info@clubexpats.com
Home
About Us
Relocation
Consulting
Club
Events
Contact Us
Home
About Us
Relocation
Consulting
Club
Events
Contact Us
info@clubexpats.com
Relocation
Form
General Information
Name
*
Last Name
*
Address
Street
*
Apartment
*
Zip Code
*
City
*
Country
*
Telephone
*
Cellphone
*
Email
*
D.O.B.
Marital Status
Nationality
Age
Work Information
Previous Work Outside the USA
Place
Position
Work in USA
Place
Position
Address
Phone
Immigration Information
Type of Visa to enter the USA:
Have you ever had a Social Security Number:
Countries you have lived before:
Comments:
Additional Information
Languages spoken at home
Other languages
Medical Issues
Sports / Activities / Hobbies
Transportation
Do you have a valid driver´s license?
*
Yes
No
Do you have a USA driver´s license?
*
Yes
No
If yes, from which state?
Are you obtaining a car:
*
Yes
No
Does it come with your belongings:
*
Yes
No
Want to obtain a lease:
*
Yes
No
Do you want to buy a car:
*
Yes
No
Lease Agent
Do you have a Lease Agent?
*
Yes
No
Phone:
Email:
Comments:
Information About The Spouse
Name and Last Name
Telephone:
Cellphone:
Email:
D.O.B.
Marital Status
Nationality
Age
Work Information
Previous Work
Place
Position
Work in the USA
Place
Position
Address
Phone
Immigration information
Type of VISA to enter the USA:
Have you ever had a Social Security Number:
Countries you have lived before:
Comments
Family Information: Sons / Daughters
Name
Sex
Date of Birth MM/DD/YY
Age
Current School
Grade
Insurance
Only needs to be filled in if the company does not provide you with an insurance
Medical Insurance
Yes
No
Dental Insurance
Yes
No
Vision Insurance
Yes
No
In case you do not have one of the above insurances, do you want us to recommend you one?
Yes
No
Asigned Insurance Agent
Cellphone
Email
Comments
House Pet
Do you have a Pet?
Yes
No
Type of Pet
Breed
Age
Dog 1 (Breed & Age)
Dog 2 (Breed & Age)
Cat 1 (Breed & Age)
Other (Type & Age)
Comments
Housekeeping Services
Do you need housekeeping / cleaning services?
Yes
No
In-House
Yes
No
Only Ocasionally
Yes
No
Only by the hour
Yes
No
Comments
Housing Information
Housing Type
House
Yes
No
Apartment
Yes
No
Rent
Yes
No
Buy
Yes
No
Furnished
Yes
No
Unfurnished
Yes
No
Size
1 Room
2 Rooms
3 Rooms
4 Rooms
+5 Rooms
Real estate agent (only in case you have one)
Phone
Email
Special Needs (animals, garden, view,...)
Do you want information about our service "Move in Ready" of moving and decorating?
Yes
No
Comments
Additional Information / Comments
