Sten House Law

Stenhouse Law Immigration Intake Sheet

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INTERESTS (How we can help them now)

I want to… *

Hire an attorney as soon as possible;
Schedule a consultation appointment
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Get More information

For… *

Temporary / Non-Immigrant Visas
Immigrant Visas / Lawful Permanent Residence
US Citizenship
Something Else

ACCOUNT REGISTRATION

Name *

First

Middle

Last

Email Address *

Telephone *

Mailing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Best time to reach *

Date

Time

Preferred method of communication *

TELL US A LITTLE MORE ABOUT YOU

Date of Birth *

Place of Birth *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Education Level

Current Employment

Current Employment
Unemployed

Layout Preferred an

Occupation *

TELL US A LITTLE MORE ABOUT YOUR SITUATION

Any Arrest/Criminal History?

Provide a list of the charges

Charges

Location

Approximate Date

Outcome of case

Ever been in Exclusion/Removal/Deportation proceedings in the US?

When / Where

Are you currently detained?

Received Government Benefits from the US?

Have you ever hired an attorney before (for any reason)?

Family or Employer willing to sponsor?

What is your current budget for immigration legal services?

Any current deadlines?

Date

Description of the deadline

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