Law Offices of Adrien Medvei

Online Questionnaire

1. Name (last name, middle name, first name):
2. Date of Birth (mm/dd/yy):
3. Country of Birth:
4. Social Security Number:
5. Alien Registration Number (if any):
6. Current Nonimmigrant Status:
7. Current Nonimmigrant Status Expires:
8. U.S. Address:

Home Phone:
Mobile Phone:
Work Phone:
9. Foreign Address:

Home Phone:
Mobile Phone:
Work Phone:

10. Passport Number:
Passport Issue Date:
Passport Expiration Date:

11. On what date was your last entry into the United States? (mm/dd/yy)
12. At what port of entry (city/state)?
13. With what type of Visa?
14. When does it expire? (mm/dd/yy)
15. Has any application made by you for a visa to enter the United States ever been denied?
If yes, when and why?

16. Has any visa held by you to enter the United States ever been canceled?
If yes, when and why?

17. Have you ever been in exclusion or deportation proceedings?
If yes, when and what was the outcome?

18. Has any immigrant petition ever been filed on your behalf or have you ever filed one yourself?
If yes, when and what was the outcome?

19. Has any nonimmigrant petition filed on your behalf ever been denied?
If yes, when and why?

20. Are there currently pending any nonimmigrant petitions filed with INS on your behalf?
(That is any nonimmigrant petitions - "H", "L", "O", etc.- that have been filed with USCIS but for which a receipt notice has not been issued, or, for which a receipt notice has been issued but an approval notice has not yet been issued.)

21. Please list all actual periods of stay in the U.S. during the past 7 years. (Please refer to your I-94 card and passport arrival/departure stamps, if available.) Keep in mind that your actual periods of stay in the U.S. may be shorter than the validity periods listed on your Approval Notices, Visas for "H" or "L" Classification.

From (mm/dd/yy):To(mm/dd/yy):
From (mm/dd/yy):To(mm/dd/yy):
From (mm/dd/yy):To(mm/dd/yy):
From (mm/dd/yy):To(mm/dd/yy):
From (mm/dd/yy):To(mm/dd/yy):

22. If you indicated that you were issued an I-94 Card for H-1B, H-4, L-1 or L-2 status during the past 7 years, then please list each Petition and supply us with copies of your previous I-797 Approval Notices.

Case Number: Classification: Valid From(mm/dd/yy): To(mm/dd/yy):
Case Number: Classification: Valid From(mm/dd/yy): To(mm/dd/yy):
Case Number: Classification: Valid From(mm/dd/yy): To(mm/dd/yy):
Additional I-797 Approval Notices:

23. How many dependents are accompanying you and require nonimmigrant status?

A. Please list the name, age, and relationship of each dependent accompanying you:

Name (First, Middle, Last): Date of Birth (mm/dd/yy): Relationship:

Name (First, Middle, Last): Date of Birth (mm/dd/yy): Relationship:

Name (First, Middle, Last): Date of Birth (mm/dd/yy): Relationship:

Name (First, Middle, Last): Date of Birth (mm/dd/yy): Relationship:

Name (First, Middle, Last): Date of Birth (mm/dd/yy): Relationship:

Name (First, Middle, Last): Date of Birth (mm/dd/yy): Relationship:

Name (First, Middle, Last): Date of Birth (mm/dd/yy): Relationship:

Name (First, Middle, Last): Date of Birth (mm/dd/yy): Relationship:

Name (First, Middle, Last): Date of Birth (mm/dd/yy): Relationship:

Name (First, Middle, Last): Date of Birth (mm/dd/yy): Relationship:

B. For each dependent listed above, you should answer Questions 1 - 24 on another E Candidate Questionnaire.

Scheduling a Free Consulation

Days of the week that you are available:

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Preferred Time Range:

Thank you for filling out the questionnaire. We will call you within 1 - 2 business days to schedule a consultation with the information that you've provided. Click Submit below to send this information to us.