20 Jan

Registration for RICHMOND WORKSHOP – February 20th, 2016

Registration for HAYWARD WORKSHOP - February 20th, 2016
To register for this event, please fill out this form for EACH PERSON applying for citizenship.

Event Information:
February 20th, 2016 from 10:00 a.m. to 1:30 p.m.*
West County Services Center
Catholic Charities of the East Bay
217 Harbour Way, Richmond, CA 94801
(.5 miles from Richmond BART Station)

*Please check the event information when the event nears, as the time of the event may change.
* Required
Applicant Information
The person applying for citizenship should provide their information below.
First Name
Your answer
Last Name
Your answer
Email Address
Your answer
Telephone #
Your answer
Phone Number *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
What is your primary or preferred language(s)? *
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 RICHMOND, CA on February 20th, 2016 at 10:00 a.m.at the West County Services Center.
Clear selection
Would you like to receive text message updates about events? *
Do you need extra help to prepare for the July 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.
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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