Register for Fremont Workshop – October 18th!

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Applicant Sign-Up for 10.18.2014 FREMONT WORKSHOP
You are registering for a citizenship and fee waiver assistance workshop in FREMONT on October 18, 2014

The event will be located at the Fremont Family Resource Center located at 39155 Liberty Street, Fremont, CA,  Building EFGH – Caribbean Room Suite H830.  

Please fill out this form to register for the event. Please fill out this form for EACH PERSON applying for citizenship.

The East Bay Naturalization Collaborative is dedicated to providing free and low cost legal assistance to immigrants in applying for citizenship. The collaborative is a project of Asian Pacific Islander Legal Outreach, Catholic Charities of the East Bay, Centro Legal de la Raza, East Bay Sanctuary Covenant, International Institute of the Bay Area, International Rescue Committee, Korean Community Center of the East Bay, the Immigrant Legal Resource Center, and the Jewish Family and Children's Services of the East Bay.
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* Required
Applicant Information
The person applying for citizenship should provide their information below.
First Name *
Your answer
Last Name *
Your answer
E-mail Address
Your answer
Area Code *
Your answer
Phone Number *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
What is your primary or preferred language(s)? *
(Check all that apply)
Required
Do you need an interpreter to understand English? *
We will do our best to provide interpreters at the workshop; however, we advise that you bring your own interpreter to reduce waiting time.
I would like to attend the free citizenship workshop in FREMONT, CA on October 18, 2014 at 9:30 a.m. at the Fremont Family Resource Center *
Would you like to receive text message updates about events? *
Do you need extra help to prepare for the October 18th Citizenship Workshop event? *
Answer "yes" if you would like a legal assistant to contact you to provide additional help or to answer your questions.
How did you hear about our event? *
(Choose all that apply) Please also specify which newspaper, radio station, T.V. station, or website where you heard about the event under the "Other" option.
Required
Applicant Pre-Screening Questions
The following questions will help our legal staff assist you better.
1.  When did you become a legal permanent resident? (month/day/year  OR month/year)
This is the "Residence Since" date on your residency card.  If you don't know the exact date, please give the month and year.
Your answer
2.  How did you become a legal permanent resident?
Please tell us how you got your green card.
3.  Have you ever been detained, arrested, stopped by police or convicted of a crime?
(In the U.S. or anywhere else in the world)
Clear selection
If you answered yes, please briefly explain what happened
Your answer
4.  Since becoming a resident have you taken any trips outside the US for 180 days or more?
This is any one trip that was more than 6 months long.
Clear selection
5.  In the last 5 years, have you been outside of the U.S for more than a total of 30 months (2.5 years)?
Add up all the time for every trip you made outside the U.S. in the past 5 years.
Clear selection
6.  How many minor children (under 18) do you have who are legal permanent residents and live with you?
Enter the number of your children under 18 years old who have green cards and are not yet U.S. Citizens.
Your answer
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