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Prospective Citizenship Day Applicant Form
Please fill out this form if you wish to attend and receive assistance from a volunteer attorney at AILA Michigan's Citizenship Day on September 23, 2023.
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
Sex
*
Male
Female
Prefer not to say
Other:
Date of Birth
*
MM
/
DD
/
YYYY
Date you became Lawful Permanent Resident? ("Resident Since" Date on card)
*
MM
/
DD
/
YYYY
Preferred Language other than English, if any
*
Your answer
Can you write, read, and speak basic English?
*
Write
Read
Speak
Required
Have you been a Michigan resident for at least 3 months?
*
Yes
No
Have you been arrested by the police or Immigration for any reason, in the US or any other country?
*
Yes
No
Other:
Have you ever been told to appear before an Immigration Judge or told to leave the United States?
*
Yes
No
Other:
Have you helped someone come to the U.S. illegally, even if the person is your child or spouse?
*
Yes
No
Other:
Have you always filed tax returns since you became a Resident?
*
Yes
No
Other:
Have you ever claimed to be a US Citizen?
*
Yes
No
Other:
Are you registered to vote or have voted in the US?
*
Yes
No
Other:
How did you hear about the event?
Your answer
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