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Site Application
Site Application
Step
1
of
5
- Location and Contact Information
20%
Primary Contact
Please provide information about who we should contact to discuss opening an Immigrant Hope site.
Name
First
Last
Email
Phone
Host Church
Please provide information about the church that would like to start an Immigrant Hope site.
Church Name
Address
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
Email
Website
Pastor's Name
First
Last
Denomination
Site Location
Please provide information about where the Immigrant Hope site would be located.
Do you plan to locate the Immigrant Hope site at the host church?
Select "No" if the site will be located at another church, in an off-site church-owned property, in a community center, etc.
Yes
No
Not sure
Location Name
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Describe the location
Type of property, relationship to the host church, distance from the host church, etc.
Mission and Theology
Does the host church agree to uphold the three-part mission of Immigrant Hope?
1. Provide excellent legal services with integrity. 2. Share the gospel when appropriate. 3. Help immigrants find a home in a church that cares for them.
Yes
No
Please explain
Does the host church affirm the Immigrant Hope Statement of Faith?
https://www.immigranthope.org/statement-of-faith/
Yes
No
Please explain
Ministry Alignment
Have you presented Immigrant Hope to the host church's leadership?
Staff, elders, board, etc.
Yes
No
Partially
What is your plan to do so?
What was their response?
Have you presented Immigrant Hope to the host church's congregation?
Yes
No
Partially
What is your plan to do so?
What was the response?
How does Immigrant Hope align with the host church's mission and vision?
Please describe the ways the church currently cares for immigrants
Partners
Please list any other churches or organizations that plan to partner with you to open and run the Immigrant Hope site.
Launch Team
Please provide information about the people who will work together to launch the Immigrant Hope program.
Is the leader of the launch team the same as the primary contact listed above?
Yes
No
Launch Team Leader
First
Last
Launch Team Leader Phone
Launch Team Leader Email
Launch Team Leader Church
Launch Team Leader Occupation
List other members of the launch team
Name
Email
Church
Occupation
Legal Workers
Please provide information about the people who will become certified (DOJ accredited) to provide legal advice at the Immigrant Hope site.
List legal workers at your site
Under 'Funding', please indicate whether the legal worker will be paid by the Immigrant Hope site, paid by the church or other organization, or work as a volunteer.
Name
Email
Funding
List training and experience for legal workers
Please list any training or hands-on experience with immigration law completed by the legal workers listed above.
Worker Name
Training Title
Training Provider
Date
Volunteers
How do you hope to recruit volunteers to work at the Immigrant Hope site?
Volunteers can assist the legal workers as case managers, office assistants, spiritual care, prayer team, promotion, etc.
Community Need and Demographics
Service Area
In 3 words or less, what is the area you intend to serve? This could be your city, country, region, or some other way of describing your area. Examples: Brooklyn, NY; South Central Pennsylvania; Wyoming/Idaho.
Please describe the area around the proposed location for the Immigrant Hope site.
Region, city, and neighborhood demographics, economic status, religious climate, major employers, etc.
Please describe the immigrant community(s) that you hope to serve.
Size, ethnicity, country of origin, legal status, economic status, integration, etc.
What are the biggest needs in these immigrant communities, according to the community leaders?
What are the biggest needs in these immigrant communities, according to other social service organizations?
Immigration Legal Providers
List low-cost immigration providers that currently serve your community.
The directory at https://www.immigrationlawhelp.org/ can help you find low-cost providers.
Organization
Specialty/Focus
Distance from your location
List private-practice immigration attorneys that currently serve your community.
The directory at https://ailalawyer.com/ can help you find immigration attornies.
Name
Specialty/Focus
Distance from your location
Is there potential for partnership or cooperation with any of the existing immigration legal providers? Please explain.
Facilities and Equipment
Is the proposed location for the Immigrant Hope site easily accessible to the communities you hope to serve:
Check all that apply.
By walking
By car
By public transportation
Will the facility you hope to use for the Immigrant Hope site have:
Check all that apply.
Rooms available for private appointments
Secure file storage (only accessible by legal program staff)
A safe and comfortable waiting area for clients and family members
Clear signage to direct clients
Do you have any of the following equipment available for use by the Immigrant Hope site?
Check all that apply.
Computer(s)
High-capacity printer/scanner/copier
Paper shredder
Locking filing cabinet(s)
Phone
This field is for validation purposes and should be left unchanged.