Feedback

Please answer the following questions.  Be assured that USHR  follows a strict policy of confidentiality for its clients.  We will get back to you as soon as possible.

Please provide the following contact information:

First Name
Last Name
Middle Initial
Title
Company
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
URL

 

Please provide the following personal information:

Date of Birth
Sex Male Female

 

Choose which best describes your civil status:

Single
Married
Divorced
Widow/Widower

What is your highest educational attainment?

High School Diploma
Some college units
Vocational/Technical 2-year degree
B.S./A.B. degree holder
Some masteral units
Masteral Degree
Some units towards a Ph.D.
Ph.D.

What is your current occupation? In what field?

Do you have a current pending U.S. immigrant/working visa petition?

Yes No

If yes, when was the petition filed?

-- mm/dd/yy

Has the U.S. Embassy ever turned down your visa application?

Yes No

If yes, when was the last time your petition was rejected?

-- mm/dd/yy

Do you have any plans of visiting the United States within the next 6 months?

Yes No

Which of the services being offered by USHR/USISN do you feel is applicable to you?

Please describe your current immigration/visa problem

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Last updated: October 24, 2000