Consultation Scheduling Form

First Name

Last Name

Date of Birth

Phone Number

Country of Birth

Country of Citizenship

Email

City and State of Current Residence

Are you currently in the United States?

Since what year have you been in the United States?

How did you enter the United States? —Please select an option—With visaWith paroleWith temporary permitEntered without inspectionOther

Visa type (if applicable) —Please select an option—Tourist (B1/B2)Student (F1)WorkOther

Is your visa still valid?

Have you had any prior immigration petition filed?

Who filed the petition? —Please select an option—ParentSpouseEmployerAnother relativeOther

What is your current immigration status? —Please select an option—No legal statusValid visaTPSPending asylumPermanent residentOther

Do you currently have a case in immigration court?

Have you ever been arrested in the United States or any other country?

Do you have a deportation order or removal proceedings?

Do you have any family members who are U.S. citizens or permanent residents?

Which family member?