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Schedule a Consultation
Consultation Questionnaire
3000 18th Street
Metairie, LA 70002
(504) 837-1304
Fax: (504) 833-2843
Toll Free: (888) 703-1304
Last Name:
First Name:
Middle Name:
Other Names Used:
(including maiden name)
Sex:
SELECT
Female
Male
E-mail Address:
CURRENT ADDRESS IN THE U.S.
Number And Street:
City:
State:
Zip:
Home Phone:
Work Phone:
Hours We Can Call:
Hours We Can Call:
Fax Number:
Pager/Cell Phone:
Citizen of:
DATE AND PLACE OF BIRTH
PASSPORT INFORMATION
Date of Birth:
Passport Country:
City or Town:
Passport Number:
State or Province:
Expiration Date:
Country:
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:
Other
WHAT TYPE OF IMMIGRATION ASSISTANCE ARE YOU SEEKING?
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