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Foreign Citizen
Questionnaire |
| First Name |
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| Last Name |
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| Middle Name |
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| Address |
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| City |
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| State |
Zip Code: |
| Home Phone |
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| Work Phone |
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| Cell Phone |
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| Fax Number |
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| Email |
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| SSN |
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| License Number |
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How did you hear about our office?
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| Biographical Information |
| Date of Birth |
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| Height |
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| Weight |
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| Sport |
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| Position |
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| Place of Birth |
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| Citizenship |
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Father's place of birth |
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Mother's place of birth |
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Paternal Grandfather's place of birth |
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Paternal Grandmother's place of birth |
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Maternal Grandfather's place of birth |
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Maternal Grandmother's place of birth |
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| Sex |
Male
Female |
| Children |
Yes
No |
| Marital Status |
Single
Married
Divorced
Widowed |
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Date and place of current marriage |
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Number of prior marriages |
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Current status of your Visa |
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Employment authorized |
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Yes
No |
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When does your employment card expire? |
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Date and place of last arrival into the US |
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| Arrived By |
Foot
Plane
Train
Auto
Bus
Ship |
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Date and place of first arrival into the US |
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| Arrived By |
Foot
Plane
Train
Auto
Bus
Ship |
| Parent/Legal Guardian |
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| Address |
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| City |
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| State |
Zip Code |
| Alternate Contact |
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| Address |
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| City |
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| State |
Zip Code |
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| Athletic Information |
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High School Sports History |
| Name |
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| City |
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| State |
Years |
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College Sports History |
| Name |
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| City |
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| State |
Years |
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Professional Sports History |
| Name |
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| City |
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| State |
Years |
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Names and phone numbers of your
coaches |
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List any awards that you have
received: |
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Are there any disciplinary or
eligibility issues involving your status as an
athlete? |
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Have you ever been arrested, charged
or convicted? If yes, when and what for? |
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Do you have a current training
routine? If yes, how often and describe |
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Have you ever been injured, had any
operations, or taken time off? If yes, please
explain: |
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Please describe any long-term goals
that you have. |
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Have you ever filed forms with immigration before?
If yes, when? |
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Have you ever been in deportation? If yes,
what dates? |
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Can you return to your country without fear |
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Yes
No |
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Have you ever consulted an immigration attorney?
If yes, who, when and why? |
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**Items in bold are required** |
