Have you received assistance from us in the past?
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Your title
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Name
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What is your preferred written communication channel?
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Can you communicate in English?
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If not, what is your main language?
Service requested
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Adjustment of Status (green card)
Employment authorization document (EAD) first application
EAD renewal
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Do you have ANY criminal conviction? (If your answer is yes, we cannot help you.)
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What is your current immigration status
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