Afghan Allies Safe Arrival Coalition Form

Afghan Allies Safe Arrival Coalition Form
This form collects case information needed to assist us with finding you resettlement support and coordinate your self-booked travel to the United States.

This form is for travel-ready Afghans who are in any country and have the appropriate travel documentation. One must have a valid passport, a U.S. Visa, and any documentation required to depart from one’s current country. Please know that if you reside in Pakistan, you are required to have an exit permit only if you have overstayed or do not have a Pakistan visa.

This form is for those with a valid U.S Special Immigrant Visa (SIV). Once this form is submitted, we will begin emailing with you to discuss instructions, details, and any available resettlement opportunities.

Please complete one form per household, even if the individuals are split into multiple SIV cases.
Travel Coordination Information
Travel Coordination Overview

The coalition’s 0% humanitarian travel loan is now closed for new requests. Currently, one must self-book their travel to the United States. Please do not self-book your travel until you have coordinated the departure date and arrival location with us.

To begin the travel coordination process, you must:
- Agree to book your own travel after coordinating your flight with us.
- Provide copies of valid passports or travel documents for every traveling family member.
- Provide a contact person located in the U.S. and share their name, full address, phone, and email.
*Please note: on average, we have found plane tickets to cost approximately $600-1500 per person, but may be less or more depending on availability
Sponsor Circle Program Information
Support in the U.S. – Sponsor Circle Program

If you need resettlement support when you arrive to the U.S., the Sponsor Circle Program can help match you with a group of volunteers that will welcome you. These volunteers are called “sponsors” and they will help you navigate the challenges newcomers face when arriving to America. They will help you settle into your new life.

Volunteers are not available in every location, so if you request this support you must be willing to resettle to a location where we have volunteers ready to welcome you.

Sponsor Circle Support

Volunteer groups (“sponsors”) help newcomers access services and resources over a temporary period of 90 days. Their role is to make your transition to life in the U.S. easier and help you become independent as quickly as possible. These services may include:
- Welcome: Sponsors may greet you at the airport and take you to where you will live when you first arrive.
- Housing assistance: Sponsors will help you find a place to live, whether temporary or permanent, and guide you through the rental process.
- Basic needs: Sponsors help with essentials such as furniture, household items, food, and clothing when you first arrive.
- Navigating daily life: Sponsors help you understand public transportation, grocery shopping, opening an American bank account, and how to access important services.
- Healthcare and education: Sponsors will guide you in enrolling in healthcare services and schools for your children, if needed.
- Employment: Sponsors will help with job searches, applications, and interviews. They can help you understand how to transfer your skills or credentials to jobs in America.
- Cultural orientation: Sponsors will introduce you to the local community and help you learn about American culture. They may also connect you with other people who share your background or interests.
What Sponsor Circle is Not:
- Sponsors are not paid and will not pay you.
- Sponsors are not employers and cannot guarantee jobs.
- Sponsors are not financially responsible for you or your family after 90 days. Once you begin earning an income, you will be responsible for your own rent, bills, and expenses.
- Sponsors are not immigration officials or professional resettlement case managers.
Completing this form does not guarantee resettlement or sponsorship support. After completing this form, representatives from the Afghan Allies Safe Arrival Initiative will contact you to discuss our ability to assist.
Type of Assistance Requested*

Only resettlement from a group of volunteers under the Sponsor Circle Program (I plan to book my own travel without assistance from the Afghan Allies Safe Arrival Coalition)I cannot self-book but still request to know about the resettlement support through the Sponsor Circle Program
Have you already arrived in the U.S.?*

YesNo
This form is only for cases that are overseas and have not yet arrived in the U.S. To refer a case that is already in the U.S., please use this form: https://form.jotform.com/250856821848165.

Special Immigrant Visa (SIV) Holder Sponsor Circle Program Enrollment Request - Overseas Case Referral
Who is completing the Sponsor Circle Program Enrollment Request *

Referring Entity Contact Information
Organization Name*
If you are not part of an organization, please write N/A here and answer the questions below, indicating your relationship to the individual or family you are referring.
Full Name of Point of Contact*
Point of Contact Title*
Point of Contact Email*
example@example.com
Point of Contact Phone Number*
Please enter a valid phone number.
Relationship to case*

U.S. Visa Holder Case Information
Total case size: Please identify the total number of travelers*
Number of adults: Please identify the total number of individuals who are 18 years old or older.*
Number of children: Please identify the total number of individuals who are 17 years old or younger. *
Current Location *
Select the country you are physically located in right now
Possessing a U.S. visa does not automatically ensure entry into the United States; final determination is made by U.S. Customs and Border Protection (CBP) officers at the port of entry. Every traveler must qualify for or hold a valid U.S. visa, qualify for the Visa Waiver Program (VWP), or be a U.S. citizen. Does each traveler in your group meet one of these three requirements?*

YesNo
U.S. Visa

Each traveler must qualify for or hold a valid U.S. visa, qualify for the Visa Waiver Program (VWP), or be a U.S. citizen.

Travelers who do not meet these requirements not eligible to complete the intake form and receive assistance through this program.
Does every traveler have an approved U.S. visa?*

YesNo
Does every traveler have a valid passport or travel document?*

YesNo
Are you willing to self book?*

YesNo
Name of the person (usually the head of household) who will be on the loan application? *

First NameLast Name
Travel Loan

We can only help you book travel if you are willing to take a 0% loan.
What type of visa did you enter your current country with?*
Describe other visa type*
Current address*
Complete address, including city and country
List the airport(s) you are able to depart from*

Additional Case Member Information

Travel Document and Loan
Please upload photos / scans of all passports and/or travel documents*

Cancelof
Please upload photos / scans of all U.S. visas

Cancelof
Please upload photos / scans of all visas, any extensions, and exit visas for current country

Cancelof
How many checked bags total? (*baggage allowances are not guaranteed)*
Preferred Travel Date Range

The resettlement volunteers can accept arrivals on Tuesday, Wednesday, or Thursday. This is good news to the traveler as airlines typically offer lower-cost flights mid-week. Please remember not to book your flight until we can match you with sponsors. Submitting this form does not ensure sponsorship.
Do you have a preferred date range for travel?

YesNo
Earliest preferred travel date*

MonthDayYear
Date format: month first, then day, then year
Latest preferred travel date*

MonthDayYear
Date format: month first, then day, then year
If you are unable to travel outside of this date range, please provide the reason
Have you already booked your flight to the U.S.?*

YesNo
Date of Departure*

MonthDayYear
Date
Hour MinutesAM/PM Option
Date of Arrival in the U.S. *

MonthDayYear
Date
Hour MinutesAM/PM Option
Travel Itinerary*
EXAMPLE: DOH-JFK-CVG
Please upload a copy of your travel itinerary if you have already booked your flight.

Cancelof

Medical and Accessibility Information
Please describe any medical needs of this case.*
Please be specific about which family member(s) have any significant medical needs
Does anyone in the case require immediate medical follow up?*
Please describe which case member(s) need urgent medical follow up and the type of follow up required.*
Please describe any specific accessibility or mobility needs.*
If none write "N/A" or "none"
Is anyone in the case pregnant?*
Name of case member who is pregnant*
Due date*

MonthDayYear
Date: MM-DD-YYYY
Does anyone in the case require a wheelchair?*
Are you able to walk short distances? (for example, from the plane door to your seat)*

YesNo
Are you able to go up and down stairs? (for example, if the plane has a stair entrance)*

YesNo
Do you have your own wheelchair you would like to check and bring with you to the United States?*

YesNo
Is your wheelchair battery operated?*

YesNo
Is any member of the case deaf?*

U.S. Tie Information

Please share information about the person (family member or friend) who will be helping you when you arrive in the U.S.
Please provide a U.S. Point of Contact
Do you have any family or other close personal ties in the U.S.?*
U.S. Tie Name*
U.S. Tie Relationship*
U.S. Tie Phone Number*
Please enter a valid phone number.
U.S. Tie Street Address*

Street Address

Street Address Line 2

City

Zip Code
U.S. Tie City and State*

Street Address

Street Address Line 2

CityState

Zip Code
U.S. Tie Zip Code*

Street Address

Street Address Line 2

City

Zip Code
U.S. Tie Email Address*
example@example.com
Preferred arrival airport in the U.S. (first choice)*
Preferred arrival airport in the U.S. (second choice)*
Please share the name, relationship, and location of any additional U.S. tie(s)
If there are multiple close personal ties, please include each of them.
Preferred Resettlement Location

Please provide up to three resettlement location preferences, however keep in mind that you may need to travel to a different location where volunteers are available in order to receive resettlement support when you arrive. Currently, we have sponsors available near America’s Capitol in Washington, District of Columbia.
Is there a U.S. city and state where you would prefer to resettle?*
First Preference City and State*

Street Address

Street Address Line 2

CityState

Zip Code
Second Preference City and State

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Third Preference City and State

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Fourth Preference City and State

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Fifth Preference City and State

Street Address

Street Address Line 2

CityState

Postal / Zip Code
If we have sponsors in another location, would you be willing to resettle in another city or state that we choose for you?*

YesNo (I understand support may not be available to help me resettle)

Submission
Please share any additional notes or questions here
Please make sure to click "submit" to ensure your request is received.
Should be Empty:

Afghan Allies Safe Arrival Coalition Form

Travel Coordination Information

Sponsor Circle Program Information

Special Immigrant Visa (SIV) Holder Sponsor Circle Program Enrollment Request - Overseas Case Referral

Referring Entity Contact Information

U.S. Visa Holder Case Information

Principal Applicant Information

Additional Case Member Information

Travel Document and Loan

Medical and Accessibility Information

U.S. Tie Information

Please provide a U.S. Point of Contact

Submission