{"id":4702,"date":"2023-01-13T11:04:51","date_gmt":"2023-01-13T16:04:51","guid":{"rendered":"https:\/\/sommersulloalaw.com\/?page_id=4702"},"modified":"2023-03-10T07:34:57","modified_gmt":"2023-03-10T12:34:57","slug":"immigration-client-intake-form","status":"publish","type":"page","link":"https:\/\/sommersulloalaw.com\/es\/immigration\/immigration-client-intake-form\/","title":{"rendered":"Immigration Client Intake Form"},"content":{"rendered":"[vc_row][vc_column width=\u00bb1\/4&#8243;][\/vc_column][vc_column width=\u00bb3\/4&#8243;][mk_fancy_title color=\u00bb#393836&#8243; size=\u00bb18&#8243; font_weight=\u00bbbold\u00bb txt_transform=\u00bbuppercase\u00bb letter_spacing=\u00bb1&#8243; margin_bottom=\u00bb18&#8243; font_family=\u00bbRaleway\u00bb font_type=\u00bbgoogle\u00bb]Immigration Client Intake Form[\/mk_fancy_title][mk_divider style=\u00bbthin_solid\u00bb divider_width=\u00bbcustom_width\u00bb custom_width=\u00bb20&#8243; align=\u00bbleft\u00bb thin_single_color=\u00bb#cba67f\u00bb thickness=\u00bb3&#8243; margin_top=\u00bb10&#8243; margin_bottom=\u00bb40&#8243;]<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-4688\"><form id=\"wpforms-form-4688\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"4688\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/es\/wp-json\/wp\/v2\/pages\/4702\" data-token=\"1c616a1cf42cacf27f5c481a498d737b\"><noscript class=\"wpforms-error-noscript\">Por favor, activa JavaScript en tu navegador para completar este formulario.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-4688-field_50-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"50\"><div id=\"wpforms-4688-field_50\" class=\"wpforms-field-large wpforms-field-row\" name=\"wpforms[fields][50]\"><p>El prop\u00f3sito de una consulta inicial es que el abogado le aconseje a usted, al posible cliente, qu\u00e9 se puede hacer por usted, si es que se puede hacer algo, y cu\u00e1l ser\u00e1 la tarifa m\u00ednima. El prop\u00f3sito no es emitir una opini\u00f3n legal definitiva, ya que puede ser imposible evaluar completamente un asunto dentro del plazo asignado para una consulta o con la informaci\u00f3n o los documentos. que usted proporcion\u00f3 al abogado en la consulta inicial.  NOTA: Las siguientes preguntas nos ayudar\u00e1n a entender el prop\u00f3sito de su visita de hoy. Sus respuestas est\u00e1n protegidas por el privilegio abogado\/cliente y se mantendr\u00e1n en la m\u00e1s estricta confidencialidad. Tenga en cuenta que si trajo o envi\u00f3 documentos al abogado que est\u00e1n relacionados con su asunto legal, esos documentos ser\u00e1n escaneados, con su permiso, y sus originales ser\u00e1n devueltos a usted al final de la entrevista inicial.<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-4688-field_49-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"49\"><h3 id=\"wpforms-4688-field_49\" name=\"wpforms[fields][49]\">I. INFORMACI\u00d3N GENERAL<\/h3><\/div><div id=\"wpforms-4688-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_1\">Nombre <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-4688-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" required><label for=\"wpforms-4688-field_1\" class=\"wpforms-field-sublabel after \">Nombre<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-fifth\"><input type=\"text\" id=\"wpforms-4688-field_1-middle\" class=\"wpforms-field-name-middle\" name=\"wpforms[fields][1][middle]\" ><label for=\"wpforms-4688-field_1-middle\" class=\"wpforms-field-sublabel after \">Segundo nombre<\/label><\/div><div class=\"wpforms-field-row-block wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-4688-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" required><label for=\"wpforms-4688-field_1-last\" class=\"wpforms-field-sublabel after \">Apellidos<\/label><\/div><\/div><\/div><div id=\"wpforms-4688-field_2-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_2\">Todos los dem\u00e1s nombres utilizados \/ alias:<\/label><input type=\"text\" id=\"wpforms-4688-field_2\" class=\"wpforms-field-large\" name=\"wpforms[fields][2]\" ><\/div><div id=\"wpforms-4688-field_3-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_3\">Direcci\u00f3n actual<\/label><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-4688-field_3\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][3][address1]\" ><label for=\"wpforms-4688-field_3\" class=\"wpforms-field-sublabel after \">Direcci\u00f3n (l\u00ednea 1)<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-4688-field_3-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][3][city]\" ><label for=\"wpforms-4688-field_3-city\" class=\"wpforms-field-sublabel after \">Ciudad<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-4688-field_3-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][3][state]\" ><option value=\"AL\" >Alabama<\/option><option value=\"AK\" >Alaska<\/option><option value=\"AZ\" >Arizona<\/option><option value=\"AR\" >Arkansas<\/option><option value=\"CA\" >California<\/option><option value=\"CO\" >Colorado<\/option><option value=\"CT\" >Connecticut<\/option><option value=\"DE\" >Delaware<\/option><option value=\"DC\" >Distrito de Columbia<\/option><option value=\"FL\" >Florida<\/option><option value=\"GA\" >Georgia<\/option><option value=\"HI\" >Hawai<\/option><option value=\"ID\" >Idaho<\/option><option value=\"IL\" >Illinois<\/option><option value=\"IN\" >Indiana<\/option><option value=\"IA\" >Iowa<\/option><option value=\"KS\" >Kansas<\/option><option value=\"KY\" >Kentucky<\/option><option value=\"LA\" >Luisiana<\/option><option value=\"ME\" >Maine<\/option><option value=\"MD\" >Maryland<\/option><option value=\"MA\" >Massachusetts<\/option><option value=\"MI\" >M\u00edchigan<\/option><option value=\"MN\" >Minnesota<\/option><option value=\"MS\" >Misisip\u00ed<\/option><option value=\"MO\" >Misuri<\/option><option value=\"MT\" >Montana<\/option><option value=\"NE\" >Nebraska<\/option><option value=\"NV\" >Nevada<\/option><option value=\"NH\" >Nuevo Hampshire<\/option><option value=\"NJ\" >Nueva Jersey<\/option><option value=\"NM\" >Nuevo M\u00e9xico<\/option><option value=\"NY\" >Nueva York<\/option><option value=\"NC\" >Carolina del norte<\/option><option value=\"ND\" >Dakota del norte<\/option><option value=\"OH\" >Ohio<\/option><option value=\"OK\" >Oklahoma<\/option><option value=\"OR\" >Oreg\u00f3n<\/option><option value=\"PA\" >Pensilvania<\/option><option value=\"RI\" >Rhode Island<\/option><option value=\"SC\" >Carolina del Sur<\/option><option value=\"SD\" >Dakota del Sur<\/option><option value=\"TN\" >Tennessee<\/option><option value=\"TX\" >Texas<\/option><option value=\"UT\" >Utah<\/option><option value=\"VT\" >Vermont<\/option><option value=\"VA\" >Virginia<\/option><option value=\"WA\" >Washington<\/option><option value=\"WV\" >Virginia Occidental<\/option><option value=\"WI\" >Wisconsin<\/option><option value=\"WY\" >Wyoming<\/option><\/select><label for=\"wpforms-4688-field_3-state\" class=\"wpforms-field-sublabel after \">Provincia<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-4688-field_3-postal\" class=\"wpforms-field-address-postal wpforms-masked-input\" data-inputmask-mask=\"(99999)|(99999-9999)\" data-inputmask-keepstatic=\"true\" data-rule-inputmask-incomplete=\"1\" name=\"wpforms[fields][3][postal]\" ><label for=\"wpforms-4688-field_3-postal\" class=\"wpforms-field-sublabel after \">C\u00f3digo Postal<\/label><\/div><\/div><\/div><div id=\"wpforms-4688-field_5-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"5\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-4688-field_5\">Layout<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4688-field_4-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_4\">Tel\u00e9fono residencial<\/label><input type=\"tel\" id=\"wpforms-4688-field_4\" class=\"wpforms-field-small wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][4]\" ><\/div><div id=\"wpforms-4688-field_7-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_7\">Tel\u00e9fono del trabajo<\/label><input type=\"tel\" id=\"wpforms-4688-field_7\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][7]\" ><\/div><div id=\"wpforms-4688-field_10-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_10\">Fecha de nacimiento<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-4688-field_10\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][10][date]\" ><a title=\"Borrar fecha\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4688-field_6-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_6\">N\u00famero de tel\u00e9fono celular<\/label><input type=\"tel\" id=\"wpforms-4688-field_6\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][6]\" ><\/div><div id=\"wpforms-4688-field_9-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_9\">Direcci\u00f3n de correo electr\u00f3nico <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-4688-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" required><\/div><\/div><\/div><\/div><div id=\"wpforms-4688-field_11-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"11\"><h3 id=\"wpforms-4688-field_11\" name=\"wpforms[fields][11]\">II. REMISI\u00d3N<\/h3><\/div><div id=\"wpforms-4688-field_12-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_12\">\u00bfC\u00f3mo se enter\u00f3 de nuestra oficina?<\/label><ul id=\"wpforms-4688-field_12\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4688-field_12_1\" name=\"wpforms[fields][12]\" value=\"Radio\/Peri\u00f3dico\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4688-field_12_1\">Radio\/Peri\u00f3dico<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4688-field_12_2\" name=\"wpforms[fields][12]\" value=\"B\u00fasqueda en Google\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4688-field_12_2\">B\u00fasqueda en Google<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-4688-field_12_3\" name=\"wpforms[fields][12]\" value=\"Lawyer.com\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4688-field_12_3\">Lawyer.com<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-4688-field_12_6\" name=\"wpforms[fields][12]\" value=\"Corteza\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4688-field_12_6\">Corteza<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-4688-field_12_5\" name=\"wpforms[fields][12]\" value=\"Redes sociales\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4688-field_12_5\">Redes sociales<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-4688-field_12_7\" name=\"wpforms[fields][12]\" value=\"Recomendaci\u00f3n\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4688-field_12_7\">Recomendaci\u00f3n<\/label><\/li><\/ul><\/div><div id=\"wpforms-4688-field_13-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"13\"><h3 id=\"wpforms-4688-field_13\" name=\"wpforms[fields][13]\">III. PROP\u00d3SITO DE LA REUNI\u00d3N CON EL ABOGADO<\/h3><\/div><div id=\"wpforms-4688-field_14-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_14\">Explique brevemente qu\u00e9 consejos de inmigraci\u00f3n necesita hoy y con qu\u00e9 asistencia legal podemos ayudarlo:<\/label><textarea id=\"wpforms-4688-field_14\" class=\"wpforms-field-medium\" name=\"wpforms[fields][14]\" ><\/textarea><\/div><div id=\"wpforms-4688-field_15-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_15\">\u00bfSomos los primeros abogados que ha consultado con respecto a su asunto de inmigraci\u00f3n?<\/label><ul id=\"wpforms-4688-field_15\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4688-field_15_1\" name=\"wpforms[fields][15]\" value=\"S\u00ed\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4688-field_15_1\">S\u00ed<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4688-field_15_2\" name=\"wpforms[fields][15]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4688-field_15_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-4688-field_16-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_16\">\u00bfAlguna vez ha sido representado por un abogado antes?<\/label><ul id=\"wpforms-4688-field_16\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4688-field_16_1\" name=\"wpforms[fields][16]\" value=\"S\u00ed\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4688-field_16_1\">S\u00ed<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4688-field_16_2\" name=\"wpforms[fields][16]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4688-field_16_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-4688-field_17-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"17\"><h3 id=\"wpforms-4688-field_17\" name=\"wpforms[fields][17]\">IV. HISTORIAL DE INMIGRACI\u00d3N<\/h3><\/div><div id=\"wpforms-4688-field_18-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"18\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-4688-field_18\">Layout<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4688-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_19\">Estatus Migratorio Permanente<\/label><input type=\"text\" id=\"wpforms-4688-field_19\" class=\"wpforms-field-medium\" name=\"wpforms[fields][19]\" ><\/div><div id=\"wpforms-4688-field_21-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_21\">N\u00famero de extranjero (&quot;A&quot;)<\/label><input type=\"text\" id=\"wpforms-4688-field_21\" class=\"wpforms-field-medium\" name=\"wpforms[fields][21]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4688-field_20-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_20\">Fecha de caducidad del estado<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-4688-field_20\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][20][date]\" ><a title=\"Borrar fecha\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-4688-field_22-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_22\">N\u00famero de visa<\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-4688-field_22\" class=\"wpforms-field-medium\" name=\"wpforms[fields][22]\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-4688-field_24-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_24\">Fecha y lugar de la primera entrada a EE. UU.<\/label><input type=\"text\" id=\"wpforms-4688-field_24\" class=\"wpforms-field-large\" name=\"wpforms[fields][24]\" ><\/div><div id=\"wpforms-4688-field_25-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_25\">Fecha y lugar de la \u00faltima entrada a EE. UU.<\/label><input type=\"text\" id=\"wpforms-4688-field_25\" class=\"wpforms-field-large\" name=\"wpforms[fields][25]\" ><\/div><div id=\"wpforms-4688-field_26-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_26\">N\u00famero I-94 y fecha de vencimiento<\/label><input type=\"text\" id=\"wpforms-4688-field_26\" class=\"wpforms-field-large\" name=\"wpforms[fields][26]\" ><\/div><div id=\"wpforms-4688-field_27-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_27\">Nombre exactamente como aparece en la tarjeta I-94<\/label><input type=\"text\" id=\"wpforms-4688-field_27\" class=\"wpforms-field-large\" name=\"wpforms[fields][27]\" ><\/div><div id=\"wpforms-4688-field_28-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"28\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-4688-field_28\">Layout<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4688-field_29-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_29\">Consulado que emiti\u00f3 la visa<\/label><input type=\"text\" id=\"wpforms-4688-field_29\" class=\"wpforms-field-medium\" name=\"wpforms[fields][29]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4688-field_30-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_30\">N\u00famero de pasaporte<\/label><input type=\"text\" id=\"wpforms-4688-field_30\" class=\"wpforms-field-medium\" name=\"wpforms[fields][30]\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-4688-field_33-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"33\"><div id=\"wpforms-4688-field_33\" class=\"wpforms-field-large wpforms-field-row\" name=\"wpforms[fields][33]\"><p>Por favor, enumere TODAS las visas de no inmigrante que haya tenido y proporcione las fechas en que tuvo ese estado:<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-4688-field_34-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"34\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-4688-field_34\">Layout<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-33-33-33\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-4688-field_35-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"35\"><div id=\"wpforms-4688-field_35\" class=\"wpforms-field-medium wpforms-field-row\" name=\"wpforms[fields][35]\"><p>VISA<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-4688-field_39-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"39\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-4688-field_39\">VISADO 1<\/label><input type=\"text\" id=\"wpforms-4688-field_39\" class=\"wpforms-field-medium\" name=\"wpforms[fields][39]\" ><\/div><div id=\"wpforms-4688-field_38-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"38\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-4688-field_38\">VISADO 2<\/label><input type=\"text\" id=\"wpforms-4688-field_38\" class=\"wpforms-field-medium\" name=\"wpforms[fields][38]\" ><\/div><div id=\"wpforms-4688-field_40-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"40\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-4688-field_40\">VISADO 3<\/label><input type=\"text\" id=\"wpforms-4688-field_40\" class=\"wpforms-field-medium\" name=\"wpforms[fields][40]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-4688-field_36-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"36\"><div id=\"wpforms-4688-field_36\" class=\"wpforms-field-medium wpforms-field-row\" name=\"wpforms[fields][36]\"><p>Fecha de<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-4688-field_41-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"41\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-4688-field_41\">VISA a partir de la fecha 1<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-4688-field_41\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][41][date]\" ><a title=\"Borrar fecha\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-4688-field_42-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"42\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-4688-field_42\">VISA a partir de la fecha 2<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-4688-field_42\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][42][date]\" ><a title=\"Borrar fecha\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-4688-field_43-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"43\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-4688-field_43\">VISA a partir de la fecha 3<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-4688-field_43\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][43][date]\" ><a title=\"Borrar fecha\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-4688-field_37-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"37\"><div id=\"wpforms-4688-field_37\" class=\"wpforms-field-medium wpforms-field-row\" name=\"wpforms[fields][37]\"><p>Fecha hasta<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-4688-field_44-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"44\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-4688-field_44\">VISA Hasta la Fecha 1<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-4688-field_44\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][44][date]\" ><a title=\"Borrar fecha\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-4688-field_45-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"45\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-4688-field_45\">VISA Hasta la Fecha 2<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-4688-field_45\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][45][date]\" ><a title=\"Borrar fecha\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-4688-field_46-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"46\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-4688-field_46\">VISA Hasta la Fecha 3<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-4688-field_46\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][46][date]\" ><a title=\"Borrar fecha\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-4688-field_51-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"51\"><h3 id=\"wpforms-4688-field_51\" name=\"wpforms[fields][51]\">V. INFORMACI\u00d3N CONYUGAL<\/h3><\/div><div id=\"wpforms-4688-field_52-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"52\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_52\">Nombre del c\u00f3nyuge <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-4688-field_52\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][52][first]\" required><label for=\"wpforms-4688-field_52\" class=\"wpforms-field-sublabel after \">Nombre<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-fifth\"><input type=\"text\" id=\"wpforms-4688-field_52-middle\" class=\"wpforms-field-name-middle\" name=\"wpforms[fields][52][middle]\" ><label for=\"wpforms-4688-field_52-middle\" class=\"wpforms-field-sublabel after \">Segundo nombre<\/label><\/div><div class=\"wpforms-field-row-block wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-4688-field_52-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][52][last]\" required><label for=\"wpforms-4688-field_52-last\" class=\"wpforms-field-sublabel after \">Apellidos<\/label><\/div><\/div><\/div><div id=\"wpforms-4688-field_54-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"54\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_54\">C\u00f3nyuge (por favor marque uno)<\/label><ul id=\"wpforms-4688-field_54\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4688-field_54_1\" name=\"wpforms[fields][54]\" value=\"En EE.UU.\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4688-field_54_1\">En EE.UU.<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4688-field_54_2\" name=\"wpforms[fields][54]\" value=\"Fuera de los EE. UU.\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4688-field_54_2\">Fuera de los EE. UU.<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-4688-field_54_3\" name=\"wpforms[fields][54]\" value=\"Soltero\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4688-field_54_3\">Soltero<\/label><\/li><\/ul><\/div><div id=\"wpforms-4688-field_55-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"55\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_55\">Otros nombres usados (apellido de soltera)<\/label><input type=\"text\" id=\"wpforms-4688-field_55\" class=\"wpforms-field-large\" name=\"wpforms[fields][55]\" ><\/div><div id=\"wpforms-4688-field_56-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"56\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_56\">Direcci\u00f3n actual<\/label><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-4688-field_56\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][56][address1]\" ><label for=\"wpforms-4688-field_56\" class=\"wpforms-field-sublabel after \">Direcci\u00f3n (l\u00ednea 1)<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-4688-field_56-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][56][address2]\" ><label for=\"wpforms-4688-field_56-address2\" class=\"wpforms-field-sublabel after \">Direcci\u00f3n 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-4688-field_56-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][56][city]\" ><label for=\"wpforms-4688-field_56-city\" class=\"wpforms-field-sublabel after \">Ciudad<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-4688-field_56-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][56][state]\" ><option value=\"AL\" >Alabama<\/option><option value=\"AK\" >Alaska<\/option><option value=\"AZ\" >Arizona<\/option><option value=\"AR\" >Arkansas<\/option><option value=\"CA\" >California<\/option><option value=\"CO\" >Colorado<\/option><option value=\"CT\" >Connecticut<\/option><option value=\"DE\" >Delaware<\/option><option value=\"DC\" >Distrito de Columbia<\/option><option value=\"FL\" >Florida<\/option><option value=\"GA\" >Georgia<\/option><option value=\"HI\" >Hawai<\/option><option value=\"ID\" >Idaho<\/option><option value=\"IL\" >Illinois<\/option><option value=\"IN\" >Indiana<\/option><option value=\"IA\" >Iowa<\/option><option value=\"KS\" >Kansas<\/option><option value=\"KY\" >Kentucky<\/option><option value=\"LA\" >Luisiana<\/option><option value=\"ME\" >Maine<\/option><option value=\"MD\" >Maryland<\/option><option value=\"MA\" >Massachusetts<\/option><option value=\"MI\" >M\u00edchigan<\/option><option value=\"MN\" >Minnesota<\/option><option value=\"MS\" >Misisip\u00ed<\/option><option value=\"MO\" >Misuri<\/option><option value=\"MT\" >Montana<\/option><option value=\"NE\" >Nebraska<\/option><option value=\"NV\" >Nevada<\/option><option value=\"NH\" >Nuevo Hampshire<\/option><option value=\"NJ\" >Nueva Jersey<\/option><option value=\"NM\" >Nuevo M\u00e9xico<\/option><option value=\"NY\" >Nueva York<\/option><option value=\"NC\" >Carolina del norte<\/option><option value=\"ND\" >Dakota del norte<\/option><option value=\"OH\" >Ohio<\/option><option value=\"OK\" >Oklahoma<\/option><option value=\"OR\" >Oreg\u00f3n<\/option><option value=\"PA\" >Pensilvania<\/option><option value=\"RI\" >Rhode Island<\/option><option value=\"SC\" >Carolina del Sur<\/option><option value=\"SD\" >Dakota del Sur<\/option><option value=\"TN\" >Tennessee<\/option><option value=\"TX\" >Texas<\/option><option value=\"UT\" >Utah<\/option><option value=\"VT\" >Vermont<\/option><option value=\"VA\" >Virginia<\/option><option value=\"WA\" >Washington<\/option><option value=\"WV\" >Virginia Occidental<\/option><option value=\"WI\" >Wisconsin<\/option><option value=\"WY\" >Wyoming<\/option><\/select><label for=\"wpforms-4688-field_56-state\" class=\"wpforms-field-sublabel after \">Provincia<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-4688-field_56-postal\" class=\"wpforms-field-address-postal wpforms-masked-input\" data-inputmask-mask=\"(99999)|(99999-9999)\" data-inputmask-keepstatic=\"true\" data-rule-inputmask-incomplete=\"1\" name=\"wpforms[fields][56][postal]\" ><label for=\"wpforms-4688-field_56-postal\" class=\"wpforms-field-sublabel after \">C\u00f3digo Postal<\/label><\/div><\/div><\/div><div id=\"wpforms-4688-field_57-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"57\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_57\">Fecha y lugar de nacimiento del c\u00f3nyuge<\/label><input type=\"text\" id=\"wpforms-4688-field_57\" class=\"wpforms-field-large\" name=\"wpforms[fields][57]\" ><\/div><div id=\"wpforms-4688-field_58-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"58\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_58\">Ciudadan\u00eda del pa\u00eds<\/label><input type=\"text\" id=\"wpforms-4688-field_58\" class=\"wpforms-field-large\" name=\"wpforms[fields][58]\" ><\/div><div id=\"wpforms-4688-field_59-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"59\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_59\">N\u00famero de extranjero (&quot;A&quot;)<\/label><input type=\"text\" id=\"wpforms-4688-field_59\" class=\"wpforms-field-large\" name=\"wpforms[fields][59]\" ><\/div><div id=\"wpforms-4688-field_60-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"60\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_60\">Estado migratorio actual<\/label><input type=\"text\" id=\"wpforms-4688-field_60\" class=\"wpforms-field-large\" name=\"wpforms[fields][60]\" ><\/div><div id=\"wpforms-4688-field_61-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"61\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_61\">Fecha de caducidad<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-4688-field_61\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-large\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][61][date]\" ><a title=\"Borrar fecha\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-4688-field_63-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"63\"><h3 id=\"wpforms-4688-field_63\" name=\"wpforms[fields][63]\">VI. INFORMACI\u00d3N DE LOS PADRES<\/h3><\/div><div id=\"wpforms-4688-field_65-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"65\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-4688-field_65\">Layout<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4688-field_66-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"66\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_66\">Nombre completo del padre<\/label><input type=\"text\" id=\"wpforms-4688-field_66\" class=\"wpforms-field-medium\" name=\"wpforms[fields][66]\" ><\/div><div id=\"wpforms-4688-field_67-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"67\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_67\">Ciudad del Padre \/ Pa\u00eds de nacimiento<\/label><input type=\"text\" id=\"wpforms-4688-field_67\" class=\"wpforms-field-medium\" name=\"wpforms[fields][67]\" ><\/div><div id=\"wpforms-4688-field_68-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"68\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_68\">Padre Residencia actual<\/label><textarea id=\"wpforms-4688-field_68\" class=\"wpforms-field-medium\" name=\"wpforms[fields][68]\" ><\/textarea><\/div><div id=\"wpforms-4688-field_69-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"69\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_69\">Padre N\u00famero de extranjero (&quot;A&quot;)<\/label><input type=\"text\" id=\"wpforms-4688-field_69\" class=\"wpforms-field-medium\" name=\"wpforms[fields][69]\" ><\/div><div id=\"wpforms-4688-field_70-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"70\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_70\">\u00bfAlguna vez el padre ha estado en Estados Unidos?<\/label><input type=\"text\" id=\"wpforms-4688-field_70\" class=\"wpforms-field-medium\" name=\"wpforms[fields][70]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4688-field_71-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"71\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_71\">Nombre completo de la madre<\/label><input type=\"text\" id=\"wpforms-4688-field_71\" class=\"wpforms-field-medium\" name=\"wpforms[fields][71]\" ><\/div><div id=\"wpforms-4688-field_72-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"72\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_72\">Ciudad Madre \/ Pa\u00eds de nacimiento<\/label><input type=\"text\" id=\"wpforms-4688-field_72\" class=\"wpforms-field-medium\" name=\"wpforms[fields][72]\" ><\/div><div id=\"wpforms-4688-field_73-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"73\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_73\">Madre Residencia Actual<\/label><textarea id=\"wpforms-4688-field_73\" class=\"wpforms-field-medium\" name=\"wpforms[fields][73]\" ><\/textarea><\/div><div id=\"wpforms-4688-field_74-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"74\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_74\">N\u00famero de madre extranjera (&quot;A&quot;)<\/label><input type=\"text\" id=\"wpforms-4688-field_74\" class=\"wpforms-field-medium\" name=\"wpforms[fields][74]\" ><\/div><div id=\"wpforms-4688-field_75-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"75\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_75\">\u00bfAlguna vez tu madre ha estado en Estados Unidos?<\/label><input type=\"text\" id=\"wpforms-4688-field_75\" class=\"wpforms-field-medium\" name=\"wpforms[fields][75]\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-4688-field_77-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"77\"><h3 id=\"wpforms-4688-field_77\" name=\"wpforms[fields][77]\">VII. HISTORIAL DE EMPLEO<\/h3><\/div><div id=\"wpforms-4688-field_78-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"78\"><div id=\"wpforms-4688-field_78\" class=\"wpforms-field-large wpforms-field-row\" name=\"wpforms[fields][78]\"><p>EMPLEADOR ACTUAL (O EMPLEADOR QUE SOLICITA EN SU NOMBRE):<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-4688-field_79-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"79\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_79\">Empleador<\/label><input type=\"text\" id=\"wpforms-4688-field_79\" class=\"wpforms-field-large\" name=\"wpforms[fields][79]\" ><\/div><div id=\"wpforms-4688-field_80-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"80\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_80\">Direcci\u00f3n<\/label><textarea id=\"wpforms-4688-field_80\" class=\"wpforms-field-medium\" name=\"wpforms[fields][80]\" ><\/textarea><\/div><div id=\"wpforms-4688-field_81-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"81\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_81\">T\u00edtulo del trabajo<\/label><input type=\"text\" id=\"wpforms-4688-field_81\" class=\"wpforms-field-large\" name=\"wpforms[fields][81]\" ><\/div><div id=\"wpforms-4688-field_82-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"82\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_82\">Fecha de contrataci\u00f3n<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-4688-field_82\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][82][date]\" ><a title=\"Borrar fecha\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-4688-field_83-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"83\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_83\">Sueldo<\/label><input type=\"text\" id=\"wpforms-4688-field_83\" class=\"wpforms-field-medium\" name=\"wpforms[fields][83]\" ><\/div><div id=\"wpforms-4688-field_84-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"84\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_84\">\u00bfEst\u00e1 relacionado con su empleador (por favor verifique)?<\/label><ul id=\"wpforms-4688-field_84\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4688-field_84_1\" name=\"wpforms[fields][84]\" value=\"S\u00ed\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4688-field_84_1\">S\u00ed<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4688-field_84_2\" name=\"wpforms[fields][84]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4688-field_84_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-4688-field_85-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"85\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_85\">\u00bfPodemos comunicarnos con su empleador (por favor verifique)?<\/label><ul id=\"wpforms-4688-field_85\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4688-field_85_1\" name=\"wpforms[fields][85]\" value=\"S\u00ed\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4688-field_85_1\">S\u00ed<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4688-field_85_2\" name=\"wpforms[fields][85]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4688-field_85_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-4688-field_86-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"86\"><h3 id=\"wpforms-4688-field_86\" name=\"wpforms[fields][86]\">VIII. INFORMACI\u00d3N DE CONTACTO ALTERNATIVA<\/h3><\/div><div id=\"wpforms-4688-field_87-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"87\"><div id=\"wpforms-4688-field_87\" class=\"wpforms-field-large wpforms-field-row\" name=\"wpforms[fields][87]\"><p>Si su correo se devuelve como no entregable o el servicio telef\u00f3nico terminado, proporcione el nombre de alguien (amigo o pariente) que cree que siempre sabr\u00e1 c\u00f3mo contactarlo y a quien nos autoriza a contactar.<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-4688-field_89-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"89\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-4688-field_89\">Layout<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4688-field_88-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"88\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_88\">Nombre<\/label><input type=\"text\" id=\"wpforms-4688-field_88\" class=\"wpforms-field-medium\" name=\"wpforms[fields][88]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4688-field_90-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"90\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_90\">Relaci\u00f3n<\/label><input type=\"text\" id=\"wpforms-4688-field_90\" class=\"wpforms-field-medium\" name=\"wpforms[fields][90]\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-4688-field_91-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"91\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_91\">Direcci\u00f3n<\/label><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-4688-field_91\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][91][address1]\" ><label for=\"wpforms-4688-field_91\" class=\"wpforms-field-sublabel after \">Direcci\u00f3n (l\u00ednea 1)<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-4688-field_91-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][91][city]\" ><label for=\"wpforms-4688-field_91-city\" class=\"wpforms-field-sublabel after \">Ciudad<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-4688-field_91-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][91][state]\" ><option value=\"AL\" >Alabama<\/option><option value=\"AK\" >Alaska<\/option><option value=\"AZ\" >Arizona<\/option><option value=\"AR\" >Arkansas<\/option><option value=\"CA\" >California<\/option><option value=\"CO\" >Colorado<\/option><option value=\"CT\" >Connecticut<\/option><option value=\"DE\" >Delaware<\/option><option value=\"DC\" >Distrito de Columbia<\/option><option value=\"FL\" >Florida<\/option><option value=\"GA\" >Georgia<\/option><option value=\"HI\" >Hawai<\/option><option value=\"ID\" >Idaho<\/option><option value=\"IL\" >Illinois<\/option><option value=\"IN\" >Indiana<\/option><option value=\"IA\" >Iowa<\/option><option value=\"KS\" >Kansas<\/option><option value=\"KY\" >Kentucky<\/option><option value=\"LA\" >Luisiana<\/option><option value=\"ME\" >Maine<\/option><option value=\"MD\" >Maryland<\/option><option value=\"MA\" >Massachusetts<\/option><option value=\"MI\" >M\u00edchigan<\/option><option value=\"MN\" >Minnesota<\/option><option value=\"MS\" >Misisip\u00ed<\/option><option value=\"MO\" >Misuri<\/option><option value=\"MT\" >Montana<\/option><option value=\"NE\" >Nebraska<\/option><option value=\"NV\" >Nevada<\/option><option value=\"NH\" >Nuevo Hampshire<\/option><option value=\"NJ\" >Nueva Jersey<\/option><option value=\"NM\" >Nuevo M\u00e9xico<\/option><option value=\"NY\" >Nueva York<\/option><option value=\"NC\" >Carolina del norte<\/option><option value=\"ND\" >Dakota del norte<\/option><option value=\"OH\" >Ohio<\/option><option value=\"OK\" >Oklahoma<\/option><option value=\"OR\" >Oreg\u00f3n<\/option><option value=\"PA\" >Pensilvania<\/option><option value=\"RI\" >Rhode Island<\/option><option value=\"SC\" >Carolina del Sur<\/option><option value=\"SD\" >Dakota del Sur<\/option><option value=\"TN\" >Tennessee<\/option><option value=\"TX\" >Texas<\/option><option value=\"UT\" >Utah<\/option><option value=\"VT\" >Vermont<\/option><option value=\"VA\" >Virginia<\/option><option value=\"WA\" >Washington<\/option><option value=\"WV\" >Virginia Occidental<\/option><option value=\"WI\" >Wisconsin<\/option><option value=\"WY\" >Wyoming<\/option><\/select><label for=\"wpforms-4688-field_91-state\" class=\"wpforms-field-sublabel after \">Provincia<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-4688-field_91-postal\" class=\"wpforms-field-address-postal wpforms-masked-input\" data-inputmask-mask=\"(99999)|(99999-9999)\" data-inputmask-keepstatic=\"true\" data-rule-inputmask-incomplete=\"1\" name=\"wpforms[fields][91][postal]\" ><label for=\"wpforms-4688-field_91-postal\" class=\"wpforms-field-sublabel after \">C\u00f3digo Postal<\/label><\/div><\/div><\/div><div id=\"wpforms-4688-field_92-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"92\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-4688-field_92\">Layout<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4688-field_94-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"94\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_94\">N\u00famero de tel\u00e9fono<\/label><input type=\"tel\" id=\"wpforms-4688-field_94\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][94]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4688-field_95-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"95\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_95\">Tel\u00e9fono celular<\/label><input type=\"tel\" id=\"wpforms-4688-field_95\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][95]\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-4688-field_96-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"96\"><h3 id=\"wpforms-4688-field_96\" name=\"wpforms[fields][96]\">IX. POR FAVOR, LEA ATENTAMENTE Y FIRME A CONTINUACI\u00d3N<\/h3><\/div><div id=\"wpforms-4688-field_97-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"97\"><div id=\"wpforms-4688-field_97\" class=\"wpforms-field-large wpforms-field-row\" name=\"wpforms[fields][97]\"><p>Si completa esta hoja de admisi\u00f3n antes de su consulta con el abogado y su (s) problema (s) legal (s) implica una fecha l\u00edmite pendiente, respuesta o una pr\u00f3xima audiencia que se debe antes de su consulta con el abogado, se le recomienda encarecidamente que notifique al abogado por escrito. Si el abogado no puede reunirse con usted antes de su fecha l\u00edmite o respuesta, se le aconseja que consulte inmediatamente con otro abogado para proteger sus derechos legales.  Despu\u00e9s de su entrevista inicial, si acepta contratar al Abogado y el Abogado acepta representarlo, ambos firmar\u00e1n un Acuerdo de Representaci\u00f3n. El Acuerdo de Representaci\u00f3n establecer\u00e1 los t\u00e9rminos y condiciones de representaci\u00f3n.  Si el Abogado est\u00e1 dispuesto a representarlo y usted decide no firmar un Acuerdo de Representaci\u00f3n hoy, se le recomienda encarecidamente que programe una segunda cita con el Abogado lo antes posible o que consulte inmediatamente con otro asesor legal para proteger sus derechos.  AVISO: ESTA OFICINA NO LO REPRESENTA CON RESPECTO A LOS ASUNTOS ESTABLECIDOS POR USTED EN ESTE DOCUMENTO O DISCUTIDOS DURANTE SU CONSULTA A MENOS Y HASTA QUE TANTO USTED COMO EL ABOGADO EJECUTEN UN ACUERDO DE RETENCI\u00d3N POR ESCRITO PARA LA REPRESENTACI\u00d3N Y USTED.  Su firma a continuaci\u00f3n reconoce SOLO que ha le\u00eddo y entendido el contenido de este Formulario de Admisi\u00f3n de Clientes o que se le ha explicado el contenido de esta Admisi\u00f3n de Clientes en su idioma nativo, y que la informaci\u00f3n que presenta en este Formulario de Admisi\u00f3n de Clientes es verdadera y correcta a su leal saber y entender. Su firma a continuaci\u00f3n NO SIGNIFICA que haya contratado al Abogado o que el Abogado lo represente en este o cualquier otro asunto.  Si el Abogado no acepta representarlo, esto incluye no representarlo con respecto a los asuntos establecidos por usted en este Formulario de Admisi\u00f3n de Clientes o cualquier otro asunto que pueda discutir con el Abogado durante su consulta, se le recomienda consultar inmediatamente con otro abogado para proteger sus derechos. La decisi\u00f3n del abogado de no representarlo no debe ser tomada por usted como una expresi\u00f3n con respecto a los m\u00e9ritos de su caso.<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-4688-field_98-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"98\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-4688-field_98\">Layout<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4688-field_99-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"99\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_99\">Firma (escriba su nombre)<\/label><input type=\"text\" id=\"wpforms-4688-field_99\" class=\"wpforms-field-medium\" name=\"wpforms[fields][99]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4688-field_100-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"100\"><label class=\"wpforms-field-label\" for=\"wpforms-4688-field_100\">Fecha<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-4688-field_100\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][100][date]\" ><a title=\"Borrar fecha\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wpforms-submit-container\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"4688\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"2\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-4688\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Enviar\" aria-live=\"assertive\" value=\"wpforms-submit\">Enviar<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/sommersulloalaw.com\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Cargando\"><\/div><\/form><\/div>  <!-- .wpforms-container -->[\/vc_column][\/vc_row][vc_row fullwidth=\u00bbtrue\u00bb][vc_column][mk_divider style=\u00bbthin_solid\u00bb thin_single_color=\u00bb#cba67f\u00bb thickness=\u00bb3&#8243; 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align=\u00bbleft\u00bb thin_single_color=\u00bb#cba67f\u00bb thickness=\u00bb3&#8243; margin_top=\u00bb10&#8243; margin_bottom=\u00bb40&#8243;][\/vc_column][\/vc_row][vc_row fullwidth=\u00bbtrue\u00bb][vc_column][mk_divider style=\u00bbthin_solid\u00bb thin_single_color=\u00bb#cba67f\u00bb thickness=\u00bb3&#8243; margin_top=\u00bb0&#8243; margin_bottom=\u00bb0&#8243;][\/vc_column][\/vc_row][vc_row fullwidth=\u00bbtrue\u00bb css=\u00bb.vc_custom_1480707378175{background-image: url(http:\/\/sommersulloalaw.com\/wp-content\/uploads\/2016\/10\/su-fam.jpg?id=4615) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}\u00bb][vc_column][mk_padding_divider size=\u00bb450&#8243;][\/vc_column][\/vc_row]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4698,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-4702","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/sommersulloalaw.com\/es\/wp-json\/wp\/v2\/pages\/4702","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sommersulloalaw.com\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sommersulloalaw.com\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sommersulloalaw.com\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/sommersulloalaw.com\/es\/wp-json\/wp\/v2\/comments?post=4702"}],"version-history":[{"count":0,"href":"https:\/\/sommersulloalaw.com\/es\/wp-json\/wp\/v2\/pages\/4702\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/sommersulloalaw.com\/es\/wp-json\/wp\/v2\/pages\/4698"}],"wp:attachment":[{"href":"https:\/\/sommersulloalaw.com\/es\/wp-json\/wp\/v2\/media?parent=4702"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}