Jones Casado LLP

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Jones Casado LLP

Areas of Practice

Family Based Immigration

Business & Employment
Based Immigration

Immigration Court
Proceedings

Asylum

Investor Visas

Questionnaire

Please take a moment to fill out this Questionnaire about yourself:

Personal Information
Family Name: *
First Name: *
Middle Name:
Current Address: *
Any Other Names Used (including names by previous marriages):
Sex: *		Male Female
Marital Status: *		Married Single Divorced Widowed
Date of Birth: *		Year:
City and Country of Birth:

Immigration Information
Alien Registration Number (if applicable):
Place and date of most recent entry into the United States:
Immigration status at last time of entry:		Green Card Visa None
If you entered on a visa, please specify type:
Current Immigration Status
Citizenship/Nationality:
Previous Application(s) for the US lawful permanent residence		Yes No
If Yes, please give date, place and result of the application:

Information About Spouse and Children (If Any):
	Name	Date of Birth	Sex	Country Of Birth	Immigration Status
1.			Male Female
2.			Male Female
3.			Male Female
4.			Male Female

Current Employer
Employer Address:
Have you ever been charged with commiting any crime or offense?	Yes No
Have you ever (in or outside of the US) been arrested for any reason?	Yes No
Have you ever been incarcerated in jail or prison?	Yes No
Have you ever (in or outside of the U.S.) been convicted of any crime or violation?	Yes No
Have you ever been placed in removal/ deportation proceedings in the U.S.?	Yes No
If you answered yes to any of the questions above, please provide details in the space to the right:
What services would you like from our office?

Contact Information
Home Telephone: *
Mobile Telephone:
Pager:
Work Telephone:
Home Fax:
Work Fax:
E-mail: