Language
  • English (US)
  • Spanish (Latin America)
  • Application for referral to legal counsel with financial aid.

    Application for referral to legal counsel with financial aid.

  • I need help with my own immigration case.*
  • I am a minor under 18 and entered the U.S without either of my parents*
  • I have a notice or letter telling me that I need to go to immigration court.*
  • A judge, attorney, or immigration official told me that I need an immigration attorney to represent me in court*
  • I have an appointment with the immigration office in Midlothian or I need to check in by phone.*
  • A minor under 18 who is not my child was released into my care by immigration officials*

  • This form is intended for people who need assistance from legal counsel to help them obtain lawful presence in the United States. Select Cancel to see other options.

     

  • Cancel

  • The following questions are used to determine your eligibility to apply for financial aid. Note that proof of residence and school enrollment may be required.

  • Do you live in the City of Richmond, Chesterfield County, or Henrico County?*
  • Do you have any children under age 18 who are living with you now?*
  • Are the children who are old enough to go to school, enrolled in school?*

  • Unfortunately, based on your responses above, you are not eligible to apply for financial aid.

    Please do not complete this form. Select Cancel to see other options.

  • Cancel

  • 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?*
  • Format: (000) 000-0000.
  • Format: +00[0] 00 00 00 00 [00].

  • The email addresses that you entered do not match. Please correct this problem before you continue.

  • Date of birth*
     - -
  • Select your marital status*
  •  - -
  • If you are currently married, please select one of the following.
  • Did a parent of any of these kids abuse or abandon, or neglect the child?

  • Please provide information about kids in your care under 18 who live with you. This includes your own children and any kids placed in your care by immigration officials.

  • First child's date of birth
     - -
  • Second child's date of birth
     - -
  • Third child's date of birth
     - -
  • Fourth child's date of birth
     - -
  • Please enter the date of your next immigration court hearing. If you do not know the date then leave it blank
     - -
  • I understand that the Sacred Heart Center has not agreed to serve as my attorney or accredited representative in my case.*
  • I understand that this form is an application to request the referral of my immigration case to a law firm affiliated with the Immigration Legal Services Program at the Sacred Heart Center.*
  • I understand that the Sacred Heart Center does not guarantee the approval of my application.*
  • I understand that if the Sacred Heart Center approves my application and refers my case to a law firm, there is no guarantee that the law firm will accept my case.*
  • I authorize the Sacred Heart Center to provide a copy of my application to any law firm that is affiliated with the Immigration Legal Services Program.*

  • To complete your application for assistance with your immigration case, you must confirm that you understand each statement above and authorize the Sacred Heart Center to send a copy of your application to any law firm that is affiliated with the Immigration Legal Services Program.

  • Should be Empty: