Initial DACA Intake

Initial DACA Intake
This is for people who are eligible to file and interested in moving forward in the process with SIREN's assistance.

You must have gathered and organized your evidence packet in order to get SIREN's assistance.

COMPLETE THE FORM WITH THE INFORMATION OF THE APPLICANT

COMPLETE LA FORMA CON LA INFORMACION DE LA PERSONA QUE QUIERE APLICAR

Please check your email regularly as we will send you an access link to fill out the necessary forms through your email address.
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Age*
Date of Birth*
Did you enter the U.S. before your 16th birthday?*
Education Level*

Primary SchoolSecondary SchoolCompleted High School/GEDCurrently enrolled in high school/GED programCurrently enrolled or completed vocational programSome CollegeCompleted CollegeGraduate/Professional School
Date and place of last entry into the United States*
Date and place of initial entry into the United States *
How many times have entered the United States?*
Immigration Status at Entry*
Current Immigration Status *
Have you ever been cited, arrested, convicted of any crime? If you have ever had negative contact with police and you're unsure of whether that interaction constitutes being cited, arrested or convicted of any crime, please answer YES so that SIREN staff can follow up with you about that.*
Have you ever been in deportation/removal proceedings? If you have ever come into negative contact with immigration officials at the border, on the street, at home, or in court, and you are unsure of whether that means you are or ever have been in deportation or removal proceedings, please answer YES so that SIREN staff can follow up with you about that.*
Sexual Orientation

HeterosexualBisexualGay/LesbianQueerUnknownDecline to StateAnother Sexual Orientation
Gender

MaleFemaleTransgender (MTF)Transgender (FTM)NonbinaryAnother gender identityDecline to State
Marital Status

Single (never married)MarriedDivorcedWidowed
Which SIREN office is closest to you?*

San Jose, CAFresno, CA
What is your race/ethnicity?*
Preferred Language*
I understand and agree that the services that I receive from any SIREN attorney and/or BIA representative(s) will be limited to providing me assistance with filling out DACA forms. I understand that the attorney or BIA representative assisting me will not be representing me in my immigration case. I also understand that it is my responsibility to complete any remaining steps on my application and to file the application. I agree to provide complete and truthful information needed for completing the forms to the attorney(s) and BIA representative(s) assisting me. I understand that this information is confidential and will not be disclosed without my consent. The undersigned applicant has read and understood this Agreement and by signing it agrees to its terms. *

Clear
The presentation will be via ZOOM. We prefer for applicants to have their camera ON to allow our presenter to better assist you. Please keep a close eye on your email to receive the ZOOM link and further information.
Should be Empty: