Consultation form

CONTE LAW FIRM CONSULTATION QUESTIONNAIRE

INFORMATION REGARDING APPLICANT

Name:

Middle Name:

Last Name:

Date Of Birth:

Citizenship:

Current nonimmigrant status:

Other Names:

(Maiden, Religious, Professional, Aliases)

Sex:
 Male Female
Place of birth:

(City), (State), (Country)

U.S. Social Security No:
Place of marriage:

Expires:

MARITAL INFORMATION

Marital status: Married Widowed Divorced Separated Single

Will your spouse accompany you to the U.S.?

 Yes No

Date of birth:

Citizenship:

U.S. Social Security No:

(Country)

Is your spouse currently working in the U.S.?

 Yes No

If no, does he or she wish to work in the U.S.?
 Yes No
Spouse’s Name:

(Last), (First), (Middle)

Sex:
 Male Female
Place of birth:

(City), (State), (Country)

U.S. Social Security No:

Place of marriage:

If yes, does he or she have authorization to work full-time?
 Yes No

Were you previously married?
 Yes No

IMMIGRATION-RELATED QUESTIONS

Marital status: Married Widowed Divorced Separated Single

Are either you or your spouse an American Indian born in Canada of at least 50 percent Native bloodline?
 Yes No

Have you ever been placed in immigration proceedings?
 Yes No

Exclusion Deportation Rescission Judicial proceedings

Where:
When:

Have you ever applied for a U.S. nonimmigrant visa before?

 Yes No
If yes, Classification:
Where:
When:

Outcome? Issued Refused

Nonimmigrant visa No:

Has your U.S. visa ever been canceled?
 Yes No

Plan to apply for immigrant visa abroad?
 Yes No

If yes, where:
Plan to adjust status in U.S.?
 Yes No