EQUESTRIAN QUESTIONNAIRE FOR IMMIGRATION CASES Last Name:______________________ First Name: ___________________ Middle Name: ____________ Other names you have used: __________________________ U.S. Address: ______________________________________________________ Foreign Address: ___________________________________________________ Telephone: Cell ___________ Other ___________ Email: _______________________ Country of Birth: ________________ Date of Birth: _____________ Gender: Countries of citizenship/nationality: ___________________________________ Children’s Names (include step-children) Birthdate Gender Citizenship/ Nationality Will this child also seek U.S. immigration status with you? If your spouse/child(ren) will be seeking immigration status with you, has any one of them ever: been ordered removed, or detained/stopped by U.S. immigration authorities? visited the U.S. without permission (“entered illegally”)? overstayed or violated a visa/I-94? If yes to any of the above, please explain (with dates): _____________________________________________________________________________ YOUR IMMIGRATION HISTORY Check this box and skip this section if you have never been to the U.S. If you currently are in the U.S. Date of entry_______ Manner of entry _________ Visa type __________ Date I-94 expires _________ Date visa expires __________ If you changed status after this entry, indicate date __________ New visa type __________ Date new I- 94 expires ___________ If you extended your status after this entry, indicate date __________ New visa type __________ Date new I-94 expires ___________ Prior visits with visas (start with most recent and work backwards) Check here if you have no other visits Visa type (classification) Dates you were here (approximate) Did you violate or overstay this visa/I-94? M F M F M F M F M F Marital Status: __________ Date of current marriage: ________Spouse’s name: ________________ Include your spouse on your immigration application/petition? Yes No 1 Hill & Piibe, Immigration Attorneys H&P v.05.18 Instructions: (1) download and save to your computer; (2) open with Adobe or your pdf reader; (3) fill out and save; (4) return by email Note: You cannot save your responses if you fill this out in a browser online
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EQUESTRIAN QUESTIONNAIRE FOR IMMIGRATION CASES
Last Name:______________________ First Name: ___________________ Middle Name: ____________ Other names you have used: __________________________ U.S. Address: ______________________________________________________ Foreign Address: ___________________________________________________ Telephone: Cell ___________ Other ___________ Email: _______________________ Country of Birth: ________________ Date of Birth: _____________ Gender: Countries of citizenship/nationality: ___________________________________
Children’s Names (include step-children) Birthdate Gender Citizenship/ Nationality
Will this child also seek U.S.
immigration status with you?
If your spouse/child(ren) will be seeking immigration status with you, has any one of them ever: been ordered removed, or detained/stopped by U.S. immigration authorities? visited the U.S. without permission (“entered illegally”)? overstayed or violated a visa/I-94? If yes to any of the above, please explain (with dates): _____________________________________________________________________________
YOUR IMMIGRATION HISTORY Check this box and skip this section if you have never been to the U.S. If you currently are in the U.S. Date of entry_______ Manner of entry _________ Visa type __________ Date I-94 expires _________ Date visa expires __________ If you changed status after this entry, indicate date __________ New visa type __________ Date new I-94 expires ___________ If you extended your status after this entry, indicate date __________ New visa type __________ Date new I-94 expires ___________
Prior visits with visas (start with most recent and work backwards) Check here if you have no other visits Visa type (classification) Dates you were here (approximate) Did you violate or overstay
this visa/I-94?
M FM FM FM FM F
Marital Status: __________ Date of current marriage: ________Spouse’s name: ________________ Include your spouse on your immigration application/petition? Yes No
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Instructions: (1) download and save to your computer; (2) open with Adobe or your pdf reader; (3) fill out and save; (4) return by emailNote: You cannot save your responses if you fill this out in a browser online
Have you ever (select all that apply): Check this box if none apply been ordered removed, or detained/stopped by U.S. immigration authorities? visited/lived in the U.S. without permission (“entered illegally”)? overstayed or violated a visa/I-94? been refused a visa or visa petition, or turned away at the airport/border, or any other problems at a consulate, or a U.S. border or with immigration officials?
If yes to any of the above, please explain (with dates):
YOUR EDUCATION HISTORY AFTER HIGH SCHOOL (including licensing, etc.) Name of School Location
(Country) Degree
Type Field of Study Did you
Graduate Last Year You
Attended/ Graduated
PROPOSED JOB/WORK/INVESTMENT IN THE UNITED STATES
I have a U.S. job offer or clients: Proposed job title:Name of proposed employer Stable name
I do not have a U.S. job offer
PLEASE SELECT ALL THAT APPLY TO YOU I, or my horses/riders have won awards, honors, prizes, etc. that are nationally/internationally recognized. Describe on next pages. I, or my horses/riders have been featured or discussed in major national or international trade publications/newspapers/media. Describe on next pages.I, or my horses/riders have qualified for national teams/positions (examples: Olympic squad, NAJYRC, Developing Riders Tour, Chef d’Equipe, Technical Delegate, etc.). Describe on next pages. I have been asked to judge or critique others in my field (examples: selection committee, clinician, competition judge). Describe on next pages.I gave advice in how-to articles/videos. Describe on next pages.I engage in horse breeding (including handling stallions/mares/foals) at a high level that is recognized nationally/internationally. Describe on next pages. I engage in horse sales at a high level that is recognized nationally/internationally. Describe, next pages.
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YOUR CRIMINAL RECORD: Have you been ticketed, arrested, cited, charged, and/or convicted of a crime/violation/offense anywhere in the world, no matter how minor (even if “erased” or “expunged”)?
Never Yes. If yes, please explain, with dates
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RESUME FOR EQUESTRIAN WORK / COMPETITION RIDING
Begin with your most recent EQUESTRIAN job and go backwards in time
DATE STARTED
DATE ENDED
EMPLOYER NAME(or indicate self-
employment)
DESCRIPTION OF WORK examples: grooming, longeing,
ground work, riding young horses, training, etc.
NOTABLE ACHIEVEMENTS-- with horse’s name(s) example: if you or your employer won national/international awards on horses that you were responsible for; OR the horse you were responsible for sold to a notable rider/stable; OR the young horse you were responsible
for went on to a fabulous career later in life; etc.
Your pay for this job Salary: ___________ per month Other payments (per diem, expenses, bonuses, prize money) _________ per month (on average)
Describe each benefit and its monthly value (insurance, car, phone, apartment, horse board, etc.) Benefit Value Benefit Value Benefit Value Benefit Value Benefit Value Benefit Value
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DATE STARTED
DATE ENDED
EMPLOYER NAME DESCRIPTION OF WORK NOTABLE ACHIEVEMENTS-- with horse’s name(s)
Your pay for this job Salary: ___________ per month Other payments (per diem, expenses, bonuses, prize money) _________ per month (on average)
Describe each benefit and its monthly value (insurance, car, phone, apartment, horse board, etc.) Benefit Value Benefit Value Benefit Value Benefit Value Benefit Value Benefit Value
DATE STARTED
DATE ENDED
EMPLOYER NAME DESCRIPTION OF WORK NOTABLE ACHIEVEMENTS-- with horse’s name(s)
Your pay for this job Salary: ___________ per month Other payments (per diem, expenses, bonuses, prize money) _________ per month (on average)
Describe each benefit and its monthly value (insurance, car, phone, apartment, horse board, etc.) Benefit Value Benefit Value Benefit Value Benefit Value Benefit Value Benefit Value
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DATE STARTED
DATE ENDED
EMPLOYER NAME DESCRIPTION OF WORK NOTABLE ACHIEVEMENTS-- with horse’s name(s)
Your pay for this job Salary: ___________ per month Other payments (per diem, expenses, bonuses, prize money) _________ per month (on average)
Describe each benefit and its monthly value (insurance, car, phone, apartment, horse board, etc.) Benefit Value Benefit Value Benefit Value Benefit Value Benefit Value Benefit Value
DATE STARTED
DATE ENDED
EMPLOYER NAME DESCRIPTION OF WORK NOTABLE ACHIEVEMENTS-- with horse’s name(s)
Your pay for this job Salary: ___________ per month Other payments (per diem, expenses, bonuses, prize money) _________ per month (on average)
Describe each benefit and its monthly value (insurance, car, phone, apartment, horse board, etc.) Benefit Value Benefit Value Benefit Value Benefit Value Benefit Value Benefit Value
Hill & Piibe, Immigration Attorneys
Today’s Date: _________
By checking this box, I verify that the above information is true and accurate to the best of my belief and knowledge. I further understand that the above information is being provided for case evaluation purposes only. Any fees paid for this evaluation will be applied as a credit to future attorney services related to this consultation, if the law firm is retained within 90 days of this evaluation. To retain the law firm for services other than this evaluation, a separate agreement must be signed by the attorney. I further agree to be placed on the law firm's newsletter mailing list (this list is not shared with any other parties).
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Please provide other descriptions from the questions above, or any other information that you think is useful to determine your achievements, success, reputation, or abilities.
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