Naturalization Survey

The National Immigration Forum is conducting a survey of naturalization applicants. Please distribute:

Naturalization Applicant Report Form

Name of applicant:_____________________________________________________

City/ State where applicant lives:__________________________________________

Nationality:___________________________________________________________

Age:    How long have you had your green card?_________

When did you send in your citizenship application?____________________

Why do you want to become a U.S. citizen (check all that apply)?

I want to vote.
I want better opportunities for myself and my family.
My family and I will be better protected from discrimination.
My family and I will be better protected from deportation.
I want to petition for relatives that I wasn’t able to before, or so that my relatives will be able to immigrate more quickly.
My children can become citizens.
I want better job opportunities.
I consider the U.S. my home now.
Other (please explain):
Can you tell us in your own words why you’d like to become a U.S. citizen?

How have the delays in citizenship affected you?

Have you done anything to try to move your case forward?  Please provide details.

Would you be willing to speak with newspapers, radio or TV regarding your citizenship story?

Yes   
No
Contact information (of either the applicant or the contact organization):

Name:___________________________________

Phone number:____________________________

Email address: ____________________________

Please return this form to Maurice Belanger at the National Immigration Forum, mbelanger@immigrationforum.org by Friday, February 29.   Thanks.

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