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Franco
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Capriotti & Associates
International Law

PROSPECTIVE CLIENT QUESTIONNAIRE FORM

To help you realize your immigration objectives, this form must be completed by each adult member of the family before I can schedule a personal or telephonic consultation with you. The information submitted with this form will be kept strictly confidential.

Once I have received your completed form, I will contact you to schedule a consultation. My consultation fee will be credited toward any additional legal fees for my services, if we are retained within one week of the consultation.

E-MAIL ADDRESS:
(required if you want a copy of this form sent to you)

FAMILY NAME (required):

FIRST NAME (required):

ADDRESS:

(Include City, State, Postal Code, Country)

BIRTH DATE:

MARITAL STATUS:


HOME TEL: BUS. TEL: FAX:
(Include Country Code and/or Area Code for phone and fax numbers)

CITIZENSHIP:


NUMBER AND AGE OF CHILDREN:


SPOUSAL INFORMATION:
FAMILY NAME:

FIRST NAME:

ADDRESS:

BIRTH DATE:


EDUCATION:
PROVIDE DETAILS OF DIPLOMAS OR CERTIFICATES INCLUDING VOCATIONAL/TRADE CERTIFICATES AWARDED FROM SECONDARY SCHOOL,POST-SECONDARY SCHOOL, UNIVERSITY (INCLUDING TRADE SCHOOL) AND PROVIDE DETAILS OF TRADE APPRENTICESHIP - CLASSROOM AND/OR ON-THE-JOB TRAINING:





RELATIVES IN U.S. (CITIZENS OR PERMANENT RESIDENTS), PLEASE CHECK:
PARENTS:
YES NO
BROTHERS AND SISTERS
YES NO
SPOUSE
YES NO
CHILD
YES NO

EMPLOYMENT/BUSINESS BACKGROUND FOR LAST 10 YEARS
(INCLUDE BIO-DATA IF POSSIBLE)





HEALTH:

CRIMINAL RECORD:


NET WORTH (VALUE OF ALL ASSETS INCLUDING SAVINGS, MINUS DEBTS)

HAVE YOU PREVIOUSLY ATTEMPTED TO COME TO THE U.S.?
YES NO
IF YES,EXPLAIN:

IF IN THE U.S., WHAT IS YOUR CURRENT STATUS?


PLEASE READ THE FOLLOWING AND CHECK THE BOXES, IF YOU AGREE,BEFORE SUBMITTING THIS FORM.
Yes, I prepared the answers to these questions, and to the best of my ability I believe them to be truthful and correct.
Yes, I understand that submitting this form does not create any obligations for myself or for Capriotti & Associates. I further understand that submission of this form does not create an attorney-client relationship and Franco Capriotti is not obligated to schedule a consultation with me.

OR

CAPRIOTTI & Associates International Law
Immigration · Nationality · Consular Process
North America & Europe
P.O. Box 2792 · Portland, OR 97208-2792
Fax: 1-503-223-3886 · Voice: 1-503-221-1600

We have a North America TOLL-FREE number available for our clients. Please ask Mr. Capriotti.

Information on how to write Mr. Capriotti

DISCLAIMER:
The information given in this Web site is intended as general information only.
It does not substitute for the services of an immigration attorney in a specific case.
Immigration Lawyers on the Web
American Immigration Lawyers Association
© 1995-2003 F.J. Capriotti III. All rights reserved.