Rehling Law Group

Step 1: Eligibility Exam

Please fill out this short form to find out if you are eligible for the green card lottery. All field must be completed.

	Eligibility Information:
	1. Your Date of Birth:
	2. Your Country of Birth:
	3. Father's Country of Birth:
	4. Mother's Country of Birth:
	5. Are You Married?	Yes No
	6. Spouse's Country of Birth:
	7. High School Graduate:	Yes No
	8. Job Description:
	9. Job Experience:	Years

	Remember: If you were born in a non-eligible country you May still qualify if one or more of your parents were born in a qualifying country Or your spouse was born in a qualifying country.