DACA Workshop Registration

Which workshop will you be attending?*

Name (as it appears on your work permit)*

First NameLast Name

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

DACA expiration date*

Date

Current Address*

Date since you've lived at the above address*

Date

Since your last DACA renewal, have you changed addresses?*

YesNo

If you answered yes, please list additional addresses since your last DACA renewal.

Address 1

Dates you lived here

Address 2

Dates you lived here

Have you renewed your DACA with the Latin American Association before?*

YesNo

Have you had any arrests or traffic violations since your last DACA renewal?*

YesNo

If you answered yes, include the reason for arrest or traffic violation

Have you traveled outside of the United States since your last DACA renewal? This does not include any trips to Alaska, Hawaii, Puerto Rico, or any of the U.S. territories.*

YesNo

If you answered yes, please include exact departure and return dates and specify port of entry. You will need to bring a copy of your advanced parole travel document to the workshop.

We will be offering financial assistance to individuals whose income is at or below 200% of the Federal Poverty Guidelines. Funds are limited and will be awarded on a first come, first serve basis. Please see the chart below to see if you qualify:

If you qualify based on the chart above, are you interested in receiving financial assistance to cover DACA fees?

YesNo

If you answered yes, please include your income and household size (proof of income will be required)

Please bring a copy of your previous DACA filing, passport, current EAD (work permit), and information about any arrests or traffic violations since your last renewal (if applicable).

If you qualify for financial assistance based on the chart, also bring proof of income (tax statements from the most recent year or three most recent check stubs) and two passport photos.