Consultation Request

Immigration

Please fill out the following form and our office will contact you after reviewing your information.

Date:

Name:

Referred By:

Country of Birth:

Country of Nationality
(if different):

Home Telephone Number:

Work Telephone Number:

Mobile Telephone Number:

Email Address:

Current Status in the U.S. (choose one):
Tourist B-2
Tourist Visa Waiver
Student (F-1)
Asylum
Refugee
Legal Permanent Resident
Out of Status (Entered Without Inspection)
Out of Status (Overstayed Legal Entry)
Other

If "Other," please explain your status:

Current Status Expires on:

If you entered the U.S. in a status other than the status you currently hold,
please specify in what status you entered the country, the date of your initial entry and the date your initial entry expired:

What application(s) or petition(s), if any, do you currently have pending
with the Citizenship and Immigration Services (CIS)?

Please tell us why you are contacting us:
To obtain an H-1B work Visa
To obtain a green card through my employer
To obtain a green card through my family member
To obtain an L-1 visa
To obtain U.S. citizenship

Other reason for contacting us. Please explain:

If you would like to apply for an H-1B work visa, please answer the following questions:

Select the option that best describes your education and work experience:

I have a U.S. Master's degree in
I have a U.S. Bachelor's degree in
I have a foreign Bachelor's degree in
I have no degree, but I do have some college education and work experience.

(please explain)

I have no college education, but I have work experience.

(explain number of years work experience and positions held)

Is there an employer that is willing to sponsor your H1-B?
yes no

If yes, what is your sponsoring employer's name?

What is the proposed position and salary?

If you would like to apply for a green card through your employer, please answer the following questions:

Is there an employer that is willing to sponsor your green card?
yes no

If yes, what is your sponsoring employer's name?

What is the proposed position and salary?

If you would like to apply for a green card through a family member, please answer the following questions:

Is there a family member willing to sponsor you?
yes no

If yes, what is your relationship to the family member?

What is your family member's immigration status?

If you would like to apply for an L-1 visa, please answer the following questions:

Have you worked abroad for a foreign company for 1 out of the last 3 years?
yes no

What is/was your position with the foreign company?

Does the foreign company have parent, affiliate, subsidiary or branch offices in the U.S.?
yes no

What will be your position in the U.S.?

If you would like to apply for Naturalization, please answer the following questions:

What is your date of birth?:

What date did you become a Lawful Permanent Resident?:

How did you obtain your permanent residence?
Employer Marriage to a U.S. Citizen Other

If other, please explain

Have you been in the U.S. for 2-1/2 years of the past 5 years (or 1-1/2 years of past 3 years, if married to a U.S. citizen)?
yes no

Have you been out of the U.S. for 1 year or more within the last 5 years (or in the last 3 years, if married to a U.S. citizen)?
yes no

Have you been a resident in your state of current residence for at least three months?
yes no

Have you ever been deported from the U.S.?

yes no

If yes, please describe when and why:

Have you ever been arrested, charged or jailed for a crime?
yes no

If so, please explain when, why, and the final outcome:

Law Offices of Debra E. Schwartz, LLC, 945 E. Paces Ferry Road, Suite 1770, Atlanta GA 30326
Phone: 404-842-7262 Fax: 404-842-7277, E-Mail des@GAEmploymentLawyers.com

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