Workshop Registration
Today Date / Fecha de Hoy
MM
/
DD
/
YYYY
Which event will you be attendig? / Que evento atenderás?
NAME
Your answer
Last Name / Apellidos
Your answer
Gender / Genero
Date of Birth
Your answer
Age
Your answer
Residency Number / Numero de Residencia
Your answer
How many years do you have with your Green Card? / Cuantos Anos tiene con su residencia?
Your answer
Address / Direccion
Your answer
Ciudad / City
Your answer
Stado / State
Zip Code / Codigo Postal
Your answer
County / Condado
Your answer
Phone Number / Telefono
Your answer
Email / Correo Electronico
Your answer
Do you give Proyecto Inmigrante ICS, Inc. permission to send you information via text, phone calls or email? ¿Daría permiso a Proyecto Inmigrante ICS, Inc. a enviarle mensajes de textos, llamadas o correos electrónicos?
Country Of Birth and Nationality / Pais de Nacimiento y Nacionalidad
Your answer
Current Marital Satus / Estado Civil Actual
If Married Spouses's Immigration Status
How Many Children do you have under 18yo with Legal Residency / Cuantos hijos menores de 18 con residencia tiene?
Your answer
Why would you want to Become a US Citizen? / Por que Desea Convertirse en Ciudadano de EU.
How Did you Find out about our Event / Como Se Dio Cuenta de este evento
Which Media did you this this event / Nombre del medio en el que vio este evento
Your answer
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