ANSWER THESE PLEASE BEFORE YOU ENTER THE LAND OF MILK AND HONEY

Have you ever been arrested or convicted for any offense or crime, even though subject of a pardon, amnesty, or other similar action?

Yes No
Have you ever violated, or engaged in a conspiracy to violate, any law relating to controlled substances?

Yes No
Are you coming to the United States to engage in prostitution or unlawful commercialized vice or have you been engaged in prostitution or procuring prostitutes within the past 10 years?

Yes No
Have you ever been involved in, or do you seek to engage in, money laundering?

Yes No
Do you seek to engage in espionage, sabotage, export control violations, or any other illegal activity while in the United States?

Yes No
Do you seek to engage in terrorist activities while in the United States or have you ever engaged in terrorist activities?

Yes No
Have you ever or do you intend to provide financial assistance or other support to terrorists or terrorist organizations?

Yes No
Are you a member or representative of a terrorist organization?

Yes No
Have you ever ordered, incited, committed, assisted, or otherwise participated in genocide?

Yes No
Have you ever committed, ordered, incited, assisted, or otherwise participated in torture?

Yes No
Have you committed, ordered, incited, assisted, or otherwise participated in extrajudicial killings, political killings, or other acts of violence?

Yes No
Have you, while serving as a government official, been responsible for or directly carried out, at any time, particularly severe violations of religious freedom?

Yes No

Have you ever withheld custody of a U.S. citizen child outside the United States from a person granted legal custody by a U.S. court?

Yes No
Have you voted in the United States in violation of any law or regulation?

Yes No
Have you ever renounced United States citizenship for the purpose of avoiding taxation?

Yes No
Have you attended a public elementary school on student (F) status or a public secondary school after November 30, 1996 without reimbursing the school?

Yes No