INTERNATIONAL INSTITUTE OF THE BAY AREA • (650)780-­‐7530 • WWW.IIBAYAREA.ORG IN ORDER TO COMPLETE YOUR APPLICATION PLEASE COME PREPARED: Bring the Following Information: þ $680 check or money order, payable to “Department of Homeland Security” (if 75 years or older, only $595). UNLESS you qualify for a fee waiver*. *Fee Waiver: If you cannot afford the filing fee, you may qualify for a fee waiver. Must bring documents such as pay stubs, tax return and/or recent written proof that you receive public benefits, like SSI, Medi-Cal, food stamps, WIC, CalWorks, cash aid, general assistance, etc. þ Copy of your green card (both sides). þ 2 photos (two identical passport-style color photographs, the photos must be 2” x 2”). þ If you are currently married; spouse’s full legal name, date of birth, Social Security number, alien number (A#), date and place of naturalization, and current address. þ Information about all your prior marriages and about all of your current spouse’s prior marriages; including date of marriage, date the marriage ended, and how marriage ended (copy of divorce/death/annulment papers). þ Documentation of all arrests and/or convictions, including reason for the arrest, date, place, and outcome/disposition. Bring ALL arrest and court documents, even if the charges were dropped. LIST OF HOME ADDRESSES- Where have you lived in the last five years? Begin with where you live now. Street Number and Name, Apartment, City, State, Zip Code and Country Número y Nombre de Calle, Apartamento, Ciudad, Estado, Código Postal y País Dates (mm/dd/yyyy) Fechas (mm/dd/yyyy) From/ Desde To/Hasta PRESENT LIST OF EMPLOYMENT & SCHOOL-Where have you worked or studied in the last 5 years? Employer or School Name Nombre del Empleador o Escuela Employer or School Address (Street, City and State) Dirección del Empleador o Escuela (Calle, Ciudad y Estado) Dates (mm/dd/yyyy) Fechas (mm/dd/yyyy) From/ Desde To/ Hasta PRESENT Your Occupation Su Ocupación LIST OF TRIPS OUTSIDE OF USA-List all trips of 24 hours or more that you have taken outside of the U.S. since becoming a Lawful Permanent Resident. (Begin with the most recent trip). Date Left USA Fecha que salió de EU Date Returned to USA Fecha de regreso a EU Did Trip Last 6 Months or More? El viaje duro 6 meses o más? Yes/ Yes/ Yes/ Yes/ Yes/ Si Si Si Si Si Countries to Which You Traveled Países a los que ha viajado Total Days Out of USA Total de días fuera de EE.UU. No/No No/No No/No No/No No/No INFORMATION ABOUT YOUR CHILDREN. Full Name of Son or Daughter Nombre Completo de su Hijo o Hija Date of Birth (mm/dd/yyyy) Fecha de Nacimiento (mm/dd/yyyy) Green Card Number Número de Mica Country of birth País de Nacimiento Current Address Domicilio Actual A A A A A INTERNATIONAL INSTITUTE OF THE BAY AREA • (650)780-­‐7530 • WWW.IIBAYAREA.ORG