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
Never submit passwords through Google Forms.
This form was created inside of API Legal Outreach. Report Abuse