22 Feb

Hayward Form

Registration for Hayward Citizenship Workshop - March 5th, 2016
To register for this event, please fill out this form for EACH PERSON applying for citizenship.

Event Information:
March 5th, 2016 from 10:00 a.m. to 1:30 p.m.*
Glad Tidings Church - North Campus
2789 Terrell Ave.
Hayward, CA 94544

*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
E-mail Address
(optional) To receive a confirmation e-mail, please provide an 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)? *
We can not guarantee availability of an interpreter at the event, but will try to accommodate all languages submitted.
Which Appointment Time do you prefer. *
Would you like to receive text message updates about events? *
How did you hear about the event? *
Applicant Pre-Screening Questions
The following questions will help our legal staff assist you better.
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
How did you become a legal permanent resident? *
Please tell us how you got your green card.
Have you ever been detained, arrested, stopped by police or convicted of a crime? *
(In the U.S. or anywhere else in the world)
If you answered yes, please briefly explain what happened
Your answer
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.
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.
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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