Earl Carl Institute- Immigration Citizenship Intake Form

The ECI Immigration Community Clinic focuses on the expansion of legal assistance to immigrants applying for U.S. Citizenship and navigating through the U.S. Naturalization Process. The Clinic is open year round and will provide legal representation to eligible individuals in reviewing his or her N-400 Application, I-912 Fee Waiver Application, and as an authorized attorney to monitoring the application process to assist with any issue that may arise. By completing this application, you are requesting these services from the Earl Carl Institute for Legal & Social Policy, Inc. at Thurgood Marshall School of Law.

“Naturalization “is the process by which U.S. Citizenship is granted to a Lawful Permanent Resident after meeting the eligibility requirements established by U.S. Congress pursuant to the Immigration and Nationality Act. For more info regarding the N-400 Application Process and to download the N-400 Application, please refer to the website at https://www.uscis.gov/n-400. You can download the document under the Form Details section on that page and submit it to the program for review at the time you submit this application for assistance or after your intake form has been approved for further assistance.

Generally, to naturalize, you must be 18 years old, demonstrate good moral character, and not have violated certain laws of the U.S., such as criminal laws, immigration laws, and other civil laws of the U.S. You also must have a basic understanding of U.S. history and civics; be able to read, write, and speak basic English; and have maintained a physical presence in the U.S. with lawful permanent residency for the statutory time period (three or five years).

Prior to completing this application, please check your eligibility for naturalization at https://www.uscis.gov/citizenship-resource-center/learn-about-citizenship/naturalization-eligibility-tool.

All information received from an applicant is strictly confidential. Our firm makes every effort to protect your personal privacy. The data submitted via this form is encrypted and secured using industry-standard 128-bit SSL encryption. Your Social Security number and other personal information will only be used in the event that you hire the firm to represent you in your legal matter, and then, only when necessary, in limited use during the course of your case. Social Security numbers are most often used to positively identify parties. If a lawsuit has to be filed, courts require partial Social Security numbers and Texas Driver's License numbers of all parties in a case.

Our services are intended for low to moderate-income households, so you must complete the financial information requested in this intake form. If you have any questions about completing this application, please don't hesitate to contact us at 713-313-1139.

Your completed application will be reviewed to determine eligibility and other criteria and, if eligible, will be assigned to the appropriate case handler.

The case review and assignment process can take up to 5-7 days depending on current volume, though some cases will be approved and assigned sooner. You will be contacted by your case handler once your case has been assigned.

At this time there is no Attorney/Client Relationship. This means that your case is NOT being accepted for representation at this time. However, it is under review to see if there is a legally viable means of assisting you. Therefore you are responsible for meeting any legal deadlines in your case on your own until we or another attorney provide you written notice that your case has been accepted.

If your case is an emergency or if there is a court setting scheduled within 48 hours, please call 713-313-1158 to expedite the processing of your application.

Contact information

County of Residence

Have you lived at your current address for the last 3 months?

Are you 18 years or older?

Date of Birth

Driver's License Number

A#:

Are you 50 years old or older and have lived in the U.S. as a Legal Permanent Resident (Green Card holder) for 20 years; or are you 55 years old and have lived in the U.S. as a Legal Permanent Resident for 15 years?

Are you 65 years old or older and have been a permanent resident for at least 20 years?

Have you been a legal permanent resident for at least 5 years or at least 4 years and 9 months if you would like to file early?

Have you continuously resided in the U.S. for at least 4 years 9 months and been physically present in the U.S. for 35 months before applying?

Have you been a Legal Permanent Resident for the last 3 years and have been living with and are married to a U.S. or at least 2 years and 9 months if you would like to file early?

Have you been physically present in the U.S. for at least 18 months out of those 3 years?

Has your U.S. Citizen Spouse been a U.S. Citizen for 3 years or longer?

Did you ever travel outside the United States for 6 months or more?

Are you an asylum applicant that has visited the country where persecution occurred?

Did you ever give false information to the U.S government on any immigration or welfare application?

Is one or both of your parents (biological or by adoption) a US citizen?

Do you have minor children (under 18)?

Have you failed to financially support any of your minor children?

If you have worked in the U.S., did you file taxes for every year you worked in the United States?

Have you voted or registered to vote in the United States?

Have you said that you are a U.S. citizen on any document or application?

Have you ever been cited (including traffic violations), arrested, held in custody, or convicted in any country by any government agency?

Were you ever in a jail, prison or detention center?

Have you ever been detained by a Customs Border Patrol or Immigration Customs Enforcement officer?

Have you ever been in immigration proceedings or had to appear in U.S. immigration court or see an immigration judge?

Have you ever been deported (sent back to your country) or denied entry into the United States?

Did you ever help a person (including your family) enter the U.S. illegally?

Did you ever sell, transport or abuse illegal drugs, narcotics, alcohol, or conducted any illegal activities such as gambling and prostitution?

Have you ever been involved in or financed any terrorist activities, have helped overthrow a government, or committed genocide?

Gender

If you are a male, did you register for Selective Service between the ages of 18-26?

Race

Language(s) Spoken

Marital Status

Highest Educational Level Completed

How were you referred to ECI?

Demographic Information

Are you a victim of domestic violence?

Are you disabled?

Do you have a documented physical or mental impairment that makes it difficult to complete a naturalization test?

Do you have a documented disability that has lasted or is expected to last more than 12 months?

Are you a veteran?

Are you a member of the LGBTQ community?

Have you been involved in the foster care system?

Are you homeless?

Are you currently confined to jail or prison?

Are you currently represented by an attorney?

Financial Eligibility Questions

How many people live in your household?

Select everyone who lives in your household

Household Income and Benefits

Do you or any household member own any of the following assets?

Case Facts

Please provide a brief description of the legal problem that you need assistance with. Include important names and dates, if known.

ACKNOWLEDGEMENTS

THE INFORMATION PROVIDED IS A TRUE AND ACCURATE STATEMENT OF MY FINANCIAL SITUATION (INCLUDING THE INCOME OF ALL FAMILY MEMBERS WITH WHOM I RESIDE) AND THE FACTS CONCERNING MY PROBLEM.

I confirm that I have named all persons who I believe have an interest in my case. I understand that if a conflict of interest arises from the facts of my case, my case will be closed.

You agree that everything submitted and stated within this application is true.

I acknowledge that I will have to take a Civics and English test.

Please attach any documents that should be reviewed with your case.