• ■ Preparer and interpreter information
• oCheck Yes
• oIs someone assisting you with completing this application:
• Check No

Your Information

• ➢ Your Name
• ✓✓ What is your current legal name?
• ✓✓ Have you used any other names since birth?
• ➢ Your contact information
• ✓✓ How may we contact you?
• Daytime telephone number
• Email address
• ■ What is your current U.S. mailing address?
• ■ Is your current mailing address the same as your physical address?
• ✓✓ Describe yourself
• ■ What is your gender?
• ■ What is your marital status?
• ✓When and where you were born
• ■ What is your city, town or village of birth?
• ■ What is your state or province of birth?
• ■ What is your country of birth?
• ■ What is your date of birth?
• ✓✓ Your immigration information
• ■ What is your country of citizenship or nationality?
• ■ What is your Form I-94 Arrival-Departure Record Number?
• ■ When did you last arrive in the United States?
• oDate of Arrival
• oPlace of arrival (airport)
• oStatus at last arrival
• Most likely F1
• oWhat is the passport number of your most recently issued passport?
• oWhat is your travel document number (if any)? In most cases, leave this section blank. Likely you don't have one.
• oWhat is the expiration date of your passport or travel document?
• oWhat country issued your passport or travel document?
• oWhat is your current immigration status or category?
• F1