Family Name (required)
Given name (required)
E-mail address (required)
Marital Status (required) SingleMarriedSeparatedDivorcedWidowed
Country of citizenship (required)
Country of residence
I was refused entry in the United States because I have the following: Criminal RecordCommunicable diseaseOverstay in the U.SPrevious Removal or Deportation from the U.SFailure to return I-94 Card
Other (Please specify):
Is this the first time that you want to apply for a waiver of inadmissibility? YesNo
Are you being sponsored for your immigration (green card) application by a family member who is a U.S. citizen? YesNo
Are you being sponsored for your immigration (green card) application by a family member who is a permanent resident (green card holder)? YesNo