of moral turpitude or a
drug-related offense for which you have not been arrested?
- been arrested, cited, charged, indicted, fined, or imprisoned
for breaking or violating any law or ordinance, excluding traffic
violations?
- been the beneficiary of a pardon, amnesty, rehabilitation
decree, other act of clemency or similar action?
- exercised diplomatic immunity to avoid prosecution for a
criminal offense in the U.S.?
___ Yes __ No
b. Have you received public assistance in the
U.S. from any source, including the U.S. government or any state,
county, city, or municipality (other than emergency medical treatment),
or are you likely to receive public assistance in the future?
___ Yes __ No
c. Have you ever:
- within the past 10 years been a prostitute or procured anyone
for prostitution, or intend to engage in such activities in the
future?
- engaged in any unlawful commercialized vice, including, but not
limited to, illegal gambling?
- knowingly encouraged, induced, assisted, abetted or aided any
alien to try to enter the U.S. illegally?
- illicitly trafficked in any controlled substance, or knowingly
assisted, abetted or colluded in the illicit trafficking of any
controlled substance?
___ Yes __ No
d. Have you ever engaged in, conspired to
engage in, or do you intend to engage in, or have you ever solicited
membership or funds for, or have you through any means ever assisted or
provided any type of material support to, any person or organization
that has ever engaged or conspired to engage, in sabotage, kidnapping,
political assassination, hijacking, or any other form of terrorist
activity?
___ Yes __ No
e. Do you intend to engage in the U.S. in:
- espionage?
- any activity a purpose of which is opposition to, or the control
or overthrow of, the Government of the U.S., by force, violence or
other unlawful means?
- any activity to violate or evade any law prohibiting the export
from the Untied States of goods, technology or sensitive
information?
___ Yes __ No
f. Have you ever been a member of, or in any
way affiliated with, the Communist Party or any other totalitarian
party?
___ Yes __ No
g. Did you, during the period March 23, 1933
to May 8, 1945, in association with either the Nazi Government of
Germany or any organization or government associated or allied with the
Nazi Government of Germany, ever order, incite, assist or otherwise
participate in the persecution of any person because of race, religion,
nationality, ethnic origin, or political opinion?
___ Yes __ No
h. Have you ever engaged in genocide, or
otherwise ordered, incited, assisted or otherwise participated in the
killing of any person because of race, religion, nationality, ethnic
origin, or political opinion?
___ Yes __ No
i. Have you ever been deported from the U.S.,
or removed from the U.S. at government expense, excluded within the past
year, or are you now in exclusion or deportation proceedings?
___ Yes __ No
j. Are you under a final order of civil
penalty of violating section 274C of the Immigration Act for use of
fraudulent documents, or have you by fraud or willful misrepresentation
of a material fact, ever sought to procure, or procured, a visa, other
documentation, entry into the U.S., or any other immigration benefit?
___ Yes __ No
k. Have you ever left the U.S. to avoid being
drafted into the U.S. Armed Forces?
___ Yes __ No
l. Have you ever been a J non-immigrant
exchange visitor who was subject to the 2 year foreign residence
requirement and not yet complied with that requirement or obtained a
waiver?
___ Yes __ No
m. Are you now withholding custody of a U.S.
Citizen child outside the U.S. from a person granted custody of the
child?
___ Yes __ No
n. Do you plan to practice polygamy in the
U.S.?
___ Yes __ No |
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