Consultation Web Page

Please fill out the online form below. This will be electronically forwarded to a consultation attorney who will contact you regarding an appropriate date/time to schedule a consultation. We recommend that you accurately complete all the questions listed in each numbered section. They are divided accordingly:

Section ( 1 ) : Contains required questions that must be answered. ( * )
Sections ( 2 - 6 ) : Contains optional fields.

Keep in mind that we will need ALL answers to the questions on this form at your initial consultation.

Also, it is suggested that you "PRINT" the Consultation Page that will appear on your browser when you have successfully completed this form. Please bring a copy of your submitted information to the initial consultation.

1. Complete the following with your contact information. (Required Fields)

Please select the office to which you desire a consultation. *
San Francisco
San Jose
San Mateo

When do you need to have your consultation? *
Immediately
Within three days
Within one month
Later

Full Name: (First & Last)	*
Address:	*
City:	*
State:	*
Zip Code:	*
Country:	*
Telephone Number: (include area code)	*
E-mail Address:	*
Country of birth/citizenship?	*
How did you hear of Us?	*

2. Complete the following with your history and background.

Date of birth (month/day/year)
City of birth?
Country you lived in before coming to the United States?
How long have you been in the United States?	Years Months

Briefly explain how you entered the United States.

If you entered with a visa, when does it expire? (month/day/year)
Have you applied for an extension of your visa?		yes no

3. About your marital status.

A. Are you married?	yes no
If you answered "yes", please complete the following:
Full name of spouse?
List date and location of marriage. (Date, city, country)
What is your spouses legal status?
Please state legal status if you selected "other".

B. Have you been married before?	yes no
If you answered "yes", please complete the following:
Full name of previous spouse.
List date and location of marriage. (Date, city, country)
What is former spouse;s legal status?
Please state legal status if you selected other.
Date marriage ended: (month/day/year)

4. About your family.

Do you have children?	yes no
How many children do you have?
Do you have children over 21 years who are citizens?	yes no

List Children and/or Parents living in the United States with their Legal Status.

Relative One
List Spouse, Child or Parent (only):
First & Last Name:
Legal Status:

Relative Two
List Spouse, Child or Parent (only):
First & Last Name:
Legal Status:

Relative Three
List Spouse, Child or Parent (only):
First & Last Name:
Legal Status:

Relative Four
List Spouse, Child or Parent (only):
First & Last Name:
Legal Status:

Relative Five
List Spouse, Child or Parent (only):
First & Last Name:
Legal Status:

5. About your employment.

A. Are you employed in the United States?	yes no
If yes, what is your job title/profession?
Please list the name and address of your employer.

B. List your job skills.

6. Additional questions.

A. Have you ever applied for permanent residency, amnesty, or any other program such as TPS or Family Unity?	yes no
If you answered "yes" please list when and how you applied.

B. Have you ever been arrested in the United States?	yes no
If you answer "yes", list the date, the reason and the sentence of your arrest.

C. Have you ever had any contact with the INS?	yes no
If you answer "yes", please list date and reason of your INS contact.

D. Have you gone before an immigration judge?	yes no
If you answer " yes", please list date and reason you went before a judge.

E. Do you have any reason to fear going back to your home country?	yes no
If you answer " yes", whom do you fear and why?

F. Did someone refer you to EnterUSA.com?	Yes No
If "yes", please list name of person(s) who referred you.

Check this box to receive a e-mail copy of your consultation submission.