Employment-Based - Employee Consultation Intake Form

Please provide as much information available and email your resume/CV to Contact@RubyPowersLaw.com before the consultation.
Applicant's Information
Full Name*

First NameMiddle NameLast Name
Maiden Name (If Applicable)
Birth Date

MonthDayYear
Gender

MaleFemale
Date of Birth

MonthDayYear
City and Country of Birth
USCIS A-Number (if any)
Ex: 23
Briefly describe what you would like to discuss in the consultation. Which visa are you interested in?
Contact Information
E-mail*
Ex: myname@example.com
Are You Currently in the United States?

YesNo
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Cell/Work Phone Number

Area CodePhone Number
Skype
Immigration Information
Date of First Arrival in US

MonthDayYear
Immigration Status At First Entry
Date of Last Arrival in US

MonthDayYear
I-94 Number (if any)
Ex: 23
Current Nonimmigrant Status
Date Status Expires

MonthDayYear
Employment Authorization Document (EAD) Number (if any)
Ex: 23
Have You Ever Filed For Permanent Residence?

YesNo
If Yes, Please State When and Name of Sponsor
US Consulate Where You Wish to Obtain Your Visa Stamp (Info Needed Even If You Will Be Changing Status in the US)
Will an Application Be Completed For Spouse and/or Children?

YesNo
Passport Information
Passport Number
Ex: 23
Country of Issuance
Date of Issuance

MonthDayYear
Date of Expiration

MonthDayYear
Education Information
Highest degree obtained

BachelorMastersDoctoratePhDOther
Other
Field of Study/Major
Name of School
Travel History

Please List All Trips Outside of the US While in H-1B/L-1 Status, Starting With The Most Recent

	Date Exited US	Date Entered US	Countries Visited
Trip 1
Trip 2
Trip 3
Trip 4
Trip 5

Family History

Please Complete the Following Information Regardless of Whether the Listed Family Members Will Be Part of Your Application
Spouse's Full Name

First NameMiddle NameLast Name
Spouse's Maiden Name (if applicable)
Spouse's Date of Birth

MonthDayYear
Spouse's Country of Birth
Spouse's Current Immigration Status
Child 1 Information
Child 1's Full Name

First NameMiddle NameLast Name
Child 1's Date of Birth

MonthDayYear
Child 1's Country of Birth
Child's 1 Gender

MaleFemale
Child 1's Current Immigration Status
Child 2 Information
Child 2's Full Name

First NameMiddle NameLast Name
Child 2's Date of Birth

MonthDayYear
Child 2's Country of Birth
Child 2's Gender

MaleFemale
Child 2's Current Immigration Status
Child 3 Information
Child 3's Full Name

First NameMiddle NameLast Name
Child 3's Date of Birth

MonthDayYear
Child 3's Country of Birth
Child 3's Gender

MaleFemale
Child 3's Current Immigration Status
Conclusion
Overall goal of consult/ what is the main issue that needs to be resolved during consult?*
How did you hear about the firm?*
Other
Name of the person completing the intake sheet:
Date (MM-DD-YYYY)
At which of our locations will your consultation take place?
How would you prefer your consultation?
Would you like to receive immigration updates through our Newsletter?

YesNo, thank you.
Should be Empty:

Please provide as much information available and email your resume/CV to Contact@RubyPowersLaw.com before the consultation.

Applicant's Information

Contact Information

Immigration Information

Passport Information

Education Information

Travel History

Family History

Child 1 Information

Child 2 Information

Child 3 Information

Conclusion