| * |
|
| * |
|
| * |
|
| State |
|
| Country |
|
| * |
|
| * |
|
| * |
|
| Business Phone |
|
| Cell Phone |
|
| Facsimile |
|
| What is your marital status? |
|
| Do you have a job offer from a U.S. employer? |
Yes |
No |
| If yes, please provide the employer's name and address, and a description of the job you have been offered. |
|
| Do you have family members now living in the U.S.? |
Yes |
No |
| If yes, please provide the name and address of your family member, and describe how you are related to that family member. |
|
| Are you married to a U.S. citizen? |
Yes |
No |
| If yes, please provide your spouse's name and address, and the date and place of your marriage. |
|
| Please set out the reason or reasons you wish to enter, or remain in, the U.S. |
|
| If you are applying for a visa to enter the U.S., do you wish to bring members of your family with you? |
Yes |
No |
| If yes, please provide their names, addresses, and their relationship to you. |
|
| Have you ever entered the U.S. on a visa other than a tourist visa? |
Yes |
No |
| If yes, please provide the dates you were in the U.S., and the type of visa used. |
|
| Have you ever been denied permission to enter the U.S., or ordered to leave the U.S.? |
Yes |
No |
| Have you ever been convicted of a crime? |
Yes |
No |
| If yes, please provide the details, including the offense for which you were convicted, the sentence or penalty imposed, and the date of the offense. |
|
| If you are now in the U.S., have you been ordered to leave, or do you believe you may be ordered to leave? |
Yes |
No |
| If yes, please provide the details, including the reason for the order. |
|
| Are you making a claim for political asylum? |
Yes |
No |
| If yes, please provide the details, including the reasons for your claim. |
|
| Special concerns: |
|
| Where did you hear about this website? |
|
None of the information provided by this website is intended to create an attorney-client relationship with Baybik Law Group, P.C. Though we welcome e-mail correspondence and
inquiries, please note that the information sent to Baybik Law Group, P.C. via e-mail is neither confidential nor privileged. You will not be considered a client of Baybik Law
Group, P.C. until you and the firm, both, have agreed to such a relationship.
|