N-400 REQUIREMENTS TO BECOME A CITIZEN

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1 N-400 REQUISITOS PARA LA CIUDADANIA Tiene que tener 5 años con su residencia permanente o 3 años casado (a) con un ciudadano (a) Entrevista en su propio idioma, 50/20 o 55/15 estudia 100 preguntas y respuestas. 65/20 estudia 20 preguntas y respuestas. Información Requerida Dirección de los últimos 5 años Historial de empleo o escuela de los últimos 5 años Viajes fuera de USA en los últimos 5 años (por más de 24 horas) Estado civil Si usted o su esposo (a) actual estuvieron casados antes, favor de proveer la información Información sobre sus hijos (todo hijo biológico dentro y fuera del matrimonio) vivos y muertos Si ha sido arrestado (a) por la policía o Inmigración favor de traer la disposición de la corte y historial de manejo Documentos Requeridos Tarifas Tarjeta de residencia (Mica) Identificación ó licencia de manejar Tarjeta del seguro social Inmigración: $680 giro postal o cheque personal N-400 REQUIREMENTS TO BECOME A CITIZEN YOU MUST HAVE AT LEAST 5 YEARS WITH YOUR RESIDENCY OR 3 YEARS MARRIED TO A US CITIZEN Interview in own language, 50/20 or 55/15 studied 100 questions and answers. 65/20 studied 20 questions and answers Required Information Residential history for the last 5 years Employment or school history for the last 5 years Trips you have taken outside the US within the last 5 years (for more than 24hours) Marital status If applicable, list you and your spouse s prior marriages information Information on your children (biological children in / out wedlock) dead or alive If you have been arrested by the police or immigration, bring your court disposition and driving record Required Documents Fees Alien registration card (Green card) ID or driver s license Social security card Immigration: $680 money order or personal check. El Concilio Family Services 301 South C Street, Oxnard, CA, Ph *Fax *

2 N-400 CIUDADANIA / CITIZENSHIP Nombre / Name: Número de teléfono / Telephone number ( ) Correo electronico / Le gustaría legalmente cambiar su nombre? / Would you like to legally change your name? Si respondió Si escriba el nombre que le gustaría llevar / If Yes print the new name you would like to use Apellido / Last Name Nombre / First Name Segundo Nombre / Middle Name 2.- Tiene una discapacidad física ó de retraso mental que le impida demostrar sus conocimientos y comprensión del idioma Ingles? / Do you have a physical, developmental disability or mental impairment that prevents you from demonstrating your knowledge understanding of the English language? Si respondió Si deberá presentar la forma N-648 Certificada por su médico / If YES submit a completed Form N-648, Medical Certification for Disability Exceptions. 3.- Excepciones para el examen en el idioma Ingles /Exemptions from the English Language Test Tiene usted 50 años de edad ó más y 20 años de residente? / Are you 50 years of age or older and 20 with your resident card Tiene usted 55 años de edad ó más y 15 años de residente? / Are you 55 years of age or older and 15 with your resident card Tiene usted 65 años de edad ó más y 20 años de residente? / Are you 65 years of age or older and 20 with your resident card 4.- Dirección de los últimos 5 años / Residence for the last 5 years De / From: Hasta / To: Actual / Present 5.- Información de sus padres / Information About your Parents Sus padres se casaron antes de que usted cumpliera 18 años? / Were your parent married before your 18 birthday? Es su mamá ciudadana Americana? / Is your mother a U.S. citizen? Si respondió Si conteste la siguiente información / If Yes complete the information below Apellido de su mamá / Mother s Last Name Nombre de su mamá / Mother s First Name Segundo Nombre Middle Name Pais donde nació su mamá / Mother s country of Birth nacimiento de su mamá / Mother s Date of Birth

3 Es su papá ciudadano Americano? / Is your father a U.S. citizen? Si respondió Si conteste la siguiente información / If Yes complete the information below Apellido de su papá / Father s Last Name Nombre de su papá / Father s First Name Segundo Nombre Middle Name Pais donde nació su papá / Father's country of Birth nacimiento de su papá / Father's Date of Birth 6.- Historial de Empleo ó Escuela de los últimos 5 años / Employment or School History for the last 5 years Nombre de empleador Name of employer Dirección completa / Complete address De / From Hasta / To Actual / Present Ocupación / Occupation 7. - Viajes: Escriba los viajes fuera de USA en los últimos 5 años / Trips: Write the information about the trips you have taken outside the USA in the last 5 years. salida? / Date left? regreso? / Date returned? Su viaje duró 6 meses o más? / Did trip last 6 months or more? Estado y País / State and Country 8.- Estado Civil / Marital Status Soltera (o) / Single Casada (o) / Married Divorciada (o) / Divorced Viuda (o) / Widowed Si esta casado (a), Su esposo (a) pertenece a las Fuerzas Armadas? / If you are married, is your spouse a current member of the U.S. Armed Forces? Si/Yes No Cuántas veces ha estado casado (a)? / How many times have you been married?

4 N-400 CIUDADANIA / CITIZENSHIP Información sobre su esposo(a) actual / Information on your current spouse: Nombre / Name: Nombre Previo / Previews Name: nacimiento / Date of birth / / Número de tarjeta de residencia / Residente card #: A matrimonio / Date of marriage: / / Es ciudadano(a) americano(a) / Is he/she a US citizen?: ciudadanía / Date of citizenship: / / Ciudad de ciudadanía / City of citizenship: De dónde es su esposo (a) / Where is your spouse from? Donde vive su esposo (a)? / Where does your spouse live? Actual empleo de su esposo (a) / Current Spouse s Present Employer Cuántas veces ha estado casado(a) su esposo(a)? / How many times has your spouse been married? 9.- Si usted ó su esposo(a) actual estuvieron casados antes, favor de proveer la siguiente información / If applicable, list your spouse s prior marriages and your prior marriages Nombre de / Name Pais de Nacimiento / County of Birth Nacimiento / Date of Birth matrimonio / Date of marriage divorcio / Date of divorced Estatus migratorio / Immigration status 10.- Información sobre sus hijos / Information on your children Nombre / Name nacimiento / Date of birth Numero de mica / Green card # País de nacimiento / Country of birth Domicilio completo / Complete address

5 Pre-Application Citizenship Questions Please answer questions 1 through 46. If you answer YES to any of these questions, include a written explanation with this form. Your written explanation should (1) explain why your answer was Yes, and (2) provide any additional information that helps to explain your answer. Part Have you EVER claimed to be a U.S. citizen (in writing or any other way)? 2. Have you EVER registered to vote in any federal, state, or local election in the United State? 3. Have you EVER voted in any Federal, state, or local election in the United States? 4. Do you have any title of nobility in any foreign country? 5. Have you ever been declared legally incompetent or been confined to a mental institution within the last 5 years? 6. Do you owe any Federal, state, or local taxes that are overdue? 7. A. Have you EVER not file a required Federal, state, or local tax return since becoming a lawful Permanent Resident? B. If yes, did you consider yourself to be a non-u.s. resident? 8. Have you EVER called yourself a nonresident on a Federal, state, or local tax return since becoming a lawful Permanent Resident? 9. Have you EVER been a member or associated with any organization, association, fund, foundation, party, club, society, or similar group in the United States or in any other place? If you answered Yes lists the name of each group below. If you need more space, attach the names of the other group(s) on a separate sheet of paper Name of Group Name of Group 10. Have you EVER been a member of or in any way associated (either directly or indirectly) with: a. The Communist Party? b. Any other totalitarian party? c. A terrorist organization? 11. Have you EVER advocated (either directly or indirectly) the overthrow of any government by force or violence? 12. Have you EVER persecuted (either directly or indirectly) any person because of race, religion national origin, membership n a particular social group, or political opinion?,: 13. Between March 23, 1933, and May 8,1945, did you work for or associate in any way (either directly or indirectly) with: a. The Nazi government of Germany? b. Any government in any area (1) occupied by, (2) allied with, or (3) established with the help of the Nazi government of Germany? c. Any German, Nazi, or S.S. Military unit, self-defense unit, vigilante unit, citizen unit, police unit, government agency or office, extermination camp, concentration camp, prisoner of war camp, labor camp, or transit camp? 14. Were you EVER involved in any way with any of the following: a. Genocide? b. Torture? c. Killing, or trying to kill, someone? d. Badly hurting, or trying to hurt, a person on purpose? e. Forcing, or trying to force, someone to have any kind of sexual contact or relations? f. Not letting someone practice his or her religion?

6 15. Were you EVER a member of, or did you ever serve in, help or otherwise participated in, any of the following groups? a. Military unit? b. Paramilitary unit? (a group of people who act like a military group but are not part of the official military) c. Police unit? d. Self-defense unit? e. Vigilante unit? (a group of people who act like the police, but are not part of the official police) f. Rebel group? g. Guerrilla group? (a group of people who use weapons against or otherwise physically attack the military, police, government or the people) h. Militia? i. Insurgent organization? (a group that uses weapons and fights against a government) 16. Were you EVER a worker, volunteer, or soldier or did you otherwise EVER serve in any of the following: a. Prison or jail? b. Prison camp? c. Detention facility? (a place where people are forced to stay) d. Labor camp? (a place where people are forced to work) e. Any other place where people were forced to stay? 17. Were you EVER a part of any group, or did you EVER help any group, unit, or organization that used a weapon against any person, or threatened to do so? a. If yes, when you were part of this group or when you helped this group, did you EVER use a weapon against another person? b. If yes, when you were part of this group or when you helped this group did you EVER tell another person that you would use a weapon against that person? 18. Did you EVER sell, give or provide weapons to any person or help another person sell, give or provide weapons to any person? a. If yes, did you know that this person was going to use the weapons against another person? b. If yes, did you know that this person was going to sell or give the weapons to someone who was going to use them against another person? 19. Did you EVER received any type of military, paramilitary (a group of people who act like a military group but are not part of the official military) or weapons training? 20. Did you EVER recruit (ask), enlist (sign up), conscript (require), or use any person under age 15 to serve in or help an armed force or group? 21. Did you EVER use any person under age 15 to do anything that helped or supported people in combat? 22. Have you EVER committed a crime or offense for which you were T arrested? 23. Have you EVER been arrested, cited, or detained by any law enforcement officer (including INS and military officers) for any reason? 24. Have you EVER been charged with committing any crime or offense? 25. Have you EVER been convicted of a crime or offense? 26. Have you EVER been placed in an alternative sentencing or rehabilitation program (for example: diversion, deferred prosecution, withheld adjudication)? 27. Have you EVER received a suspended sentence, been placed on probation, or been paroled? a. If yes, have you completed the probation or parole? 28. Have you EVER been in jail or prison? a. If yes, how long were you in jail or prison? Years Months Days 29. If you answer Yes to Item Numbers , complete the following table: Why were you arrested, cited, detained, or charged? Date (Month/Day/Yr) Where (City, State, Country) Outcome or disposition

7 30. Have you EVER: a. Been a habitual drunkard? b. Been a prostitute, pr procured anyone for prostitution? c. Sold or smuggled controlled substance, illegal drugs or narcotics? d. Been married to more than one person at the same time? e. Married someone in order to obtain an immigration benefit? f. Helped anyone enter or try to enter the United States illegally? g. Gambled illegally or received income from illegal gambling? h. Failed to support your dependents or to pay alimony? i. Made any misrepresentation to obtain any public benefit in the United States? 31. Have you EVER given false or misleading information to any U.S. government official while applying for any immigration benefit or to prevent deportation, exclusion, or removal? 32. Have you EVER lied to any U.S government official to gain entry or admission into the United States? 33. Have you EVER been removed, excluded, or deported from the United States? 34. Have you EVER been ordered to be removed, excluded, or deported from the United States? 35. Have you EVER been placed in removal, exclusion, rescission or deportation proceedings? 36. Are removal, exclusion, rescission or deportation proceedings pending against you? 37. Have you EVER served in the U.S Armed Forces? 38. Are you currently a member of the U.S. Armed Forces? 39. If you are currently a member of the U.S. Armed Forces, are you scheduled to deploy overseas, including to a vessel, within the next 3 months? (Refer to the Address Change section within the Form N-400 instructions on how to notify USCIS if you learn of your deployment plans after you file your Form N-400) 40. If you are currently a member of the U.S. Armed Forces, are you currently stationed overseas? 41. Have you EVER been court-martialed, administratively separated or disciplined or have you received other that honorable discharge, while in the U.S. Armed Forces? 42. Have you EVER been discharged from training or service in the U.S. Armed Forces because you were an alien? 43. Have you EVER left the United State to avoid being drafted into the U.S. Armed Forces? 44. Have you EVER applied for any kind of exemption from military service in the U.S. Armed Forces? 45. Have you EVER deserted from the U.S. Armed Forces? 46. Are you a male who lived in the United States at any time between your 18 th and 26 th birthday? b. If you answered YES, provide the information below Date Registration (Month/Day/Year) / / Selective Service Number / _/ Answer questions 47 through 52. If you answer to any of these questions, attach (1) your written explanation why the answer was and (2) any additional information or documentation that helps to explain your answer. 47. Do you support the Constitution and form of government of the United States? 48. Do you understand the full Oath of Allegiance to the United States? 49. Are you willing to take the full Oath of Allegiance to the United States? 50. If the law requires it, are you willing to bear arms on behalf of the United States? 51. If the law requires it, are you willing to perform noncombat services in the U.S. Armed Forces? 52. If the law requires it, are you willing to perform work of national importance under civilian direction? TE: Answer the next question ONLY if you answer Yes to Part 11, Item Number 4. Of Form N At your naturalization ceremony, are you willing to give up any inherited titles(s) or order(s) of nobility that you have in a foreign country?

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