Applicant Registration Form/Registración para solicitantes de ciudadanía. Saturday, September 22, 2018 - New York, NY.
Dominicanos USA (DUSA) will offer free assistance with the citizenship application, fee waiver, and legal consultation for eligible lawful permanent residents in New York.
Time: 10:00 AM - 1:00 PM
Location: George Washington Educational Campus, 549 Audubon Ave. New York, NY 10040.
Appointment Time / Hora de cita *
First name / Primer Nombre *
Your answer
M.
Your answer
Last Name / Apellido *
Your answer
Cuál es su edad? What's your age? *
Country of origin / Pais de origen *
Gender / Género *
Address/Dirección
Your answer
Apt.
Your answer
City/Ciudad *
Your answer
State/Estado *
Your answer
Zip code/Codigo postal *
Your answer
Phone Number/ # de teléfono *
Your answer
Is this a cell phone #? / Es este un # de celular? *
Email
Your answer
What is your marital status? / Cuál es su estado civil? *
Required
Do you receive any public benefit? / Recibe algún beneficio público? *
Required
What is your annual household income? Cual es el ingreso anual de su familia?
Your answer
When did you become a lawful permanent resident? / En que fecha usted obtuvo la residencia? *
MM
/
DD
/
YYYY
Do you have basic knowledge of English language? Tiene conocimiento básico del idioma ingles? *
Have you ever been arrested, cited, detained or had a MTA ticket? Alguna vez ha sido arrestado, citado, detenido o le han dado una infracción de transito? *
Required
Number of NON-citizen children under the age of 18 / Numero de hijos NO- cuidadanos menores de 18 anos de edad *
Your answer
How did you hear about this event? / Como supo de este evento? *
Required
-Are you interested in starting your application at home? -Le interesaría empezar su aplicación en casa? *
-Do you feel comfortable using the computer, smartphone or do you have someone to help you? -Se siente cómodo usando la computadora, un teléfono inteligente o tiene a alguien que le ayude? *
Notes
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Dominicanos USA. Report Abuse - Terms of Service - Additional Terms