CONSULTATION FORM Fill Out the Client Intake Form for Consultation on Education and Immigration Relocation Pathways Please enable JavaScript in your browser to complete this form.Personal InformationName *FirstLastDate of Birth (Month / Year)GenderMaleFemaleNationality *Country Where You Live Today *Email *PhoneMarital Status *Number of Children (If You Have)Consultation Area of InterestPlease select the country or countries you are interested in for education and/or immigration relocationUnited StatesCanadaEuropeAustraliaNew ZealandOtherEducational BackgroundHighest Education Level CompletedHigh SchoolDiplomaBachelors DegreeMastersDoctorateOtherField of StudyName of School/InstitutionGraduation 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 levelWork ExperienceHow Many Years of Professional Work Experience Do You Have?Title of Current OccupationBrief Description of Job Duties of Current JobConsultation NeedsWhat are your primary objectives for consultation? TICK OPTIONS APPLY TO YOU *Community CollegeSelf-Financing StudiesFully-Funded ScholarshipsGraduate Studies (Masters and Ph.D.)Work VisaVisiting VisaInternships and/or VolunteeringConferencesShort TrainingSummer JobsGreen Card Lottery (DV Lottery)Change of Visa StatusAdjustment of StatusI Don't Know Yet......Sponsoring Relatives (Marriage, Children, Parents, Siblings)Travel HistoryIn the last 5 years, Have you traveled outside your home country? YesNoIf 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 InformationPlease share any additional information or questions you have regarding your consultation needsUpload 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/NUMBERPrivacy ConsentI 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.Submit
