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The Wilberforce Center

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Pre-Consultation Application

ُFirst Name

Last Name

Email

Phone

Name of Resettlement Agency

Sponsors Name

Sponsor's Email

Sponsor's Phone Number

Name of Case Worker

What Date did you First Arrive in America

Did you work for the US or a contractor of US?

Yes

No

Unsure

Your Current Address Information

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

I would like to know more about:

Asylum

SIV

TPS

Humanitarian Parole

Reunification

Other

Employment History in Afghanistan

What Family members are here in the US?

What family members remain in Afganistan?

What documents do you have?

SIV HR Letter

SIV Employment Verification Letter

Threat Letter

COM Approval Notice

Passport

Taskara

EAD (Work Permit) Card

Do you have any relatives that are Green card Holders or US Citizens?

Yes

No

Unsure

Message

Thank you. Someone from the Wilberforce team will be contacting you.

© 2018 The Wilberforce Center for Justice & Human Rights, Inc.

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