Investor Visa QuestionnarePlease complete all fields. Your information will remain confidential. 1 - Personal Information Name * First Name Last Name Date of Birth MM DD YYYY Country of Citizenship Current Country of Residence Email * Phone * Country (###) ### #### Do you currently have a valid U.S. visa? Yes No Marital Status Single Married Divorced Engaged Have you ever been denied a U.S. visa? Yes No Do you have children? Yes No 2 - Professional Information What is your profession/field? Current employer or organization Years of Experience Do you have a potential sponsor, agent, or employer in the U.S.? Eligibility Indicators Have you received national or international awards in your field? Yes No Do you have significant media coverage in your field? Yes No Are you a member of prestigious organizations in your field? Yes No Have you served as a judge or reviewer? (eg. academic journals, competitions, festivals) Yes No Do you have notable commercial success, high salary, or work on recognized projects? Yes No Do you have published work, exhibitions, or performances in your field? Yes No Have you received any job offers in your field in the U.S.? Yes No Thank you!
