Akst & Akst Client Questionnaire:
Personal Info      
Name: First
Last
Middle
Street, Apt
City
State, Zip
Telephone
Cellular
Email
Birth Month/Day/Year
 ,
SS#
City
Country of Birth
Nationality
City of Last Entry
Passport#
Country of Passport
Visa issue City/Country
Expiration Date
F-1/J-1School/Organization
I-20/DSP 2019 Start Date
End date
OPT Expiration
 
Foreign Address      
Street
Apt
City
Country
Current employer or future sponsor
Name
Address
Telephone
Contact
Job Title
Fax or Email
       
Work Experience/Education
School
Degree (BS/etc)
Subject (major)
Year/Graduation
City/Country of School
Years of Work Experience
Marital Status Place of Marriage Date of Marriage
Married   Divorced   Widowed    Single:
If married, full name of spouse (first, last, maiden name) Birth Date

Birth City/Country

 Spouse's Visa Status Citizenship
Children
For each child under the age of 21 please provide:  Name, date of birth, son/daughter, current visa status and citizenship below.