Douglas H. Kim - U.S. Immigration Attorney
Immigration and Nationality Law
Representation in 50 States & Worldwide
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LAW OFFICES OF DOUGLAS H. KIM » Consultation Form
INFORMATION ABOUT YOU
Last Name:
First Name:
Middle Name:
Other names used (including maiden name):
Gender:
E-mail address:
LATEST U.S. ADDRESS
Number and Street:
City:
 State: Zip:
LAST ADDRESS OUTSIDE OF U.S.
Number and Street:
City:
 State/Province: Postal Code:
Country:
Home Phone:
Hours we can call:
Fax Number:
Work Phone:
Hours we can call:
Pager/Cell Phone: 
Social Security No:
Citizen of:
Date and Place of Birth:
Date of Birth:
City or Town:
State or Province:
Country:
Passport Information:
Passport Country:
Passport Number:
Expiration Date:
What type of immigration assistance are you seeking?
FAMILY INFORMATION
Husband or Wife In the U.S. Outside of U.S. Unmarried
Spouse's Name
Last Name:
First Name:
Middle Name:
Other names used (including maiden name):
Current Address:
Date and Place of Birth:
Date and Place of Marriage:
Citizen of:
Applying with you?
Social Security Number:
Alien ("A") Number:
Immigration Status:
Expiration Date:
Children
Total Number of Sons and Daughters:
Name Gender Citizen of Immigration Status Exp. Date Applying?
Parents
  Name Country of Birth Citizen of Immigration Status
Your Father:
Your Mother*:
Spouse's Father:
Spouse's Mother*:
* Use Mother's Maiden Name
IMMIGRATION HISTORY
Current Immigration Status:
Date Status Expires:
Alien ("A") Number:
Date of First Entry into U.S.:
Last Entry into U.S.:
I-94 Number:
Check every type of immigration status that you have ever held and provide the dates:
Immigration Status Date(s) Immigration Status Date(s)
B Visitor: E Trader/Investor:
F Student: H-1B Professional:
J Exchange Visitor: K Fiancee:
L Manager: O Outstanding Ability:
T/N Canadian Worker: Other:
Check each one that you or your spouse have ever applied for or been the beneficiary of:
Y(you) or
S(Spouse)		  
Date Filed
 Sponsor
 Attorney
 Result
Green Card
Immigrant petition
Labor certification
Asylum  
Amnesty  

Have you or your spouse ever had any immigration problems? In particular, have you or your spouse ever been under removal, deportation, or exclusion proceedings? Please describe in detail:

EMPLOYMENT HISTORY
Current Employer (or Employer Petitioning on Your Behalf)
Employer:
Address:
Job Title:
Salary:
Date of Hire:
Are you related to your employer?
May we contact your employer?
If yes, whom may we contact:
Name Title Department Phone Number
Employment in Last Five Years (anywhere in the world)
Job Title Employer Country Duration
JOB QUALIFICATIONS
List the professional licenses or certifications you possess, from any state or country:

How many years of experience do you have in your position or field?
EDUCATIONAL BACKGROUND
Please list all your education anywhere in the world:
Level School/Country Degree & Major Number of Years Graduate?
College/University:
College/University:
Other Schooling:
OTHER INFORMATION
Have you ever been arrested or convicted of a crime anywhere in the world (even if the conviction was expunged or removed from your record) or have you ever had any problems with the police?
If yes, please explain in detail:
Have you ever claimed to be a citizen of the United States or have you ever used another name
for immigration purposes or for any other reason?
If yes, please explain in Detail:
Have you ever been denied a visa to come to the United States?
If yes, when and what kind of visa:
During what years, if any, have you filed an Income Tax Return with the IRS?
If you ever had an Employment Authorization Card issued by the INS, give number(s) and validity dates:
Is there anything, not already covered in this form, that you feel we should know?
STATEMENT OF TRUTHFULNESS
"By pressing the Submit button below, I certify that all of the information contained in this form is true and correct to the best of my knowledge."
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