Naturalization - Consultation Intake Form

^•Applicant's First Name:

^•Applicant's Last Name

Country of Birth:

List all citizenships:

Other:

When does you LPR (Lawful Permanent Residency) Expire?

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

E-mail:

^•Area Code:

^•Phone Number

Street Address:

Street Address Line 2:

City:

State / Province:

Postal / Zip Code:

Have you ever been detained by the police or immigration?

Have you ever or are you currently in removal proceedings/immigration court?

If yes, explain briefly:

Have you ever made a false claim to US citizenship?

Have you ever committed any fraud to immigration?

Have you ever applied for asylum?

Have you ever applied for naturalization before? If so, when and what was the result?

How did you obtain your current legal permanent resident status? If from family, how did they obtain it?

Have you ever been refused entry into the US?

Other:

Name of the person completing the intake sheet:

Date:

Please upload any files pertaining to your case below:

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