Immigration Pre-Qualification — Caridades Catolicas

First Name(s)*

Required

Last Name(s)*

Required

Age*

Required

Country of Origin*

Required

Phone*

Required

Email Address*

We will send your PIN and case updates here.

Valid email required

State (USA) or Region*

Required

Passport / ID Number(Optional)

Current Immigration Status(Optional)

Photo or copy of ID(Optional)

📷

Click to upload or drag here

Passport, ID, work permit — JPG, PNG, PDF (max 5 MB)

Not shown in public documents. Stored securely.

Your information is completely confidential. Answer honestly to receive the best possible advice.

How did you enter the United States?*

✅Legally (with visa, at port of entry)

🚬Without inspection (crossing the border)

📄With humanitarian parole or special permit

❓Not sure

Please select an option

Do you have any open case with USCIS or court?*

Required

Have you had deportation proceedings or appeared in court?*

Required

Do you have a deportation order (removal order)?*

Required

This information helps us identify the type of benefit or visa you may qualify for.

Do you have family members who are US citizens or permanent residents?*

Required

Have you been a victim of a crime in the United States?*

Required

Have you applied for asylum or humanitarian protection?*

Required

How long have you been living in the United States?*

Required

Additional information(Optional)

Do you currently have a work permit (EAD)?*

Required

Have you previously applied for any immigration benefit or visa?*

Required

Are you currently receiving aid from the government or any organization?*

Required

Current employment situation(Optional)

Are you willing to start the legal process soon?*

Required

Create access credentials

A 6-digit PIN will be generated and emailed to you. You will need it along with your username and password to access the portal.

Username*

Lowercase letters, numbers, dots, hyphens only (min 3 chars).

Required (minimum 3 characters)

Password*

Minimum 8 characters

Confirm Password*

Passwords do not match

Never share your password or PIN. Catholic Charities will never ask for these by phone or email.

Immigration Pre-Qualification Form

Section 1: Basic Information

Application Submitted Successfully