Visa Interes Nacional NIW Phase 1

Family Name (last name)

Given Name:

Middle Name:

E-mail

Date of birth:

Place of Birth (City or town, State or Province, Country):

Passport Number and country of Issuance:

Do you hold or have you held any nationality other than the one indicated above on nationality?

Date of last arrival to the US:

Date Passport Issued:

Country of Residence:

Address inside/outside of the US (street number and name, apt number, city, state and zip code)

Primary phone number

Secondary phone number

Email address

Social Security Number (if any)

Updating preview…

WORK/EDUCATION/TRAINING INFORMATION

Profession

Present employer or school name

Address

Work phone number

Monthly salary in local currency (if employed)

Describe your duties

Education degrees, licenses, or alternative credentials for your profession

Were you previously employed? Include job description, employer’s name and address

Have you attended any educational institutions at a secondary level or above?

Name of institution

Address of institution/course of study

Date of attendance from:

Date of attendance To

Provide a list of languages you speak

Have you traveled to any countries within the last five years?

Country/Region visited

Have you belonged to, contributed to, or worked for any professional, social or charitable organization?

Name of organization

Updating preview…

INFORMATION ABOUT SPOUSE AND CHILDREN

Name of Spouse (if any)

Date of Birth

Country of Birth

Is your spouse applying for Adjustment of Status?

Name of Children (if any)

Date of Birth of Children (1)

Date of Birth of Children (2)

Date of Birth of Children (3)

Date of Birth of Children (4)

Country of Birth (1)

Country of Birth (2)

Country of Birth (3)

Country of Birth (4)

Are they applying for Adjustment of Status?

Updating preview…

NECESSARY DOCUMENTS:

NOTE: ALL DOCUMENT IN ANY LANUAGUE OTHER THAN ENGLISH MUST TO BE PROFESSIONALLY TRANSLATED (GOOGLE TRANSLATION IS NOT ACCEPTED).

FOR YOUR CONVENIENCE WE OFFER OFFICAL TRANSLATION FROM SPANISH TO ENGLISH LANGUAGE. THE COST OF THIS SERVICE IS A SEPARATE FEE OR EXPENSE FROM THE GOVERNMENT.

THE FOLLOWING DOCUMENTS MAY BE PROVIDED IN SCANNED COPY OR PHOTOCOPY; IT IS RECOMMENDED THAT YOU KEEP THE ORIGINAL.

Academic Record (Transcripts Calificaciones / Notas from Bachelors’ Degree and Master’s Degree, if applicable)