3 4 5 9  Lawrenceville - Suwanee  Rd., Suite A,  Suwanee ,  Georgia

Tel: (770) 271-5244 ● Toll Free:  (888) 768-7252 ● Fax: (770) 271-5604 ● Cornel@PotraLawFirm.com ● www.potralawfirm.com

Attorneys:  Cornel Potra – Admitted: Georgia & Washington  ●  Kristina F Potra – Admitted: Georgia

This questionnaire is for the exclusive use of Potra Law Firm.  Please answer all the questions.  Do not leave any questions unanswered.  If you do not have an answer to a question, please insert “N/A”.  It is your responsibility to provide true and accurate information, as well as the evidentiary documents requested. 

This Document Is For The Attorney’s Office Use Only

 

  

QUSTIONNAIRE I-129 R   FOR RELIGIOUS WORKER

MUST BE COMPLETED BY THE IMMIGRANT RELIGIOUS WORKER

 

Personal Information

 

1. Full Name

a. Family name

 b. First name

c. Middle name

 

2. Current address:

 

   a. Street  number

   b. City

   c. State/Province

   d. Zip code

 

   e. Country

 

 
   
 
3.  Phone number  
4.  Fax Number
5.  Email address
   

 

 

6. Type of visa (if now in  the U.S.):                 

 
7. Date of Birth month/day/year  
8. Place of Birth  
   a. City
   b. State (Province)
   c. Country
9. Country of citizenship

 

 

10. Address in U. S. where the applicant will reside:

   a. Street number

   b. City

   c. State

   d. Zip code

 

 

 

11. Marital status

12. Gender

13. Country of Nationality

 

 

14. Information from the applicant's passport:

   a. Passport Number

   b. Expiration Date month/day/year

 

   c. Issuing country

 

If now in the United States please give the following information about the Port of Entry:

 

15. Date of Entry month/day/year  
16. Port of Entry City/State
17. I-94 Number
18. I-94 expiration date month/day/year  
19. Status (type of  visa)

 

  

 

 
 

Please submit the following documents along WITH THE completely  FILLED OUT questionnaire (P. 2):

  

*

Copy of the university degree diploma & A Copy of any theological/biblical certificates for any training including the dates when the courses were taken
 
 
*

Letter from the religious institution where the religious worker worked continuously for at least 2 past years.  position must match the offered job at the institution in the U.S.
 
 
 
*

LETTER FROM THE RELIGIOUS INSTITUTION OR COPIES OF CHECKS/FINANCIAL DOCUMENTATION EVIDENCING THE FACT THAT THE POSITION WAS PAID BY THE INSTITUTION ABROAD – IF AVAILABLE
 
 
*

letter from the foreign church/religious organization attesting membership, from month and year to month and year or to present
 
 
*

LETTER FROM THE FOREIGN RELIGIOUS INSTITUTION ATTESTING TO THE RELIGIOUS AFFILIATION WITH THE u.s. BASED RELIGIOUS ORGANIZATION WHERE THE RELIGIOUS WORKER INTENDS TO WORK
 
 
*

Copies of religious worker’s and Family Members’ Passport and I-94 Cards (if Applicable)
 
*

copies of birth certificates for everybody, beneficiary and family members
 
*

if applicable, copy of the marriage certificate; 

*

any other documents that attest to the professional value as a religious worker
 
*

a resume from the religious worker
*

 Letters of recommendation from other religious workers who are well acquainted with  you, at least three
 
*

A detailed description of your religious worker activities in the religious setting where you have worked through present and for the past couple of years
 
 

NOTE: THIS DOCUMENT IS THE PRODUCT OF POTRA LAW FIRM. THE USE OF THIS QUESTIONNAIRE BY OTHER INDIVIDUALS OR LAW FIRMS IN ASSISTING OTHERS WITH THE COMPLETION OF DOCUMENTS, OR FOR ANY OTHER PURPOSES, IS STRICTLY PROHIBITED.   POTRA LAW FIRM MAINTAINS ITS COPYRIGHTS OVER THE TRANSLATION OF THIS DOCUMENT.  PERMISSION TO USE THIS DOCUMENT MAY BE OBTAINED ONLY FROM POTRA LAW FIRM.  COPYRIGHT © January 17, 2007.