ࡱ> 24/01c 6bjbj yx[\x[\0%jDDDDD$hhhPT h =< !"!!!"e#|#@;;;;;;;$\>A;D(""((;DD!!<080808(FD!D!;08(;0808c::!0 !L(&{:;<0 =:, Br-h B: BD:!$:[%08;&&!$!$!$;;2V!$!$!$ =(((( B!$!$!$!$!$!$!$!$!$> :  Naturalization Services Pre-ScreeningLAST NAME  FORMTEXT      FIRST NAME  FORMTEXT      MIDDLE INITIAL  FORMTEXT      GENDER  FORMCHECKBOX  Male  FORMCHECKBOX  FemaleMAILING ADDRESS (STREET) APARTMENT NUMBER CITY STATE ZIP CODE  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT      SOCIAL SECURITY NUMBER  FORMTEXT      DATE OF BIRTH (MM/DD/YYYY)  FORMTEXT      COUNTRY OF BIRTH  FORMTEXT      ALIEN REGISTRATION NUMBER  FORMTEXT      DSHS CLIENT ID  FORMTEXT      DATE OF ENTRY TO US  FORMTEXT      HOME PHONE NUMBER (AREA CODE) ( FORMTEXT      )  FORMTEXT      MESSAGE PHONE NUMBER (AREA CODE) ( FORMTEXT      )  FORMTEXT      CONTACT PERSON S NAME  FORMTEXT       CONTACT PHONE NUMBER (AREA CODE) ( FORMTEXT      )  FORMTEXT      RELATIONSHIP  FORMCHECKBOX  Family  FORMCHECKBOX  Friend  FORMCHECKBOX  Other (specify):  FORMTEXT      CONTACT PERSON S MAILING ADDRESS (STREET) CITY STATE ZIP  FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT      ORIA EligiblePUBLIC BENEFIT RECIPIENT (PROOF OF RECEIPT OF PUBLIC BENEFIT MUST BE IN CLIENT FILE)  FORMCHECKBOX  Food Assistance  FORMCHECKBOX  Medicaid  FORMCHECKBOX  TANF  FORMCHECKBOX  ABD  FORMCHECKBOX  Other (specify):  FORMTEXT       OTHER ELIGIBILITY REQUIREMENTS  FORMCHECKBOX  Washington State Resident  FORMCHECKBOX  Are eligible to naturalize within one (1) year (four years of continuous legal U.S. residency or two year if married to, and living with, a U.S. citizenBasic Naturalization Requirements. Please answer all questions.The client: YES NO 1. Has been a lawful permanent resident of the U.S. for five years (three years if married to U.S. citizen)?  FORMCHECKBOX   FORMCHECKBOX  2. Has lived in the U.S. for at least five years (three years if married to a U.S. citizen)?  FORMCHECKBOX   FORMCHECKBOX  3. Has lived in the USCIS District for at least three months?  FORMCHECKBOX   FORMCHECKBOX  4. Has been physically present in the U.S. for at least half of the five year period?  FORMCHECKBOX   FORMCHECKBOX  5. Has not been absent from the U.S. for six months or more?  FORMCHECKBOX   FORMCHECKBOX  6. Is a person of good moral character (inappropriate behavior, immigration violations, etc.)?  FORMCHECKBOX   FORMCHECKBOX  7. Can read, write, or speak basic English (conduct language assessment)?  FORMCHECKBOX   FORMCHECKBOX  8. Is able to pass a test on U.S. history and government?  FORMCHECKBOX   FORMCHECKBOX  9. Is at least 18 years old?  FORMCHECKBOX   FORMCHECKBOX  10. Believes in the principles of the U.S. Constitution and would take an oath of loyalty to the U.S.?  FORMCHECKBOX   FORMCHECKBOX  (If no, must complete additional paperwork for oath waiver based on beliefs. If the person cant take the oath because of a disability, a waiver is available but requires extensive documentation.)Legal Issues. Please answer all questions.The applicant: YES NO 1. Was absent from U.S. for six months or more while a permanent resident?  FORMCHECKBOX   FORMCHECKBOX  2. Has moved to live in another country while a permanent resident?  FORMCHECKBOX   FORMCHECKBOX  3. Has been deported or is now in deportation proceedings?  FORMCHECKBOX   FORMCHECKBOX  4. Has failed to file federal income taxes, or paid as a non resident, since becoming a permanent resident?  FORMCHECKBOX   FORMCHECKBOX  5. Has willfully failed or refused to support dependents?  FORMCHECKBOX   FORMCHECKBOX  6. Has failed to register for the Selective Service (for men only)?  FORMCHECKBOX   FORMCHECKBOX  7. Is on probation or parole for a criminal conviction?  FORMCHECKBOX   FORMCHECKBOX  8. Has been a drug abuser or addict?  FORMCHECKBOX   FORMCHECKBOX  9. Has information on citizenship application different from other information previously given to USCIS?  FORMCHECKBOX   FORMCHECKBOX  10. Has committed fraud or lied to get green card (including marriage) or other immigration benefit?  FORMCHECKBOX   FORMCHECKBOX  11. Has been arrested for, charged with, convicted of, or admitted to having committed a crime?  FORMCHECKBOX   FORMCHECKBOX  Legal Issues (continued). Please answer all questions.The applicant: YES NO 12. Has had any contact with the police?  FORMCHECKBOX   FORMCHECKBOX  13. Has committed fraud to receive welfare or other public benefits?  FORMCHECKBOX   FORMCHECKBOX  14. Has helped smuggle someone into the U.S. even if it was a relative?  FORMCHECKBOX   FORMCHECKBOX  15. Has falsely claimed to be a U.S. citizen?  FORMCHECKBOX   FORMCHECKBOX  16. Has voted or registered to vote in the U.S.?  FORMCHECKBOX   FORMCHECKBOX  17. Came to the U.S. to practice polygamy?  FORMCHECKBOX   FORMCHECKBOX  18. Has been charged with committing domestic violence, child abuse, or child neglect?  FORMCHECKBOX   FORMCHECKBOX  19. Has had a court determine that the applicant violated a protection order?  FORMCHECKBOX   FORMCHECKBOX  20. Has been engaged in prostitution, illegal gambling, drug sales, or habitual drinking?  FORMCHECKBOX   FORMCHECKBOX  21. Has been in jail for 180 days or more?  FORMCHECKBOX   FORMCHECKBOX  22. Has been involved in certain political activities such as anarchism, totalitarianism, or communism, or been a member of an organization that could be considered a terrorist group or involved in what USCIS calls terrorist activity?  FORMCHECKBOX   FORMCHECKBOX If answer is yes to any of the questions in the previous section, advise applicant to seek legal assistance before applying for citizenship. Do not submit N-400 Application for Naturalization until an attorney knowledgeable in immigration says it is OK to do so.Documentation of Initial ServicesN-400 APPLICATION FOR NATURALIZATIONN400 completion date:  FORMTEXT       Submission date:  FORMTEXT        FORMCHECKBOX  Photographs included  FORMCHECKBOX  Fee waiver request included  FORMCHECKBOX  Fingerprint fee included  FORMCHECKBOX  N400 application fee included  FORMCHECKBOX  Other:  FORMTEXT       ENGLISH LANGUAGE EXEMPTIONS (Must still take the civics test and may be permitted to use interpreter to take the test in own language) FORMCHECKBOX  Age 55 or older at the time of filing for naturalization and lived as permanent resident in U.S. for 15 years  FORMCHECKBOX  Age 50 or older at the time of filing for naturalization and lived as permanent resident in U.S. for 20 years  FORMCHECKBOX  Age 65 or older and have been a permanent resident for 20 years at the time of filing for naturalization - given a shorter test using interpreterDISABILITY WAIVER (Must meet USCIS definition of disability) FORMCHECKBOX  N-648 Disability Waiver needed  FORMCHECKBOX  N-648 completed  FORMCHECKBOX  N-648 sufficient (have N-648 screened by someone knowledgeable of N-648 issues).  FORMCHECKBOX  N-648 submitted; date:  FORMTEXT       ; result:  FORMCHECKBOX  Approved  FORMCHECKBOX  Denied Note:  FORMTEXT      FEE WAIVER REQUEST FORMCHECKBOX  I-912 Fee W .<VXZnpͽ롑s^TA^T$jh6U5CJOJQJUh6UCJOJQJ)jhD|5CJOJQJUmHnHu$jh6U5CJOJQJUh6U5CJOJQJjh6U5CJOJQJUh,h6UCJOJQJaJhrB=5CJOJQJaJhrB=hrB=5CJOJQJaJhrB=h`hCJOJQJaJhrB=h6UCJOJQJaJh6UOJQJjhMSOJQJUXZn ( JkdA$$Ifl0*"4 la  $If$If     & ( * F H J ` b ~  ʷբՓ{sd{s{sU{sKh6UCJOJQJj/hD|OJQJUjhD|OJQJUh6UOJQJjh6UOJQJUhCJOJQJaJh,h,CJOJQJaJ)jhD|5CJOJQJUmHnHu$j\h,5CJOJQJUh,5CJOJQJjh,5CJOJQJUh6UCJOJQJaJh,h6UCJOJQJaJ   ww:4$If<kd $$Ifl*+4 layt, " !$Ifgd`hukd$$Ifl\j^f!* 6 4 layt,  ( * , 6 8 : < P R T ^ ` b d x z | |fS$jh6U5CJOJQJU*jCh`hh6U5CJOJQJUh`h5CJOJQJjh`h5CJOJQJU$jh6U5CJOJQJU$jh6U5CJOJQJU)jhD|5CJOJQJUmHnHu$j&h6U5CJOJQJUh6U5CJOJQJjh6U5CJOJQJU      ( * , T X ^ b d x z |   " , ڶЗڶڶqڶ^$jh6U5CJOJQJU$j(h6U5CJOJQJU$jh6U5CJOJQJUh,CJOJQJaJ$jeh6U5CJOJQJUh6U5CJOJQJh,h6UCJOJQJaJh6UCJOJQJjh6U5CJOJQJU)jhD|5CJOJQJUmHnHu$ , b  0 2 P x  Z zz $Ifgd cukd$$Ifl\V *    4 layt,$If, . 2 N P R f h j t v x  ˻~rbWDbb~$jh c5CJOJQJUh c5CJOJQJjh c5CJOJQJUh,CJOJQJaJh cCJOJQJ)jhD|5CJOJQJUmHnHu$j?h`5CJOJQJUh`5CJOJQJjh`5CJOJQJUh,h cCJOJQJaJhCJOJQJaJh6UCJOJQJjh6U5CJOJQJU     * , 2 4 H J L V X Z ګګt_tG__t_t.jh,h,5CJOJQJUaJ(jh,h,5CJOJQJUaJh,h,5CJOJQJaJh,h cCJOJQJaJ.jah,h c5CJOJQJUaJ-jhD|5CJOJQJUaJmHnHu.jh,h c5CJOJQJUaJ(jh,h c5CJOJQJUaJh,h c5CJOJQJaJZ HJukd~$$Ifl\Tj*\ 4 layt,$If "68:DFJӼӲu`VFFh,h,5CJOJQJaJh6UCJOJQJ)jhD|5CJOJQJUmHnHu$jh6U5CJOJQJUh6U5CJOJQJjh6U5CJOJQJUh,h6UCJOJQJaJh cCJOJQJ-jhD|5CJOJQJUaJmHnHu(jh,h,5CJOJQJUaJ.jh,h,5CJOJQJUaJ :<XZ\vxӼӬӬӼӊ{ogXogogIogogjhD|OJQJUjhD|OJQJUh6UOJQJjh6UOJQJUh,h6UCJOJQJaJh6UCJOJQJ.jh,h,5CJOJQJUaJh,h,5CJOJQJaJ-jhD|5CJOJQJUaJmHnHu(jh,h,5CJOJQJUaJ.j`h,h,5CJOJQJUaJZl\\ !$Ifgd`h<kd@$$Ifl*+4 layt,$IfOkd$$Ifl0*24 layt,Z\prt~̙̏m̙Z̙Jjh`h5CJOJQJU$jh6U5CJOJQJU$jh6U5CJOJQJUh,h6UCJOJQJaJh6UCJOJQJ)jhD|5CJOJQJUmHnHu$jh6U5CJOJQJUh6U5CJOJQJjh6U5CJOJQJUh6UOJQJjh6UOJQJUjmhD|OJQJUDιήxlbVG8h,h6UCJOJQJaJh,h,CJOJQJaJhCJOJQJaJhCJOJQJh,h5OJQJh5OJQJh6UCJOJQJ$jh6U5CJOJQJUjh6U5CJOJQJUh6U5CJOJQJ)jhD|5CJOJQJUmHnHujh`h5CJOJQJU*jWh`hh6U5CJOJQJUh`h5CJOJQJ ^ke\Q x$Ifgd $IfgdH0$IfJkdy$$Ifl*+  4 lap yt7 $Ifgd7<kd $$Ifl*+4 layt,"$&*:<>Z\^jtv 랒tdYhH05CJOJQJjhH05CJOJQJUjhD|OJQJUjIhD|OJQJUjhOJQJUhOJQJjhD|OJQJUh wOJQJjahD|OJQJUh,OJQJhH0OJQJjhD|OJQJUh6UOJQJjh6UOJQJU!   \^`|~zrcXNBh,h,5OJQJh6UCJOJQJh,hOJQJjhD|OJQJUhH0OJQJjhD|OJQJUhOJQJjhOJQJUh,hCJOJQJaJhCJOJQJaJh,OJQJh6UOJQJ)jhD|5CJOJQJUmHnHujhH05CJOJQJU$j1hH05CJOJQJU^@Gkd$$Ifl*+  4 lap  $Ifgd,<kdz$$Ifl*+4 layt, hh<$If^h`gd h0$If^`0gdLM[\]^_mno 12@ABCDRSTsjhD|OJQJUjhD|OJQJUhOJQJjhD|OJQJUj)hD|OJQJUjhD|OJQJUjAhD|OJQJUjh6UOJQJUh6UOJQJh6UCJOJQJh,h6U5OJQJ'pU2%TG $Ifgd,7kdQ$$Ifl*+4 la8($If]8^ h`'|)($If `'|)A($If !/01"#$abpܾܯܠܑ܉zkj%hD|OJQJUjhD|OJQJUhOJQJj=hD|OJQJUjhD|OJQJUjUhD|OJQJUjhD|OJQJUjmhD|OJQJUh6UOJQJjh6UOJQJUjhD|OJQJU*pqrst01?@ABCQRSFܾܯܠܑ܉܁wmah,h,5OJQJh6UCJOJQJh6UCJOJQJh`OJQJh`hOJQJjhD|OJQJUjihD|OJQJUjhD|OJQJUjhD|OJQJUj hD|OJQJUh6UOJQJjh6UOJQJUjhD|OJQJU"FGHW]"#$%&456tu{sh`hOJQJjVhD|OJQJUjhD|OJQJUjlhD|OJQJUjhD|OJQJUjhD|OJQJUjhD|OJQJUjh6UOJQJUh6UOJQJh6UCJOJQJh,h6U5OJQJ'GH^7*R-> h`'|)A($Ifgd h`'|)A($If `'|)A($IfGkd$$Ifl*+  4 lap  '()fguvwxy./=>?@AOPQyzܾܯܠܑ܂sjhD|OJQJUjhD|OJQJUjhD|OJQJUjhD|OJQJUj&hD|OJQJUjhD|OJQJUj>hD|OJQJUh6UOJQJjh6UOJQJUjhD|OJQJU(  *+,)*+,-;<=ܶܧܘ܉zkjhD|OJQJUj"hD|OJQJUjhD|OJQJUj:hD|OJQJUjhD|OJQJUjRhD|OJQJUhOJQJjhD|OJQJUh6UOJQJjh6UOJQJUjjhD|OJQJU'=>?Axyz& ' 5 6 7 8 9 G H I N ļ봬sdXjhOJQJUj`hD|OJQJUjhD|OJQJUjxhD|OJQJUjhD|OJQJUjhH0OJQJUhH0OJQJhOJQJh6UOJQJh6U5CJOJQJh,h6U5OJQJh,h,5OJQJh6Uh6UCJOJQJhh6UOJQJ!>?AyzE4 `'|)A($IfgdH0nkdc$$Ifl*+  04 lap  $Ifgd,<kd $$Ifl *+4 laytH0 !d!!2""&#w#$$p^kd$$Ifl*+04 la h`'|)A($If^`gdQO h`'|)A($IfgdH0 ! ! !?!@!N!O!P!Q!R!`!a!b!c!e!!!!!!!!!ܾܯܠܑ܉}n}}jhD|OJQJUjh6UOJQJUh6UOJQJjhD|OJQJUjhD|OJQJUj0hD|OJQJUjhD|OJQJUjHhD|OJQJUhOJQJjhOJQJUjhD|OJQJU%!!!""""" 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FORMCHECKBOX  Client needs legal assistance, referred to  FORMTEXT       on  FORMTEXT       .  FORMTEXT       FORMCHECKBOX  English class needed (unless applicant is verified as Outreach, please refer pre-literate applicants to an ESL provider). FORMCHECKBOX  Client is enrolled i„ĄȄʄ$&(246:<XZ\ޅ (*,ǻǬ؟ǻ|؟hǻYjhD|OJQJU'j;h c5>*CJOJQJUjhD|OJQJU'jah c5>*CJOJQJUh c5>*CJOJQJjhD|OJQJUjh cOJQJUh cOJQJh c>*OJQJ!jh c5>*CJOJQJU,jhD|5>*CJOJQJUmHnHu"Ƅ8΅؆چUC$ `'|)A$Ifa$gd|vkdt$$Ifl0x*$04 laytH0  B$If^`gdH0 $IfgdH0 ($IfgdH0,rtƆȆʆԆֆ؆چ խnaMn'jvh c5>*CJOJQJUh c5>*CJOJQJ!jh c5>*CJOJQJUjhD|OJQJUjh cOJQJUh c5OJQJh cCJOJQJ)jhD|5CJOJQJUmHnHu$jh c5CJOJQJUjh c5CJOJQJUh c5CJOJQJhQOOJQJh cOJQJćL?vkd $$Ifl0x*$04 laytH0 $IfgdH0 $IfgdH0 <$IfgdH0 B$IfgdH0 ($IfgdH0‡ćƇ`bvxz¶§ؚvkXvCv)jhD|5CJOJQJUmHnHu$jh c5CJOJQJUh c5CJOJQJjh c5CJOJQJU'jKh c5>*CJOJQJUh c5>*CJOJQJjhD|OJQJUjh cOJQJUh cOJQJh`hh c>*CJOJQJ!jh c5>*CJOJQJU,jhD|5>*CJOJQJUmHnHuĈFH\^`jlnprމȵӠȍӠvn_vnSKh6UOJQJjh6UOJQJUjhD|OJQJUhQOOJQJjhQOOJQJUh c5CJOJQJ$jh c5CJOJQJU)jhD|5CJOJQJUmHnHu$jh c5CJOJQJUh c5CJOJQJjh c5CJOJQJUhrB=h cCJOJQJaJh ch cCJOJQJĈFnpމn}fO #($If^#`gdrB= #($If^#`gdQOvkdS$$Ifl0 <*:` 0n 4 laytrB= $Ifgd|np>@TĹđ܆zrczrM;"hh`5>*CJOJQJaJ+jhh`5>*CJOJQJUaJjhD|OJQJUh`OJQJjh`OJQJUh6U5CJOJQJ)jhD|5CJOJQJUmHnHu$jh6U5CJOJQJUh6U5CJOJQJjh6U5CJOJQJUhOJQJh6UOJQJjh6UOJQJUjZhD|OJQJUnp|| (#0*#$If^#`gd``kd/$$Ifl*+04 la $IfTVXbdfnpзЧЍtзЧl`XI`XljhD|OJQJUh6UOJQJjh6UOJQJUhOJQJ1jhh`5>*CJOJQJUaJ"hh`5>*CJOJQJaJh`OJQJhh`>*CJOJQJaJ0jhD|5>*CJOJQJUaJmHnHu+jhh`5>*CJOJQJUaJ1jhh`5>*CJOJQJUaJ*,.8:<DFZ\^hjlnpr׾镍t镍l\Q>\$jch6U5CJOJQJUh6U5CJOJQJjh6U5CJOJQJUh6UOJQJ1jhh5>*CJOJQJUaJhOJQJhh>*CJOJQJaJ0jhD|5>*CJOJQJUaJmHnHu1j{hhM(5>*CJOJQJUaJ"hh5>*CJOJQJaJ+jhh5>*CJOJQJUaJҍԍ֍*+9:;ǻyh[Gh'jhMS5>*CJOJQJUhMS5>*CJOJQJ!jhMS5>*CJOJQJUjhD|OJQJUUj.hD|OJQJUhMS5CJOJQJj:hD|OJQJUhMSOJQJjhMSOJQJUh6U5CJOJQJh6UOJQJjh6U5CJOJQJU)jhD|5CJOJQJUmHnHu#ckd$$IflF*+04 laytMS #x$If^#`gdMS`kd$$Ifl*+04 lan naturalization services at this agency.  FORMCHECKBOX  Client received naturalization services from another DSHS contracted service provider prior to intake screening date. If yes, client received the following naturalization services:  FORMTEXT       on  FORMTEXT       at  FORMTEXT       .  FORMTEXT       on  FORMTEXT       at  FORMTEXT       .  FORMTEXT       on  FORMTEXT       at  FORMTEXT       .  FORMTEXT       on  FORMTEXT       at  FORMTEXT *r & F Hz0*<$IfgdMS #($If^#`gdMS #xx$If^#`gdMS ,.0:<>@FH\^`jlnprtسʑس}rس^س'j7 hMS5>*CJOJQJUhMShMSOJQJ'jhMS5>*CJOJQJUhMShMS5CJOJQJ'jyhMS5>*CJOJQJUhMS5>*CJOJQJhMSOJQJ^JhMShMS>*CJOJQJ!jhMS5>*CJOJQJU,jhD|5>*CJOJQJUmHnHu ƪȪʪ̪ҪԪ"$&.0DFHRڵڐ|ڵtڐ`ڵڐL'j!hMS5>*CJOJQJU'jT!hMS5>*CJOJQJUhMSOJQJ'j hMS5>*CJOJQJUhMS5>*CJOJQJhMSOJQJ^JhMShMS5CJOJQJhMShMS>*CJOJQJ,jhD|5>*CJOJQJUmHnHu!jhMS5>*CJOJQJU'j hMS5>*CJOJQJURTVX^`tvxЫҫԫޫȈt`^U'j"hMS5>*CJOJQJU'jq"hMS5>*CJOJQJUhMSOJQJ,jhD|5>*CJOJQJUmHnHu'j"hMS5>*CJOJQJUhMS5>*CJOJQJhMSOJQJ^JhMShMS5CJOJQJhMShMS>*CJOJQJ!jhMS5>*CJOJQJU!      .  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Service Plan FORMTEXT       Pre-Screening Completed by:AGENCY S NAME  FORMTEXT      AGENCY STAFF S NAME  FORMTEXT      PHONE NUMBER (INCLUDE AREA CODE) ,.0:<>FH\^`jlnpvxڵږڵږnڵ`ږL'jL$hMS5>*CJOJQJUhMShMS5CJOJQJ'j#hMS5>*CJOJQJU'j#hMS5>*CJOJQJUhMS5>*CJOJQJhMSOJQJhMSOJQJ^JhMShMS>*CJOJQJ,jhD|5>*CJOJQJUmHnHu!jhMS5>*CJOJQJU'j/#hMS5>*CJOJQJU´Ĵشڴܴ&(DFZ\^ø~i\M:$jb'hMS5CJOJQJUhrB=hMSCJOJQJaJhvhMSOJQJ^J)jhD|5CJOJQJUmHnHu$j%hMS5CJOJQJUhMS5CJOJQJjhMS5CJOJQJUhrB=hMS5OJQJhMS5CJOJQJhMSOJQJhMShMSOJQJhMSOJQJ^JhMShMS>*CJOJQJ!jhMS5>*CJOJQJU´qkd)%$$Ifl*+  04 lap ytL]| $IfgdMSckd$$$Ifl*+04 laytMS´&s $IfgdMSckd/&$$Ifl*+04 laytMS $IfgdMS \ $IfgdMS&(Dl $IfgdMSqkd&$$Ifl*+  04 lap ytL]|^hjln$&(24HJLVXZ\^`Ŷګжګжګpc\ hvh6Uhv5CJOJQJaJ$j(hMS5CJOJQJU$j(hMS5CJOJQJUU$j?(hMS5CJOJQJUhMS5CJOJQJhrB=hMSCJOJQJaJhMS5CJOJQJhMSCJOJQJjhMS5CJOJQJU)jhD|5CJOJQJUmHnHu ln(2Z $IfgdMSckd'$$Ifl*+04 layt<{ FORMTEXT      DATE  FORMTEXT           PAGE  Page PAGE 1 NATURALIZATION SERVICES PRE-SCREENING DSHS 10-382 (REV. 08/2017) Z\^`dfjlprvxusnssssssssgdDkda)$$IflFV"*0    4 laytv `bfhlnrtxz"*,.0246Ң{nc\ hvh6Uh,h,CJaJhhQ!5CJOJQJaJhV_5CJOJQJaJh3+5CJOJQJaJh@4/5CJOJQJaJh,h,5CJOJQJaJhD|0JCJaJmHnHu!jh ch,0JCJUaJh ch,0JCJaJh, h,0Jjh,0JUhjjhjUx0246gdD  !h]hgd ch]hgd c &`#$gd| 60;0APBP/ =!"#$% ? 00:pv;0APBP/ =!"#$% ADdp  b  C >A&Transforming LivesbV˃5[gDAn_V˃5[PNG  IHDRF pHYs.#.#x?v OiCCPPhotoshop ICC profilexڝSgTS=BKKoR RB&*! 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