US Immigration Assessment Form

All information provided below will remain confidential, and will be used for the sole purpose of evaluating your chances for obtaining a visa to enter the United States of America. This service is FREE and does not require a commitment to our company.

Part 1 Initial Eligibility Determination (Citizens of Canada and Mexico only.)

I have a bachelor’s degree or higher.
I am a Computer Professional, Designer, Hotel Manager, Technical Writer, or Medical Laboratory Technologist with a post-secondary certificate or diploma and three years experience.
I am a Manager or Management Consultant with at least 5 years of demonstrable experience. I presently have a job offer from a US employer.
I do not presently have a job offer from a US employer.

  Part 1b Initial Eligibility Determination (Citizens of countries other than Canada and Mexico)

I have a bachelor’s degree or higher.
I do not have a bachelor’s degree or higher. I presently have a job offer from a US employer.
I do not presently have a job offer from a US employer.

Part 2 Identification Information

Family name

First name

Gender Male
Female

E-mail address

I am a citizen of (please indicate country):

I am a resident of (please indicate country):

I have previously held a US employment-based visa.

If yes, please explain providing information regarding the type of visa, the dates of validity and any other relevant details:

I have been previously denied a US Visa.

If yes, please explain the circumstances of the denial:

Part 3 US Job Offer

If you have a job offer from a US employer, please state the name of the US employer making the offer:

Location (City,State):

Position Being Offered:

Brief Description of Duties:

Do you currently work for a foreign affiliate of the above-named US employer?

Yes
No

If Yes :

Name of current employer:

Current job title:

Length of current employment:

Description of current duties:

Part 4 Curriculum Vitae

In the following text box, please paste a copy of your most current curriculum vitae (résumé, biodata), or provide a detailed account of your education and employment history.

Part 5 Additional Questions, Comments or Concerns

Please use the following text box to provide any additional relevant information regarding your inquiry, or to raise any questions, comments or concerns regarding your personal situation.

The results of this questionnaire will be sent to you by Email. Please ensure that the Email address you have provided is correct.