APPLICATION BASIS 				
								
								
								
								
								
					PERSONAL  INFORMATION 				
								
												
								Surname / Family Name							 
														
								
												
								First Name / Given Name							 
														
								
												
								Pen Name / Nom de Plume / Artistic Name 							 
														
								
								
								
												
								Date of Birth							 
						
		
								
												
								Place of Birth							 
														
								
												
								Nationality							 
														
								
								
												
								Country of Residence							 
														
								
												
								Languages Spoken							 
														
								
												
								Current Residential Address							 
														
								
												
								Telephone Number							 
														
								
												
								Email							 
														
								
								
					IMMIGRATION & MARITAL STATUS 				
								
								
												
								Legal Status in Country of Origin							 
														
								
												
								Legal Status in Country of Residence							 
														
								
								
					 This information is only required because you are requesting pro bono immigration representation assistance and would impact the evaluation of your application according to the immigration laws and serves no other purposes.
				 
								
								
								
												
								Number of Children							 
														
								
								
												
								Under what visa categories did you enter the U.S?							 
														
								
								
					PROFESSIONAL INFORMATION 				
								
												
								Please upload your updated CV or resume (.pdf, .doc, .docx)							 
								
								
					Maximum file size: 10 MB
								
												
								Occupation							 
														
								
												
								Name of Current Employer							 
														
								
												
								Employer Email							 
														
								
												
								Employers Address							 
														
								
												
								Employment Skills Unrelated to Art							 
														
								
								
					ARTIST STATEMENT OF ARTISTIC ENDEAVOUR 				
								
												
								Statement of Artistic Endeavour							 
								
								
					Maximum file size: 20 MB
								
								
					ARTIST STATEMENT OF THE CURRENT SITUATION 				
								
												
								Current Situation							 
								
								
					Maximum file size: 20 MB
Allowed File Type: pdf, doc, docx
Please attach a separate document of no more than 1-2 pages marked “Statement of Current Situation,”  describing your situation and the reasons you consider yourself as an artist at risk based on the AFI - IASP’s 
Eligibility Criteria 				
					
						
																						Submit Your Application