Refugee Biographic Data Intake Script

RSC Information Collections Questions which address the information you have in the document:

• In which city/country were you born?

• When is your birthday?

• What is your ethnicity or tribe?

• What religion do you practice?

  • Are you married and if so how long have you been married?

• When did you flee your country of birth?

• When did you arrive in your first country of asylum?

• What is the highest level of school you completed?

  • What is the name of the school and its location?

  • When did you begin/stop attending this school?

  • Did you receive a degree or certificate from the school?

• What was the last job you held?

  • Who was your employer?

  • What country was this job located in?

  • What is the address of the job?

  • When did you begin and end working at the job?

• Do you have any artisan skills or trade of note?

• What language are you most comfortable speaking?

  • Can you read/write in this language?

• What is your ability to speak English?

  • Can read/write in English?

• Do you know anyone in the US that you would like to be resettled near?

  • What is your relationship to this person?

  • Is the person a US resident and where do they live?

Additional Questions asked during the Prescreening Interview:

• Bio 2 Tab

  • Have you ever been threatened by a group or individual?

    • If yes, by whom and how was the threat delivered?

• Identification Tab

  • Have you ever used any other name (nickname) than the one you are presenting today ?

  • Do you have any documents with other names you might have used?

• Medical Health Tab

  • Do you have any medical conditions you would like to report to me?

  • (Female applicants) Is anyone pregnant?

• Citizenship Tab

  • What country are you a citizen of?

• Address Tab

  • Please provide all addresses you have resided in for the last five years?

  • When did you start/stop residing at the address?

• Military Service Tab

  • Have you ever served in the military?

    • Which branch of the military were you in?

    • What was your duty location?

    • What was the highest rank attained?

    • What was your specialty?

    • What was your serial number?

    • When did you start/end your military service?

• Law Violations Tab

  • Have you ever been convicted of a crime?

    • What was the nature of your arrest?

    • In which country were you arrested?

    • What was the date of your arrest/release?

• Organizations Tab

  • Have you ever been a member of a political, professional or social organization?

  • If yes, what was the organizations name and location?

  • When did you join the organization?

  • When did you stop being a member of the organization?

  • What was the purpose or nature of the organization?

  • What was your rank in the organization?

  • What were your duties in the organization?

  • How much were the organization dues?

• US Visits Tab

  • Have you ever visited the US?

  • When did you enter/depart the US?

  • What was the purpose of your visit to the US?

  • Do you know what your alien number is after visiting the US?

• Contact Info Tab

  • Please provide all phone number and email addresses you have used in the last five years.

    • When did you start/stop using this contact?

    • Is this contact the best way to reach you?

• Family Tree

  • Please provide information about your parents, spouse, siblings and children.

    • Including all half, step, adopted and foster relationships.

  • What is the name of your family member?

  • What is your family member’s date of birth?

  • What is your relationship to this family member?

  • Where was your family member born?

  • Where does your family member live currently?

  • What is your family members contact information?

  • Is your family member married?

  • How many times has your family member been married?