Form I-918 - Petition For U Nonimmigrant Status Page 4

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Part 3. Processing information.
(Continued.)
2. Have you ever received public assistance in the United States from any source, including the U.S.
Yes
No
government or any State, county, city or other municipality (other than emergency medical
treatment), or are you likely to receive public assistance in the future?
3. Have you:
Yes
No
a. Engaged in prostitution or procurement of prostitution or do you intend to engage in
prostitution or procurement of prostitution?
b. Ever engaged in any unlawful commercialized vice, including, but not limited to illegal gambling?
Yes
No
Yes
No
c. Ever knowingly encouraged, induced, assisted, abetted or aided any alien to try to enter the
United States illegally?
Yes
No
d. Ever illicitly trafficked in any controlled substance, or knowingly assisted, abetted or
colluded in the illicit trafficking of any controlled substance?
4. Have you ever committed, planned or prepared, participated in, threatened to, attempted to, or conspired to commit, gathered
information for, solicited funds for any of the following:
a. Highjacking or sabotage of any conveyance (including an aircraft, vessel, or vehicle?
Yes
No
b. Seizing or detaining, and threatening to kill, injure, or continue to detain, another individual
Yes
No
in order to compel a third person (including a governmental organization) to do or abstain
from doing any act as an explicit or implicit condition for the release of the individual
seized or detained?
c. Assassination?
Yes
No
d. The use of any firearm with intent to endanger, directly or indirectly, the safety of one or
Yes
No
more individual or to cause substantial damage to property?
e. The use of any biological agent, chemical agent, or nuclear weapon or device, or explosive,
Yes
No
or other weapon or dangerous device, with intent to endanger, directly or indirectly, the
safety of one or more individuals or to cause substantial damage to property?
5. Have you ever been a member of, solicited money or members for, provided support for, attended military training (as defined in
section 2339D(c)(1) of title 18, United States Code) by or on behalf of, or been associated with an organization that is:
a. Designated as a terrorist organization under section 219 of the Immigration and Nationality Act?
Yes
No
Yes
No
b. Any other group of two or more individuals, whether organized or not, which has engaged
in or has a subgroup which has engaged in:
Yes
No
c. Highjacking or sabotage of any conveyance (including an aircraft, vessel, or vehicle?
Yes
No
d. Seizing or detaining, and threatening to kill, injure, or continue to detain, another individual in
order to compel a third person (including a governmental organization) to do or abstain from
doing any act as an explicit or implicit condition for the release of the individual seized or
detained?
e. Assassination?
Yes
No
f. The use of any firearm with intent to endanger, directly or indirectly, the safety of one or
Yes
No
more individual or to cause substantial damage to property?
Form I-918 (11/23/10) Y Page 4

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