USA Visa Help
American Immigration
Law Center
954-665-3140

All information provided below will remain confidential and will be reviewed by a licensed and qualified Attorney specializing in U.S. Immigration and Nationality Law. Please provide as much information as possible to enable the Attorney to present all available means for you and your family to obtain either temporary or permanent ("Green Card") visas to enter the United States. Your no-obligation assessment will be forwarded to you via email within five business days of our receipt of your completed questionnaire. Submission of this questionnaire does not represent commitment on the part of the applicant and does not establish a contractual relationship with the law office.

 

Name (last name optional)
Age:
Country of Birth:
Country of Citizenship(required):
Email (required) 
Phone (required)
Address
Current Occupation:      
Date Employed      From:    To: 
Do you have an ownership stake in this company? Yes No
Does this company have a branch in the U.S.?          Yes No
Previous Occupation:     
Date Employed      From:    To: 
Do you have an ownership stake in this company? Yes No
Does this company have a branch in the U.S.?          Yes No
Highest Level of Education:
Major/Specialization:            
Are you interested in developing a company or investment project in the United States if it could lead to a temporary or permanent visa? Yes No
Do you possess talent, ability, or recognition in any field? Yes No
Please provide any additional information regarding your credentials skills, specific specialties, talents, or any other information which could be relevant to demonstrating the benefits that you could provide to the U.S. through your immigration:

To have a confirmation emailed to you,
please enter the characters you see in the image:  Why? If you cannot read the image, click for a new one  New image

 

 

Contact Information.
American Immigration Law Center

3389 Sheridan Street, #293, Hollywood, Florida 33021
Phone: 954-665-3140  Fax: 831-302-5427
Email: help@usavisahelp.org