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Name
*
First
Last
Email
*
Telephone
*
Completion Date
*
I'm a customer of
*
Chat
Basic Assistance
Premium Assistance
Consultation with the Immigration Lawyer
Other
Other ______ ?
How old are you?
*
Do you have a passport?
*
Yes
No
Do you have another citizenship besides the Brazilian one?
*
Yes
No
Do you study or have you already taken an English course?
Yes
No
Where do you study or have you studied English?
*
What is your English level?
*
I know nothing
Basic
Intermediary
Avanced
Will you go with a spouse and/or children under 21? What Ages?
Who will pay for the exchange?
*
Myself
Other
Next
What do you do for a living? What it does?
*
You are currently:
*
Employee with a formal contract
Liberal Professional
Has a Legal Entity
Unemployed
How much do you earn on average?
*
Do you or who will pay for the exchange declare Income Tax?
*
Yes
No
Seguinte
What is your education level?
*
Complete primary education
Incomplete high school
Complete high school
Incomplete higher education
Complete higher education
Postgraduate studies; Masters or Doctorate
Technical Course
Why do you need to study English?
*
Next
Have you ever traveled outside Brazil?
*
Yes
No
Which countries did you know?
*
Já teve visto para os EUA ou outro país negado?
*
Yes
No
Have you ever lived illegally in another country? Which one? When?
*
Do you have a relative in the US? How long has it been there? It's cool? (specify all relatives)
*
Next
Do you own real estate? (e.g. own house, business room, etc.)
*
Do you have movable property? (e.g. car, motorcycle, boat etc.)
*
Do you have a capital reserve? (eg financial application, savings etc.) How much?
*
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