Family Sponsorship Questionnaire

1. Information about you (US Citizen or Lawful Permanent Resident)

Name

First

Middle

Last

Home Phone Number

Cell Phone Number

Email

Alien Number (USCIS Number or A#, if any)

Social Security Number (SSN)

Other Names Used, if any

First

Middle

Last

Birth Location (City, State, Country)

Date of Birth

Sex

Ethnicity

Race (Select All That Apply)

Height (Feet - Inches)

Weight

Eye Color

Hair Color

ADDRESS HISTORY FOR THE PAST 5 YEARS

Current Address

Address Line 1

Address Line 2

City

State

Zip Code

Date From

Date To

Prior Address 1

Address Line 1

Address Line 2

City

State

Zip Code

Date From

Date To

Date

Time

Prior Address 2

Address Line 1

Address Line 2

City

State

Zip Code

Date From

Date To

Prior Address 3

Address Line 1

Address Line 2

City

State

Zip Code

Date From

Date

Time

Date To

Date

Time

MARITAL INFORMATION

How many times have you been married?

Current Marital Status

Date of Current Marriage

Place of Current Marriage (City / State / Country)

Name of Current Spouse

First

Middle

Last

Name of Prior Spouse 1

First

Middle

Last

Date Marriage Ended

Name of Prior Spouse 2

First

Middle

Last

Date Marriage Ended

Name of Prior Spouse 3

First

Middle

Last

Date Marriage Ended

Name of Prior Spouse 4

First

Middle

Last

Date Marriage Ended

INFORMATION ABOUT YOUR PARENTS

Father's Name

First

Middle

Last

Date of Birth

Place of Birth (City / State / Country)

Place of Residence (City / State / Country)

Mother's Name

First

Middle

Last

Date of Birth

Place of Birth (City / State / Country)

Place of Residence (City / State / Country)

EMPLOYMENT HISTORY FOR THE PAST 5 YEARS

Name of Employer 1

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Job Title

Date From

Date

Time

Date To

Date

Time

Name of Employer 2

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Job Title

Date From

Date To

Name of Employer 3

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Job Title

Date From

Date To

Name of Employer 4

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Job Title

Date From

Date To

PREVIOUS FILINGS

Have you ever previously filed a petition for this beneficiary or any other?

Name of beneficiary

First

Middle

Last

Location of Filing (City / State)

Date of Filing

Result

2. Information about the foreign national

Name

First

Middle

Last

Other Names Used, if any

First

Middle

Last

Alien Number (USCIS Number or A#, if any)

Birth Location (City, State, Country)

Sex

Has anyone ever filed a petition to sponsor you in the past?

Have you ever been in the United States?

Are you currently in the United States?

Type of Visa Used to Enter the US

I-94 Number

Date of Arrival

Date Current Visa Status Expires

Passport Number

Passport Country of Issuance

Passport Expiration Date

Most Recent Foreign Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Current or Prospective US Address

Address Line 1

Address Line 2

City

State

Zip Code

ADDRESS HISTORY FOR THE PAST 5 YEARS

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Date From

Date To

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Date From

Date To

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Date From

Date To

Other Information

Home Phone Number

Cell Phone Number

Email

Have you ever been in immigration proceedings?

Specify Type of Proceedings

Location of Immigration Proceedings (City / State)

Date / Time

Date

Time

MARITAL INFORMATION

How many times have you been married?

Current Marital Status

Date of Current Marriage

Place of Current Marriage (City / State / Country)

Name of Prior Spouse 1

First

Middle

Last

Date Marriage Ended

Name of Prior Spouse 2

First

Middle

Last

Date Marriage Ended

Name of Prior Spouse 3

First

Middle

Last

Date Marriage Ended

Name of Prior Spouse 4

First

Middle

Last

Date Marriage Ended

INFORMATION ABOUT YOUR FAMILY

Father's Name

First

Middle

Last

Date of Birth

Place of Birth (City / State / Country)

Country of Residence

Mother's Name

First

Middle

Last

Date of Birth

Place of Birth (City / State / Country)

Country of Residence

Child 1 Name

First

Middle

Last

Date of Birth

Country of Birth

Child 2 Name

First

Middle

Last

Date of Birth

Country of Birth

Child 3 Name

First

Middle

Last

Date of Birth

Country of Birth

Child 4 Name

First

Middle

Last

Country of Birth

Date of Birth

Child 5 Name

First

Middle

Last

Date of Birth

Country of Birth

EMPLOYMENT INFORMATION FOR THE PAST 5 YEARS

Name of Current Employer, if any

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Job Title

Date From

Date To

Name of Prior Employer

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Job Title

Date From

Date To

Name of Prior Employer 2

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Job Title

Date From

Date To

Name of Prior Employer 3

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Job Title

Date From

Date To

Name of Last Employer Outside of US, if not listed above

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Job Title

Date From

Date To

3. Enter the information of the person submitting this questionnaire.

Name *

Email *

Family Based Sponsorship Questionnaire

For Family Based Immigrant Petitions

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