美国移民资格初步评估表

U.S. Immigration Eligibility Pre-Assessment Form

第一部分：基本身份信息 / Basic Identity

Last Name
First Name
Middle Name

Chinese Name
Date of Birth


City of Birth
Country of Birth
Citizenship



第二部分：联系信息 / Contact Details

Current U.S. Address
Permanent Foreign Address
Phone Number
Email Address

第三部分：移民及入境历史 / Immigration History


Most Recent Entry
Current Status (e.g. F1, B2)
Status Expiration



Adverse History (Overstay, Denial, Removal)

第四部分：教育与语言 / Education

Highest Degree
Major

Name of Institution



第五部分：工作与雇佣 / Employment

Current Job Title
Current Employer


雇主 Employer 职位 Title 时间 Period 地点 Location

第六部分：移民目标 / Immigration Goals








确认声明 / Declaration

我声明上述信息真实完整，并理解本表格用于大为律师事务所进行初步移民资格评估，不构成正式法律服务。
I declare the information above is true and understand this is for pre-assessment only and does not establish an attorney-client relationship.



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保密性说明：您提供的信息将仅用于法律评估，严格保密。
Confidentiality: Information provided is strictly for legal assessment.