Questionnaire: Green Card (Employment-Based)

Questionnaire: Green Card - Employment Based

INFORMATION REGARDING BENEFICIARY

This Questionnaire will provide us with the great majority of information necessary to proceed with your case. Please write all dates using the format DD/MM/YYYY (e.g. 01 January 2023). Information already available to us does not need to be provided. For the purposes of this Questionnaire, any reference to the PETITIONER shall be in reference to the individual already a citizen of the US. Likewise, references to the BENEFICIARY shall be in reference to the nonresident relative (i.e. the individual seeking to immigrate to the US).

Last Name/Surname(Required)

First Name(Required)

Middle (Second) Name

Maiden Name

Current Home Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

From Date(Required)

To Date(Required)

Place of Birth (Country)(Required)

Geburtsort (Land)

Place of Birth (City)(Required)

Geburtsort (Stadt)

Do you have a Social Security Number?(Required)

Yes

U.S. Social Security Number(Required)

Do you have an "A- Number"?(Required)

Yes

A- Number

Do you have a Non-Immigrant Visa Number?(Required)

Yes

Non-Immigrant Visa Number(Required)

Consulate of Insurance(Required)

Date of Insurance(Required)

Have you lived at your Current Address within the last five years?(Required)

Yes

No - I need to add previous address(es)

1. Previous Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

1. From Date(Required)

1. To Date(Required)

2. Do you need to add another Previous Address?(Required)

Yes

2. Previous Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

2. From Date(Required)

2. To Date(Required)

3. Do you need to add another Previous Address?(Required)

Yes

3. Previous Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

3. From Date(Required)

3. To Date(Required)

INFORMATION REGARDING BENEFICIARY'S PARENTS

Do you know the name of your father?(Required)

Yes

Father's Last Name/Surname(Required)

Father's First Name(Required)

Father's Middle Name

Father's Country of Birth(Required)

Father's City of Birth(Required)

Father's Country of Residence(Required)

Father's City of Residence(Required)

Is your Father Alive or Deceased?(Required)

Alive

Deceased

Father's Date of Death(Required)

Do you know the name of your mother?(Required)

Yes

Mother's Last Name/Surname(Required)

Mother's First Name(Required)

Mother's Middle Name

Mother's Maiden Name

Mother's Country of Birth(Required)

Mother's City of Birth(Required)

Mother's Country of Residence(Required)

Mother's City of Residence(Required)

Is your Mother Alive or Deceased?(Required)

Alive

Deceased

Mother's Date of Death(Required)

Have you had or used any other names (including maiden names) in the past?(Required)

Yes

List other names used in the past (including maiden name) (click "+" to add additional names)(Required)

Marital Status(Required)

Date of Present Marriage(Required)

Country of Present Marriage(Required)

City of Present Marriage(Required)

Present Spouse's Last Name/Surname(Required)

Present Spouse's First Name(Required)

Present Spouse's Middle Name

Present Spouse's Maiden Name

Present Spouse's Date of Birth(Required)

Present Spouse's Country of Birth(Required)

Present Spouse's City of Birth(Required)

Present Spouse's Country of Residence(Required)

Present Spouse's City of Residence(Required)

1. Do you have any previous marriages to add?(Required)

Yes - I have been previously married and need to add details

No - I have NO other previous marriages

1. Date Previous Marriage Ended(Required)

1. Previous Spouse's Last Name/Surname(Required)

1. Previous Spouse's First Name(Required)

1. Previous Spouse's Middle Name

1. Previous Spouse's Maiden Name

1. Previous Spouse's Date of Birth(Required)

1. Previous Spouse's Country of Birth(Required)

1. Previous Spouse's City of Birth(Required)

1. Previous Spouse's Country of Residence(Required)

1. Previous Spouse's City of Residence(Required)

2. Do you have any other previous marriages to add?(Required)

Yes - I need to add details of another marriage

No - I have NO other previous marriages

2. Date Previous Marriage Ended(Required)

2. Previous Spouse's Last Name/Surname(Required)

2. Previous Spouse's First Name(Required)

2. Previous Spouse's Middle Name

2. Previous Spouse's Maiden Name

2. Previous Spouse's Date of Birth(Required)

2. Previous Spouse's Country of Birth(Required)

2. Previous Spouse's City of Birth(Required)

2. Previous Spouse's Country of Residence(Required)

2. Previous Spouse's City of Residence(Required)

3. Do you have any other previous marriages to add?(Required)

Yes - I need to add details of another marriage

No - I have NO other previous marriages

3. Date Previous Marriage Ended(Required)

3. Previous Spouse's Last Name/Surname(Required)

3. Previous Spouse's First Name(Required)

3. Previous Spouse's Middle Name

3. Previous Spouse's Maiden Name

3. Previous Spouse's Date of Birth(Required)

3. Previous Spouse's Country of Birth(Required)

3. Previous Spouse's City of Birth(Required)

3. Previous Spouse's Country of Residence(Required)

3. Previous Spouse's City of Residence(Required)

4. Do you have any other previous marriages to add?(Required)

Yes - I need to add details of another marriage

No - I have NO other previous marriages

4. Please provide details of any other previous marriages as you have previously provided(Required)

a) Date Marriage Ended, b) Full Name, c) Date of Birth, d) Country & City of Birth, e) Country & City of Residence.

IMFORMATION REGARDING BENEFICIARY'S EMPLOYMENT (5 YEARS)

Domestic or Abroad

Current Employer Name (most recent)(Required)

Current Employer Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Current Occupation (Specific)(Required)

Annual Income(Required)

Currency(Required)

From Date(Required)

Are you still employed by the above Employer?(Required)

Yes

To Date(Required)

1. Add Additional Employment?(Required)

Yes

1. Additional Employer Name(Required)

1. Additional Employer Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

1. Additional Occupation (Specific)(Required)

1. From Date(Required)

1. Are you still employed by the above Employer?(Required)

Yes

1. To Date(Required)

2. Add Additional Employment?(Required)

Yes

2. Additional Employer Name(Required)

2. Additional Employer Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

2. Additional Occupation (Specific)(Required)

2. From Date(Required)

2. Are you still employed by the above Employer?(Required)

Yes

2. To Date(Required)

3. Add Additional Employment?(Required)

Yes

3. Additional Employer Name(Required)

3. Additional Employer Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

3. Additional Occupation (Specific)(Required)

3. From Date(Required)

3. Are you still employed by the above Employer?(Required)

Yes

3. To Date(Required)

4. Add Additional Employment?(Required)

Yes

4. Additional Employer Name(Required)

4. Additional Employer Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

4. Additional Occupation (Specific)(Required)

4. From Date(Required)

4. Are you still employed by the above Employer?(Required)

Yes

4. To Date(Required)

Has the Beneficiary ever been the subject of an immigration proceeding?(Required)

Yes

Where?(Required)

When?(Required)

Address in the U.S. where the Beneficiary intends to live?(Required)

Street Address Address Line 2 City State ZIP Code

Beneficiary's address aboard

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Beneficiary's last address outside the U.S. of more than one year, if different from that listed in the previous question:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Present and Past Memberships and/or Affiliations (to add more, click "+" symbol)

Name of Organization

Location and Nature

Date From (DD / MM / YYYY)

Date To (DD / MM / YYYY)

**** List your present and past membership in or affiliation with every organization, association, fund, foundation, party, club, society, or similar group in the United States or in other places since your 16th birthday (including military service)

ANSWER THE FOLLOWING QUESTIONS

Answer the following questions. If you answer “Yes” to any of the following please provide an explanation in the provided space. NOTE: Answering “Yes” will not necessarily affect the status of any applications submitted on your behalf.

1. Have you ever, in or outside the U.S. knowingly committed any crime of moral turpitude or a drug-related offense for which you have not been arrested?(Required)

Yes

1. Explanation or Brief Description(Required)

2. Have you ever, in or outside the U.S. been arrested, cited, charged, indicted, convicted, fined, or imprisoned for breaking or violating any law or ordinance, excluding traffic violations?(Required)

Yes

2. Explanation or Brief Description(Required)

3. Have you ever, in or outside the U.S. been the beneficiary of a pardon, amnesty, rehabilitation decree, other act of clemency, or similar action?(Required)

Yes

3. Explanation or Brief Description(Required)

4. Have you ever, in or outside the U.S. exercised diplomatic immunity to avoid prosecution for a criminal offense in the United States?(Required)

Yes

4. Explanation or Brief Description(Required)

5. Have you ever, in or outside the U.S. received public assistance in the US from any source, including the US Government or any State, county, city, or municipality (other than emergency medical treatment), or are you likely to receive public assistance in the future?(Required)

Yes

5. Explanation or Brief Description(Required)

6. Have you ever, in or outside the U.S. within the past 10 years been a prostitute or procured anyone for prostitution, or intend to engage in such activities in the future?(Required)

Yes

6. Explanation or Brief Description(Required)

7. Have you ever, in or outside the U.S. engaged in any unlawful commercialized vice, including, but not limited to illegal gambling?(Required)

Yes

7. Explanation or Brief Description(Required)

8. Have you ever, in or outside the U.S. knowingly encouraged, induced, assisted, abetted, or aided any alien to try to enter the US illegally?(Required)

Yes

8. Explanation or Brief Description(Required)

9. Have you ever, in or outside the U.S. illicitly trafficked in any controlled substance, or knowingly assisted, abetted, or colluded in the illicit trafficking of any controlled substance?(Required)

Yes

9. Explanation or Brief Description(Required)

10. Have you ever, in or outside the U.S. engaged in, conspired to engage in, or do you intend to engage in, or have you ever solicited membership or funds for, or have you through any means ever assisted or provided any type of material support to any person or organization that has ever engaged in sabotage, kidnapping, political assassination, hijacking, or any other form of terrorist activity?(Required)

Yes

10. Explanation or Brief Description(Required)

11. Have you ever, in or outside the U.S. been a member of, or in any way affiliated with, the Communist Party or any other totalitarian party?(Required)

Yes

11. Explanation or Brief Description(Required)

12. Have you ever, in or outside the U.S. been deported from the US, or removed from the US at government expense, excluded within the past ten years, or are you now in exclusion, deportation, removal, or rescission proceedings?(Required)

Yes

12. Explanation or Brief Description(Required)

13. Have you ever, in or outside the U.S. left the US to avoid being drafted into the US armed Forces?(Required)

Yes

13. Explanation or Brief Description(Required)

14. Have you ever, in or outside the U.S. been a J nonimmigrant exchange visitor who was subject to the 2-year foreign residence requirement and have not yet complied with that requirement or obtained a waiver?(Required)

Yes

14. Explanation or Brief Description(Required)

15. Have you ever, in or outside the U.S. ordered, incited, called for, committed, assisted, helped with, or otherwise participated in any of the following: (a) acts involving torture or genocide, (b) killing a person, (c) intentionally and severely injuring any person, (d) engaging in any kind of sexual contact or relations with any person who was being forced or threatened, or (e) limiting or denying any person's ability to exercise religious beliefs?(Required)

Yes

15. Explanation or Brief Description(Required)

16. Have you ever, in or outside the U.S. served in, been a member of assisted in, or participated in any military unit, paramilitary unit, police unit, self-defense unit, vigilante unit, rebel group, guerrilla group, militia, or insurgent organization?(Required)

Yes

16. Explanation or Brief Description(Required)

17. Have you ever, in or outside the U.S. served in an prison, jail, prison camp, detention facility, labor camp, or any other situation that involved detaining persons?(Required)

Yes

17. Explanation or Brief Description(Required)

18. Have you ever, in or outside the U.S. been a member of, assisted in, or participated in any group, unit, or organization of any kind in which you or other persons used any type of weapon against any person or threatened to do so?(Required)

Yes

18. Explanation or Brief Description(Required)

19. Have you ever, in or outside the U.S. assisted or participated in selling or providing weapons to any person who to your knowledge used them against another person, or in transporting weapons to any person who to your knowledge used them against another person?(Required)

Yes

19. Explanation or Brief Description(Required)

20. Have you ever, in or outside the U.S. received any type of military, paramilitary, or weapons training?(Required)

Yes

20. Explanation or Brief Description(Required)

21. Do you intend to engage in the US in espionage?(Required)

Yes

21. Explanation or Brief Description(Required)

22. Do you intend to engage in the US in any activity a purpose of which is opposition to, or the control or overthrow of, the Government of the United States, by force, violence, or other unlawful means?(Required)

Yes

22. Explanation or Brief Description(Required)

23. Do you intend to engage in the US in any activity to violate or evade any law prohibiting the export from the US of goods, technology, or sensitive information?(Required)

Yes

23. Explanation or Brief Description(Required)

24. Did you, during the period from March 23, 1933 to May 8, 1945, in association with either the Nazi Government of Germany or any organization or government associated or allied with the Nazi Government of Germany, ever order, incite, assist, or otherwise participate in the persecution of any person because of race, religion, national origin, or political opinion?(Required)

Yes

24. Explanation or Brief Description(Required)

25. Are you now withholding custody of a US citizen child outside the US from a person granted custody of the child?(Required)

Yes

25. Explanation or Brief Description(Required)

26. Do you plan on requesting any accommodations because of a disability?(Required)

Yes

26. Explanation or Brief Description(Required)

27. Do you plan yo practice polygamy in the US?(Required)

Yes

27. Explanation or Brief Description(Required)

28. Do you have any plans to travel abroad during the immigration application process?(Required)

Yes

If “Yes” please provide a brief description of your travel plans (including the destination, dates of travel, reason for travel, and any other relevant information). *** NOTE: Though applicants are permitted to travel abroad during the application process, we strongly recommend that such travel be strictly reserved for emergency situations.

28. Explanation or Brief Description(Required)

REQUIRED DOCUMENTS

Copy of Birth Certificate WITH Certified English Translation (if not in English)(Required)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 128 MB.

Copy of Passport (all pages - front to back)(Required)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 128 MB.

Do you hold ANY Current U.S. Visas?(Required)

Yes

Copy of Any Current U.S. Visa(Required)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 128 MB.

Copy of Form I-94(Required)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 128 MB.

https://www.uscis.gov/i-9-central/form-i-94

Copy of Federal Tax Returns and Corresponding W-2 Forms (last 3 years)(Required)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 128 MB.

Copy of Paystubs (last 3 months)(Required)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 128 MB.

6 Current Photographs

Yes - Mail your photos to: BridgehouseLaw LLP - 112 S. Tryon Street, Suite 1100, Charlotte, NC 28284, USA

Not Yet

Photo requirements can be found at: https://travel.state.gov/content/travel/en/passports/how-apply/photos.html

Copy of Previous Employment Authorization Card (front and back)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 128 MB.

Copy of Marriage Certificate (WITH certified English translation, if necessary)(Required)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 128 MB.