Form I-698 - Application To Adjust Status From Temporary To Permanent Resident (Under Section 245a Of The Ina) Page 3
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9Part 3. Eligibility Standards
A-
1.
You are required to have a minimal understanding of standard English and a knowledge and understanding of the history and
Government of the United States. Select the appropriate box in Item A. or B. below.
A.
I will satisfy these requirements through:
An examination at the time of interview for lawful permanent residence; or
Satisfactory pursuit of a course of study recognized by the Secretary of Homeland Security (Secretary).
I have satisfied these requirements by:
B.
Satisfactory pursuit of a course of study recognized by the Secretary (attach appropriate documentation); or
An exemption because I am 65 years of age or older, under 16 years of age, or I am physically unable to comply. (If you
are physically unable to comply, explain and attach relevant documentation.)
Answer Item Numbers 2. - 29. If you answer "Yes" to any of the questions, provide a complete explanation using the space provided
in Part 8. Additional Information or attach a separate sheet of paper. Type or print your name and A-Number (if any) at the top of
each sheet; indicate the Page Number, Part Number, and Item Number to which your answer refers; and sign and date each sheet.
Answering "Yes" does not necessarily mean that you are not entitled to adjust status or register for lawful permanent residence.
2.
Have you EVER assisted in the persecution of any person or persons on account of race, religion, political
Yes
No
opinion, nationality, or membership in a particular social group?
3.
Have you EVER been treated for a mental disorder, drug addiction, or alcoholism?
Yes
No
4.
Have you EVER committed a crime or offense for which you were not arrested?
Yes
No
5.
Have you EVER been arrested, cited, or detained by any law enforcement officer (including Immigration
Yes
No
and Customs Enforcement (ICE), Customs and Border Protection (CBP), former Immigration and
Naturalization Service (INS), and/or military officers) for any reason?
6.
Have you EVER been charged with committing any crime or offense?
Yes
No
7.
Have you EVER been convicted of a crime or offense?
Yes
No
8.
Have you EVER been in jail or prison?
Yes
No
9.
Have you EVER been placed in an alternative sentencing or a rehabilitative program (for example,
Yes
No
diversion, deferred prosecution, withheld adjudication, deferred adjudication)?
10.
Have you EVER received a suspended sentence, been placed on probation, or been paroled?
Yes
No
11.
A.
Have you, or a dependent member of your immediate family, EVER received public assistance from
Yes
No
any source, including, but not limited to, the U.S. Government, any state, county, city, or municipality?
B.
If "Yes," provide the names of the recipients and their U.S. Social Security Numbers below.
Full Name of Recipient (Family Name, Given Name, Middle Name)
U.S. Social Security Number
12.
Have you EVER:
A.
Within the past 10 years been a prostitute, procured anyone for prostitution, or intend to engage in such
Yes
No
activities in the future?
B.
Engaged in any unlawful commercialized vice, including, but not limited to, illegal gambling?
Yes
No
C.
Knowingly encouraged, induced, assisted, abetted, or aided any alien to try to enter the United States
Yes
No
illegally?
D.
Illicitly trafficked in any controlled substance or knowingly assisted, abetted, or colluded in the illicit
Yes
No
trafficking of any controlled substance?
Page 3 of 9
Form I-698 03/03/17 Y
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