Uniting for Ukraine (U4U) BENEFICIARY FORM
By submitting this form as a Beneficiary you register your interest in finding a sponsor IN CONNECTICUT USA ONLY through the Uniting for Ukraine (U4U) program via the public service partnership set up between the Honorary Consulate of Romania to Connecticut, USA (the "Consulate") and the Immigration Practice Area of the Murtha Cullina LLP law firm (the "Law Firm"). Point of contact: attorney Dana Bucin; dbucin@murthalaw.com; 860-240-6081. DO NOT APPLY IF YOU DO NOT SEE YOURSELF LIVING IN CONNECTICUT AT ALL.      

Please note that this form is not an official form for the U4U program but a pre-screening tool that our volunteer legal & logistical teams at the Consulate and the Law Firm can use to facilitate beneficiary-sponsor matches as a public service to US sponsors and Ukrainians who reached out to us requesting such matches.  

WE ONLY MAKE AN INTRODUCTION SO THE PARTIES (SPONSOR & BENEFICIARY) CAN COMMUNICATE DIRECTLY AND CHECK THEIR OWN COMPATIBILITY AND AS SUCH THE CONSULATE, THE LAW FIRM AND THEIR RESPECTIVE AGENTS AND REPRESENTATIVES DISCLAIM ANY RESPONSIBILITY IN THE ULTIMATE SUCCESS OF SUCH A MATCH OR IN ANY DAMAGES THAT MAY RESULT TO ANYONE AS A CONSEQUENCE OF THIS REQUESTED MATCH.  THE US GOVERNMENT (USCIS) IS THE ONLY ONE AUTHORIZED TO CONDUCT BACKGROUND AND SECURITY VETTING OF ALL INVOLVED, FINANCIAL VIABILITY VETTING OF THE SPONSOR AND PUBLIC HEALTH VETTING (INCLUDING VACCINATION VETTING) OF BENEFICIARIES AND AS SUCH WE ARE NOT RESPONSIBLE FOR ANY SUCH VETTING, ALTHOUGH WE WILL UTILIZE OUR SCREENING FORM TO VET OUT ANY CLEARLY INELIGIBLE INDIVIDUALS.  WE DO NOT EVER MATCH UNACCOMPANIED MINORS TO SPONSORS, BUT ONLY FAMILIES WHERE THE ADULTS ARE DEMONSTRABLY RELATED TO THE CHILDREN.

WE PROVIDE FREE MATERIALS ON THE U4U PROGRM AND DO THIS MATCHING AS A PUBLIC SERVICE WITH VOLUNTEER/ PRO BONO LABOR IN THE SPIRIT OF SOLIDARITY WITH UKRAINE .  SHOULD YOU REQUIRE SERVICES OF ANY KIND ABOVE AND BEYOND WHAT IS PROVIDED HERE FOR FREE, YOU SHOULD MAKE ARRANGEMENTS TO RETAIN THEM AT YOUR EXPENSE.

EXPLAINING THE U4U PROGRAM:

https://www.uscis.gov/humanitarian/uniting-for-ukraine
https://www.uscis.gov/humanitarian/ednannya-zaradi-ukraini

Ukrainian residents who are welcomed through the U4U sponsorship initiative will not be resettled through the refugee program OR ANY GOVERNMENTAL PROGRAM. They are instead granted a humanitarian parole BASED SOLELY ON SPONSOR'S INDIVIDUAL SPONSORSHIP, allowing them to live - and upon applying for work permit, to work - in the U.S. for up to 2 years. The individual who is paroled into the US is known as a ‘‘parolee’’. This parole does NOT make one automatically eligible for refugee/ asylee or permanent U.S. status and parolee would have to consult with a licensed immigration attorney to determine how to secure such permanent legal status if desired.

Both sponsor and each beneficiary fill out our pre-screening form.  We will try our best to match according to your collective requirements, taking into consideration number of people who could be hosted, genders, ages, schooling options for children, etc.  We then notify the sponsor about the match and offer them the opportunity to speak directly to the beneficiaries in order for them to navigate personality fit directly and address any common questions and concerns.  

Once sponsor and beneficiary confirm they agree to go forward with the match, sponsor fills out form I-134 FOR EACH INDIVIDUAL BENEFICIARY, EVEN IF FROM THE SAME FAMILY, with USCIS online via a MyUSCIS account (preferred to the paper filing because it is faster): https://www.uscis.gov/i-134, providing evidence of financial viability as outlined in the instructions to form I-134: https://www.uscis.gov/sites/default/files/document/forms/i-134instr.pdf.  

Form I-134, Declaration of Financial Support, requires information from both the sponsor and the beneficiary and we will be having such information available to the sponsor via beneficiary responses to our pre-screening forms.  

There is no application fee for individuals applying for this program.  

BENEFICIARIES of the Uniting for Ukraine program will need to:
• Have resided in Ukraine as of February 11, 2022 and be displaced as a result of the war
• Have a valid Ukrainian passport, or be included on a parent's passport
• Complete vaccinations and other public health requirements
• Submit to biometrics collection, biographic screening, and security vetting
• Have a sponsor in the U.S. whose Form I-134 Affidavit of Support has been approved by USCIS.

Children under 18:
- must be traveling with a parent/ legal guardian) who resided in Ukraine prior to Russian invasion (through February 11, 2022) and were displaced as a result of the invasion
- who cannot travel with a parent to the US for this program but are coming to the US to meet a parent/ legal guardian may instead seek parole through a separate I-131 parole process

The I-131 parole process MAY NOT BE USED by prospective adoptive parents or to circumvent normal adoption processes.
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THE PROCESS
Once the U.S. Sponsor has demonstrated sufficient financial support and has passed background/ security checks and their I-134 is approved, the Ukrainian Beneficiary will receive an email from USCIS on how to create an account with https://my.uscis.gov/ and instructions on next steps.

The U.S. Sponsors should receive notice of I-134 approval as regular mail in approximate 1-2 weeks while beneficiaries will receive updates via email.

After I-134 sponsor approval, USCIS notifies the Beneficiary directly and gives them instructions for the medical tests and anything else they must still satisfy in order to receive the U.S. Travel Authorization.  It is at this time that USCIS runs background and security checks on each beneficiary.

Ukrainian citizens will need to meet other CDC travel requirements, including pre-departure testing for COVID-19.

The Beneficiary will be authorized to travel to the United States to seek parole; this authorization is valid for 90 days and Ukrainians are responsible for securing their own travel via air to the US, unless US sponsor informally agrees to cover it.

After receiving the U.S. Travel Authorization and making the travel arrangements, the beneficiaries will be able to notify their sponsors about the details of their arrival in the USA.

Once Ukrainian beneficiaries are paroled into the United States, they will be eligible to apply for discretionary employment authorization (the right to work in the US) from USCIS, a process that may take 3+ months for USCIS to approve.  
Please understand that completing this form does not guarantee that we will be able to find a suitable sponsor for you, but only that we will do our best to find you the support that meets all or most of your requirements in due time. By completing the form below, you confirm you read the information above and agree that the information you have provided in this form can be used as stated. *
Required
What is your name? (exactly as it appears in your international biometric passport) *
Other names you may have used in your various documents *
What is your phone number? Please include the country code   *
What is your mailing address? (DO NOT USE YOUR ORIGINAL HOME ADDRESS IN UKRAINE, the U4U is only for Ukrainians displaced by the war, it does not work for people who are still in their original home in Ukraine) *
What is your email? (Please check your email REGULARLY as this is the way the US sponsor will contact you at first)   *
What is your date of birth (mm-dd-yyyy)? *
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What is your age? *
What is your gender? *
City of Birth *
Country of Birth *
Passport Number of the beneficiary's most recently issued passport *
Country that issued the most recently issued passport *
Expiration date for the most recently issued passport *
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What is your nationality? (ONLY UKRAINIANS AND THEIR IMMEDIATE FAMILY QUALIFY FOR THE U4U PROGRAM) *
Marital Status *
How many people from your immediate family will apply for the program and are looking for suitable accommodation together? *
What ages do your children have? *
Names of everyone in your immediate family with whom you are trying to travel to US on Humanitarian Parole - children included. *
Do you have any relatives in lawful status in the United States? If so, in what US state?  
Do you have pets that need to be placed in the same accommodation with you? *
If you have pets, let us know how many, what type they are, if they need outdoor space and other details, if they need any special accommodation, and if they are comfortable with children or other animals?
Your Highest Level of Education *
Please describe your educational degrees/ fields of study
If you are currently a student enrolled at a university in Ukraine please provide us with more details about: field of study, academic year and the name of the university you are studying at
What are your job preference? (write as many occupations and positions that you think fit your profile) *
What is your skills set? (write as many as you wish) *
If married/engaged, what are your partner's job preferences and skills set?
What is your English level? *
What other languages do you speak? *
What is your preferred location to live? Select all that match your preferences: *
Required
Do you or anyone in your family have any medical condition that need a special accommodation?
Please let us know what special requirements or accommodation you need based on the answers to the previous questions (e.g. your or someone else in your family needs a long-term treatment, intervention, assistive devices, therapies or adjustment to the household, or require a special diet or avoid allergens of any kind).
Please provide some information about the interests and hobbies you would like to share about, either describing you or your family (e.g. hiking, playing certain sports, music etc).
Is there any kind of reason or circumstance that would put you and your family off from accepting an offer for sponsorship or accommodation (e.g. – an all–male household, distance from a town, smoking or pets in the household etc)?
Do you understand that this parole does NOT make you automatically eligible for permanent U.S. status and that to obtain such status you need to consult with a licensed immigration attorney? *
Do you have in mind coming to the US and settling long-term? *
Do you see yourself living long term in the State of Connecticut, USA? (It is ideal for us to match you with a sponsor in the state where you prefer to be; most of our sponsors are from Connecticut) *
Form I-134 requires your US Sponsor to Provide the Following Information about you:  what type of assets do you have available to support yourself in the US (cash, bank accounts, savings accounts, etc) and how much of a balance you have available?  (It is ok to state $0 if you do not have any assets available to you)
Do you have any questions or comments for us?
Feel free to share more about your story with us! The more you share, the better our odds of giving you a sponsor who fits your interests.  For ex, if you practice a certain religion, please feel free to share your denomination so we can locate your equivalent faith community in the USA (Catholic, Orthodox, Jewish, etc) *
Please note that you need to be vaccinated - especially against Covid - as required by US law for all non-US citizens/ residents who travel to the US.  If you are against required vaccination (therefore against respecting the laws of the US), please do not submit an application as it violates the legal requirements and most US sponsors do not wish to come into contact and cannot help someone who is not vaccinated.  Will you have all required vaccinations (https://www.uscis.gov/humanitarian/uniting-for-ukraine-vaccine-attestation) BEFORE you come to the US? *
How did you hear about us?  (Who referred you to us?) *
Connecticut sponsors want to be your sponsors in the true sense of the word: they want to not only sign papers for you, but help you launch your new life in Connecticut, USA, the wealthiest state in the USA as GDP/ capita, give you free housing at the beginning, help you find jobs, English classes if needed, bring you to Ukrainian community gatherings as well as integrate you in their American communities, and in general maintain a relationship with you, maybe even a friendship for a long time.  Please do not use them just for signing papers if you have no intent to honor their generosity by actually coming to live with them in CT.  They do not want to just sign papers for someone who will never come to Connecticut but wants to go somewhere else in the USA - such would be fraudulent or close to fraudulent.  Be honest with your sponsors and keep your promises.  If you do not want the whole help package, do not complete this form.  While you are not obligated to stay with your sponsor for any particular period of time, we hope you consider staying with your sponsor at least until you become self-sufficient and get a job - this is also the intent of the U4U Parole Program where US government wants to know that a US person is helping you succeed in your new life.  If you have a life dream of being somewhere else other than CT, please do not bother CT sponsors who cannot help you outside CT; rather, look for a sponsor in that other place (although you should know that successful life in the US is because of people who can help you and not because of the place you choose). Please indicate below that you understand this. *
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