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Settlement Application
If you are planning to immigrate to the USA and wish to receive services from us, you have to be registered in our organization (this a requirement for you to receive services with Grace). To register with us you have to complete our application (this is a private file, your data is very secure with us). Please fill out the application below and we will be in contact with you as soon as possible.

If you have any questions, please contact Bishoi at Bishoi@elevatedbygrace.org

Your Full NameFirst and Last name
Phonevalid phone number
Day of Birthyour full name
Please list the full name(s) and date of birth of all your family members below. (Husband, wife and/or kids).Please list the full name(s) and date of birth of all your family members below. (Husband, wife and/or kids).
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Education / JobEducation/Job
Select which settlement services you needSelect which medical services you needed
Select which medical services you needSelect which medical services you needed
Select which legal services you needpick as needed
Select which educational services you needpick as needed
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