Citizenship Mock Interview Form

Student Name_______________________
Date _______________________
Citizenship Mock Interview Form
I.
Following Instructions, Truth Oath, Small Talk, ID Check
READ ALL DIRECTIONS/QUESTIONS IN THIS SECTION ALOUD
Questions asked by USCIS Immigration Officer
-
Hello.
How are you feeling?
How is the weather outside?
Did you have problems getting here?
Have you been waiting a long time to talk to me
today?
Ok, let’s begin. Please stand up and raise your right hand.
Do you promise to tell the truth and nothing but the truth, so
help you God?
You may sit down.
Appropriate Student Response
Need to be able to
understand the question
and give any reasonable
response
Stands and raises right
hand
Yes
Sits down
Do you know what an oath is?
Yes, it is a promise to tell
the truth
At this point, the interviewer would ask you for a type of
identification, but here we don’t need to see it. Do you know
what type of ID you should take to your interview? (only need
one of these)
 Alien resident card
(aka: greencard)
 Passport
 Driver’s license
 State ID
Do you understand why you are here today?
Yes, to become an
American Citizen
Why do you want to become an American Citizen?
MLC Citizenship Mock Interview Form
Check one box for each
question asked
Gave
Unable
Appropriate
to
Response
Answer
Need to be able to
understand the question
and give any reasonable
response
Page 1
II.
Review of N-400, Part 1: Personal Information Questions
a) READ THE FOLLING TO THE STUDENT:
In your real citizenship interview, you will be asked several questions about personal information from the N-400.
Because this is a practice interview, you may skip on any question you do not feel comfortable answering. For your
real interview, you will have to give an answer that matches what you wrote in your N-400 Application.
b) FOR IN-CLASS INTERVIEWS: Ask no more than 6 QUESTIONS from this page.
Questions asked by USCIS Immigration Officer
Appropriate Student Response
Check one box for each
question asked
Gave
Unable to
Appropriate
Answer
Response
Okay, now we are going to go over your application to see if there have been any changes
(For In-Class Interviews ask no more than 6 questions from this page.)
Do you still live at the same address?
If not, what is your current address?
What is your name?
When is your birthday?
Where were you born?
When did you become a permanent resident?
Yes
or
can say new address
First and Last Name
Month, Day, Year
Country
Month, Year
How many times have you left the United States since you
became a permanent resident?
Were any of your trips for six months or more?
What were your reasons for leaving the country?
How long have you lived at your current address?
Do you work? Where?
Number of Years
Yes or No
Name of Company
How tall you are you and how much do you weigh?
How many times have you been married?
(If married) Is your spouse a U.S. citizen?
What is the total number of children born to you?
MLC Citizenship Mock Interview Form
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III.
Review of N-400, Part 2: Morals and Ethics Questions
a) The answers to all questions in this section should be NO (except question #33). If a “yes” answer is given,
an explanation should be provided.
b) If students do not understand the question, see Easy English Translations of N-400 Questions for suggested
alternatives.
c) FOR IN-CLASS INTERVIEWS: Ask no more than 6 QUESTIONS from this page.
Questions asked by USCIS Immigration Officer
1. Have you ever claimed to be a U.S. Citizen?
Appropriate Student
Response
No
2. Have you ever registered to vote in any Federal, State, or local election
in the U.S.?
No
3. Have you ever voted in any Federal, State, or local election in the
United States?
No
4. Have you ever failed to file a tax return?
No
5. Do you owe any Federal, State, or local taxes that are overdue?
No
6. Do you have any title of nobility in any foreign county?
No
7. Have you ever been declared legally incompetent or been confined to a
mental institution within the last 5 years?
No
8. Have you ever been a member of or associated with any organization,
association, fund foundation, party, club or similar group in the United
States or in any other places?
No
9. Have you ever been a member of the Communist Party?
No
10. Have you ever been part of a terrorist organization?
No
11. Have you ever attacked or taken away the rights of another person
because they are of a different race, country, religion, birth place, social
group or political opinion?
No
12. Have you ever been associated with the Nazi Party?
No
13. Have you ever called yourself a “nonresident” on federal, State, or
local tax return?
No
14. Have you ever failed to file a Federal, State, or local tax return?
No
15. Have you ever committed a crime for which you were not arrested?
No
16. Have you ever been arrested, citied, or detained by any law
enforcement officer for any reason?
No
17. Have you ever been charged with committing any crime or offense?
No
18. Have you ever been convicted (declared guilty) of a crime or offense?
No
19. Have you ever been placed in an alternative sentencing or
rehabilitative program?
No
MLC Citizenship Mock Interview Form
Check one box for each
question asked
Gave
Unable to
Appropriate
Answer
Response
Page 3
Questions asked by USCIS Immigration Officer
Appropriate Student
Response
20. Have you ever received a suspended sentence, been placed on
probation, or been paroled?
No
21. Have you ever been in jail or prison?
No
22a. Have you ever been a habitual drunkard?
No
22b. Have you ever been a prostitute or procured anyone for prostitution?
No
22c. Have you ever sold or smuggled controlled substances, illegal drugs,
or narcotics?
No
22d. Have you ever been married to more than one person at the same
time?
No
22e. Have you ever helped anyone enter or try to enter the United States
illegally?
No
22f. Have you ever gambled illegally or received income from illegal
gambling?
No
22g. Have you ever failed to Support your dependents or to pay alimony?
No
23. Have you ever lied to or hidden information from a U.S. immigration
or police officer when you filed papers to immigrate or when you filed
papers to be able to stay in the U.S.?
No
24. Have you ever lied to any U.S. government official to gain entry or
admission into the United States?
No
25. Are removal, exclusion, rescission or deportation proceedings
pending against you? (Is the U.S. saying that you have to leave the U.S.
soon?)
No
26. Have you ever been removed, excluded, or deported from the United
States?
No
27. Have you ever been ordered to be removed, excluded, or deported
from the United States?
No
28. Have you ever applied for any kind of relief from removal, exclusion,
or deportation?
No
29. Have you ever served in the U.S. Armed Forces?
No
30. Have you ever left the United States to avoid being drafted into the
U.S. Armed Forces?
No
31. Have you ever applied for any kind of exemption from military
service in the U.S. Armed Forces?
No
32. Have you ever deserted from the U.S. Armed Forces?
No
33. Are you a male who lived in the United States at any time between
your 18th and 26th birthday? If so, did you apply for selective service?
(***Answer should be yes***)
Yes
MLC Citizenship Mock Interview Form
Gave
Appropriate
Response
Unable to
Answer
Page 4
IV.
Oath Requirements – ASK ALL QUESTIONS IN THIS SECTION (34-39)
The answers to these questions should all be “Yes”, except # 37.
Questions asked by USCIS Immigration Officer
Appropriate Student Response
34. Do you support the Constitution and form of government
of the United States?
Yes
35. Do you understand the full Oath of Allegiance?
Yes
36. Are you willing to take the full Oath of Allegiance to the
United States?
Yes
37. If the law requires it, are you willing to bear arms on
behalf of the United States?
Yes or No (Can use
religious background for a
“No” Answer)
38. IF the law requires it, are you willing to perform
noncombatant services in the U.S. Armed Forces?
Yes
39. If the law requires it, are you willing to perform work of
national importance under civilian direction?
Yes
V.
Check one box for each
question asked
Gave
Unable to
Appropriate
Answer
Response
100 Questions – Use one of the 10 different lists of compiled Civics questions (different form)
MLC Citizenship Mock Interview Form
Page 5
VI.
Reading
a) Choose 1 sentence to read. Cover up rest of page with your clipboard (fine if one other sentence is showing).
b) Point at the sentence with a pen, and show it to the student.
c) Ask the student to read the sentence aloud. Small errors don’t matter; as long as the sentence’s main point is
communicated, it is acceptable.
d) Students do NOT need to answer the question, simply read it.
e) Once they read a sentence correctly, they are done with this section. If they read it incorrectly, choose another
one. (Mark each attempt “correct” or “incorrect)
f) Each student is only allowed 3 sentences in this section. If they are able to read one successfully, they pass.
Questions asked by USCIS
Immigration Officer
Correct
Incorrect
Questions asked by USCIS
Immigration Officer
What is the capital of the United
States?
Who was George Washington?
What are the colors of the flag?
Who was Abraham Lincoln?
What is on the American flag?
When is Presidents’ Day?
When is Flag Day?
When is Memorial Day?
What was the first U.S. capital?
Who elects Congress?
What state has the most people?
How many senators do we have?
What country is north of the United
States?
Where does the Congress meet?
What is the largest state?
When do we vote for president?
What country is south of the United
States?
Where does the president live?
Who lived here first?
Where is the White House?
Why do people want to be citizens?
Who lives in the White House?
Why do people come to America?
When is Labor Day?
When is Columbus Day?
What do we have to pay to the
government?
When is Thanksgiving?
What does Congress do?
What was the first U.S. state?
Who can vote?
Who is the father of our country?
Why do people want to be citizens?
Who was the first president?
When is Independence Day?
Correct
Incorrect
What president is on the dollar bill?
MLC Citizenship Mock Interview Form
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VII.
Writing
a) Choose a sentence to dictate- memorize the sentence.
b) Cover the entire top of this page and hand the whole document to the student (on a clipboard or desk).
c) SAY TO THE STUDENT:
Please write the sentence I tell you on the first line below.
d) Recite the sentence you chose- the student should write it below.
e) Once a student writes a sentence correctly, he/she is done with this section. If he/she writes it incorrectly,
choose another one. (Mark each attempt “correct” or “incorrect)
f)
Each student is only allowed 3 sentences in this section. If they are able to write one successfully, they pass.
Questions asked by USCIS
Immigration Officer
Correct
The United States has 50 states.
Incorrect
Questions asked by USCIS
Immigration Officer
Correct
Incorrect
Adams was the second president.
George Washington is the Father of Our
Country.
Lincoln was president during the Civil
War.
Washington, D.C. is the capital.
The flag is red, white, and blue.
The flag has red and white stripes.
Presidents’ Day is in February.
Flag Day is in June.
Memorial Day is in May.
New York City was the first capital.
The People elect Congress.
California has the most people.
We have 100 senators.
Canada is north of the United States.
Congress meets in Washington, D.C.
Alaska is the largest state.
We vote for president in November.
Mexico is south of the United States.
The president lives in the White House.
American Indians lived here first
They want to live in a free country.
The White House is in Washington, D.C.
The president lives in the White House.
People come here to be free.
Labor Day is in September.
Columbus Day is in October.
We have to pay taxes.
Thanksgiving is in November.
Congress makes laws.
Delaware was the first U.S. state.
Citizens can vote.
Washington is the father of our
country.
They want to vote.
Washington was the first president.
Independence Day is in July.
Washington is on the dollar bill.
Place book, binder or paper here.
1.
2.
3.
MLC Citizenship Mock Interview Form
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Final Scoring
a) Let the student know that he/she is done (yay!), and they can take a seat while you tally the score.
b) While you are counting the scores, the teacher should lead a discussion with the students about the interview.
c) After you have tallied the score, share results with the student (see Sharing Results section, below). Ask the
teacher before class what sharing protocol s/he would like to you follow (ie; sharing results in front of the
whole class, or just with the individual student).
Page
#
Score needed to
Pass
Actual
Score
Check Only One:
Pass
/8
Section
Fail/More
Work Needed
1
8/8
Section I.
2
3-4
No need to score
this section
6/6
/6
Section III.
5
6/6
/6
Section IV.
Following Instructions, Truth Oath, Small
Talk, ID Check
Review of N-400
Part 1: Personal Information Questions
Review of N-400
Part 2: Morals and Ethics Questions
Oath Requirements
5-12
6/10
/10
Section V.
100 Questions
13
1/3
/3
Section VI.
Reading
14
1/3
/3
Section VII.
Writing
Section II.
Final Score: Student passed _____ out of 6 scored sections.

Sharing Results with the student
Emphasize what the student did right, and if the student received a passing score in any of the 6 sections,
congratulate him/her.

If the student passed in all 6 sections, express confidence that the student will ultimately pass the real
citizenship test at his/her USCIS interview.

If there were areas of weakness, offer suggestions on how the student might work to improve on them, and
express confidence that, with time and effort, the student will eventually be able to pass the test.

When the interview is done in front of a classroom, classmates can be invited to give their assessment of the
student’s performance. Again, it is important that the students are also emphasizing/confirming what the
student did right, and if appropriate, sharing suggestions for improvement.
Comments:
Student _____________________________
Date___________________________
Class_____________________________ ___
Interview conducted by________________________________
MLC Citizenship Mock Interview Form
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