Employment-Based - Employee Consultation Intake Form

Please provide as much information available and email your resume/CV to Contact@RubyPowersLaw.com before the consultation.

Applicant's Information

^•First Name:

^•Middle Name:

^•Last Name:

Maiden Name (If Applicable)

Date of Birth:

City and Country of Birth:

USCIS A-Number (if any) (Ex: 23)

Briefly describe what you would like to discuss in the consultation. Which visa are you interested in?

Contact Information

^•E-mail

Current Address

Street Address:

Street Address Line 2:

City:

State / Province:

Postal / Zip Code:

Phone Number

Area Code:

Phone Number:

Cell/Work Phone Number

Area Code:

Phone Number:

Skype:

Immigration Information

Immigration Status At First Entry:

I-94 Number (if any):

Current Nonimmigrant Status

Employment Authorization Document (EAD) Number (if any)

If Yes, Please State When and Name of Sponsor

US Consulate Where You Wish to Obtain Your Visa Stamp (Info Needed Even If You Will Be Changing Status in the US)

Passport Information

Passport Number: (Ex: 23)

Country of Issuance:

Date of Issuance:

Date of Expiration:

Education Information

Other

Field of Study/Major

Name of School

Travel History

Please List All Trips Outside of the US While in H-1B/L-1 Status, Starting With The Most Recent

Trip 1

Date Exited US

Date Entered US

Countries Visited

Trip 2

Date Exited US

Date Entered US

Countries Visited

Trip 3

Date Exited US

Date Entered US

Countries Visited

Trip 4

Date Exited US

Date Entered US

Countries Visited

Trip 5

Date Exited US

Date Entered US

Countries Visited

Family History

Please Complete the Following Information Regardless of Whether the Listed Family Members Will Be Part of Your Application

Spouse's First Name:

Spouse's Middle Name:

Spouse's Last Name:

Spouse's Maiden Name (if applicable)

Spouse's Date of Birth:

Spouse's Country of Birth:

Spouse's Current Immigration Status:

Child 1 Information

Child 1's First Name:

Child 1's Middle Name:

Child 1's Last Name:

Child 1's Date of Birth:

Child 1's Country of Birth:

Child 1's Current Immigration Status

Child 2 Information

Child 2's First Name:

Child 2's Middle Name:

Child 2's Last Name:

Child 2's Date of Birth:

Child 2's Country of Birth:

Child 2's Current Immigration Status

Child 3 Information

Child 3's First Name:

Child 3's Middle Name:

Child 3's Last Name:

Child 3's Date of Birth:

Child 3's Country of Birth:

Child 3's Current Immigration Status:

Conclusion

^•Overall goal of consult/ what is the main issue that needs to be resolved during consult?

Other

Name of the person completing the intake sheet:

Date: