Nonimmigrant Visa Questionnaire

Beneficiary

Name
Other Names Used
First name
Middle name
Last name
 
Gender as it appears on your passport
Address
Foreign Address
MM slash DD slash YYYY
MM slash DD slash YYYY
MM slash DD slash YYYY

Do you have U.S. health insurance?
Do you have foreign/overseas health insurance that can/does cover you while in the US?
Do you work freelance or with one employer?

Have you ever been fingerprinted or arrested anywhere in the world?
Have you ever been cited or convicted of a crime anywhere in the world?
Have you previously travelled to the US?
Have you ever previously been issued a visa?
Have you ever had a J-1 or J-2 Visa?
Have you ever been denied a visa?
Do you have any previous U.S. immigration violations?
Has anyone filed an application on your behalf in the past?

Do you have a spouse?
Do you have children?
Will your family members (spouse/children) be filing with you?
If your spouse/children are filing with you, please provide the below documents for them as well as your own, and consult with the firm about the process for your family members.

Documents we need

PLEASE PROVIDE WITH THIS QUESTIONNAIRE:
Drop files here or
Accepted file types: jpg, jpeg, png, pdf, Max. file size: 2 GB.
    Drop files here or
    Accepted file types: jpg, jpeg, png, pdf, Max. file size: 2 GB.
      Drop files here or
      Accepted file types: jpg, jpeg, png, pdf, Max. file size: 2 GB.
        Drop files here or
        Accepted file types: jpg, jpeg, png, pdf, Max. file size: 2 GB.
          (This is for our use only, to help you with your case.)