SHC Legal

Your name

Given nameFamily name
What languages do you speak?

Other language
Enter your phone number carefully. If your phone number is incorrect, we cannot process your application.
Do you have a U.S. mobile phone number?
Enter your U.S. mobile phone number beginning with the area code.
Please enter a valid phone number.Format: (000) 000-0000.
Enter your mobile phone number beginning with the country code.
Please enter a valid phone number.Format: +00[0] 00 00 00 00 [00].
Please enter your email address if you have one. If you include a valid email address you will receive a confirmation by email of your submission within a few minutes.
example@example.com
Thank you for providing an email address. For confirmation, please re-enter your email address.
example@example.com
The email addresses that you entered do not match. Please correct this problem before you continue.
Your Current Address
Street address
Apartment or unit number
City
State
Zipcode
Date of birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearEnter the day first, the month second, and the year last
Country where you were born
Enter the "A" number assigned by immigration officials. If you have a green card or a work permit it is written on your card. This number is written on most immigration notices or letters that have been provided to you. Sometimes it is called a Case Number or a File Number. If you leave this field blank, the processing of your application may be delayed. If you cannot find this number, ask a friend or relative to help you find it.
Do you currently have immigration status?
What is your immigration status?
Have you ever applied for immigration status?
What did you apply for?
Unfortunately, based on your responses above, you are not eligible to apply for a work permit.

Please do not complete this form. Select Cancel to see other options.
Please note: work permits based on Deferred Action through Special Immigrant Juvenile Status ("la Visa Juvenil"), or on TPS for a country whose TPS has been terminated, can no longer be renewed on that basis.
Please provide any additional information that will help us understand what you need.
OPTIONAL PHOTOS

Please send us photos of the following documents if you have them. The photos will help us process your request more quickly. We will not share your photos with anyone outside the Immigration Legal Services Program without your consent.
- Permanent resident card (green card)
- Work permit card
- Driver's license
- National ID card from your home country
- Passport identification page with your photo
- Notices from USCIS (I-797C, for example)
- Hearing notices for immigration court
- Notice to Appear
You can add one or more photos by tapping below.

Cancelof

1) I understand that the Sacred Heart Center has not agreed to serve as my attorney or accredited representative in my case.
2) I understand that this form is an application to request assistance from the Immigration Legal Services Program at the Sacred Heart Center.
3) We will let you know as soon as possible when and if we can help you. If we cannot help you we will send you list of law firms that you can call for assistance. Do you understand?
To complete your application for assistance with immigration, you must confirm that you understand each of the three statements above.
Type your name below as your electronic signature and tap on the green button below to submit your application to the Immigration Legal Services Program at the Sacred Heart Center. We cannot process applications that are not electronically signed.
Sign your name by typing your name here.
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Immigration Legal Services Program Sacred Heart Center