CONSULTATION FORM - Immigration Services

Fill Out the Client Intake Form for Consultation on Education and Immigration Relocation Pathways

Personal Information

Name *

First

Last

Date of Birth (Month / Year)

Gender

Nationality *

Country Where You Live Today *

Email *

Phone

Marital Status *

Number of Children (If You Have)

Consultation Area of Interest

Educational Background

Field of Study

Name of School/Institution

Graduation Date (mm/yyyy)

Academic Results (GPA/Percentage)

Write the results (exact score/GPA/Percentage) for each education level attained. For example, if you have High School, Diploma and Degree, write results for each level

Work Experience

How Many Years of Professional Work Experience Do You Have?

Title of Current Occupation

Brief Description of Job Duties of Current Job

Consultation Needs

Travel History

In the last 5 years, Have you traveled outside your home country?

If yes, list the countries visited and the purpose (tourism, study, work, etc.):

How many times have you applied for the visa of USA, Canada, or any European Country?

Have you been issued a visa of USA, Canada, or any European Country?

Have you been denied a visa of USA, Canada, or any European Country?

If yes, which country (or countries)?

Additional Information

Please share any additional information or questions you have regarding your consultation needs

Upload Documents

Click or drag files to this area to upload. You can upload up to 25 files.

Upload any document(s) you feel it is important for the consultation. Documents can be resume, transcripts, offer letter, USCIS Letters, Green Card Documents etc. DO NOT UPLOAD SOCIAL SECURITY CARD/NUMBER

Privacy Consent

I consent to EBM SCHOLARS collecting, storing, and using my personal information for the purpose of consultation on education and immigration relocation pathways. I understand my rights to privacy and consent to the terms as outlined in the privacy policy.