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I-821D Consideration of Deferred Action for Childhood Arrivals Personal Statement Template
Clearly explain your DACA story, continuous residence, and education in a structured I-821D personal declaration.
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I-821D Consideration of Deferred Action for Childhood Arrivals Personal Statement Template
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I-821D Consideration of Deferred Action for Childhood Arrivals Personal Statement Template
[Your Full Name]
[A-Number (if any)]
[Your Street Address]
[City, State, ZIP Code]
[Phone Number]
[Email Address]
[Date]
U.S. Citizenship and Immigration Services
[USCIS Service Center / Lockbox Address for DACA Filings]
Re: Form I-821D, Consideration of Deferred Action for Childhood Arrivals
Personal Statement of [Your Full Name], DOB: [MM/DD/YYYY]
1. Introduction and Purpose of This Statement
I, [Your Full Name], was born on [Date of Birth] in [City, Country]. I submit this personal statement in support of my Form I-821D, Consideration of Deferred Action for Childhood Arrivals.
In this statement, I describe my arrival in the United States as a child, my continuous residence, my education, my family and community ties, and the reasons I am requesting that USCIS grant DACA in my case.
2. Personal Background
Full Name: [Your Full Name]
Other Names Used: [Other Names or “None”]
Date of Birth: [MM/DD/YYYY]
Place of Birth: [City, Country]
Citizenship/Nationality: [Country]
Primary Language(s): [Language(s)]
Parents:
[Parent’s Name], [Date of Birth], [Citizenship/Nationality], [Current Location/Status]
[Parent’s Name], [Date of Birth], [Citizenship/Nationality], [Current Location/Status]
Siblings (if any):
[Sibling’s Name], DOB: [MM/DD/YYYY], [Current Location/Status]
[Sibling’s Name], DOB: [MM/DD/YYYY], [Current Location/Status]
3. Entry to the United States as a Child
Date of First Arrival in the United States: [MM/DD/YYYY]
Your Age at First Arrival: [Age in Years]
Place of First Arrival: [City, State or Port of Entry]
Manner of Entry: [With Visa / Without Inspection / Other]
If With Visa, Type of Visa: [Visa Type]
Who You Traveled With: [Names and Relationships of People Who Accompanied You]
Brief Description of the Journey:
[Short description of your travel to the United States and your understanding at that time as a child.]
4. Continuous Residence and Physical Presence in the United States
Residence History Since Arrival:
From [MM/YYYY] to [MM/YYYY]: [Address, City, State]
From [MM/YYYY] to [MM/YYYY]: [Address, City, State]
From [MM/YYYY] to Present: [Address, City, State]
Any Departures from the United States Since Initial Entry:
Date(s) of Departure: [Date(s) or “None”]
Date(s) of Return: [Date(s)]
Purpose and Length of Each Trip: [Short Description]
Explanation of Continuous Residence:
[Short paragraph explaining that you have continuously lived in the United States since [Year], including key details that show you consider this your home.]
5. Education History and Current Status
Elementary and Middle School Education in the United States:
School Name: [Name], City/State: [City, State], Years Attended: [Years]
School Name: [Name], City/State: [City, State], Years Attended: [Years]
High School Education:
High School Name: [Name], City/State: [City, State]
Years Attended: [Years]
Graduation Date or Expected Graduation Date: [MM/DD/YYYY]
High School Diploma or GED: [“High School Diploma,” “GED,” or “In Progress”]
College, Vocational, or Other Education (if applicable):
Institution Name: [Name], City/State: [City, State]
Program or Major: [Program/Major]
Dates Attended: [Dates]
Degree, Certificate, or Credits Earned: [Description]
Current Education Status:
[Description of whether you are currently enrolled, graduated, or planning further education.]
6. Work History and Community Involvement
Work History (if any):
Employer Name: [Name], City/State: [City, State]
Position: [Job Title]
Dates of Employment: [From MM/YYYY to MM/YYYY]Employer Name: [Name], City/State: [City, State]
Position: [Job Title]
Dates of Employment: [From MM/YYYY to MM/YYYY]
Volunteer and Community Activities:
[Description of any volunteer work, community service, church/temple/mosque/synagogue involvement, school clubs, sports, or other community activities.]
Responsibilities and Contributions:
[Short paragraph describing how you help your family, participate in your community, and contribute positively to life in the United States.]
7. Family, Home, and Ties to the United States
Family Members Living in the United States:
[Name], [Relationship], [Status if known], [City, State]
[Name], [Relationship], [Status if known], [City, State]
Home and Daily Life:
[Short description of your daily life, responsibilities at home, and routine with family, school, and/or work.]
Support You Provide to Family:
[Description of childcare, translation, transportation, financial support, or other responsibilities you handle for your family.]
8. Criminal, Juvenile, or Immigration History (If Any)
Criminal or Juvenile History:
Arrests, Charges, or Convictions: [Description, Dates, Locations, Case Status, or “I have never been arrested, charged, or convicted of any crime.”]
Traffic or Minor Violations:
[Brief list of any traffic tickets or minor infractions, or “None.”]
Immigration History:
Prior Applications or Petitions: [Form Type – Receipt Number – Date or “None.”]
Prior Removal, Voluntary Departure, or Immigration Court Proceedings: [Description or “None.”]
Explanation (if there are incidents):
[Short, factual explanation of any incidents, steps taken to address them, and your conduct since that time.]
9. Why I Am Requesting DACA and Positive Discretion Factors
Reasons for Requesting DACA:
[Explanation of why you are requesting deferred action, such as fear of removal, desire to work lawfully, support your family, continue education, and remain in the country you consider home.]
Positive Factors in My Case:
Length of Residence in the United States: [Number of Years]
Education and School Effort: [Graduation, grades, attendance, activities]
Work Ethic and Responsibility: [Employment or responsibilities]
Community, Religious, or Volunteer Involvement: [Description]
Family Responsibilities: [Care for children, parents, siblings, or others]
Future Goals and Plans:
[Description of your educational, career, and personal goals if DACA is granted, and how you plan to continue contributing to your family and community.]
10. Supporting Evidence
I am submitting, or will submit, supporting documents with my DACA request that may include:
Copies of passports, birth certificates, or national identity documents
School records (report cards, transcripts, diplomas, enrollment letters)
Evidence of continuous residence (leases, bills, medical records, tax records, pay stubs, letters, or other documents)
Employment records (if any)
Records of community or religious involvement
Court records or police certificates (if applicable)
Any other documents that support the information in this statement and my eligibility for DACA
11. Closing Declaration
The United States has been my home since I was [Age] years old. My education, friendships, family life, and future plans are here. I respectfully request that USCIS favorably exercise its discretion and grant my request for Deferred Action for Childhood Arrivals.
I declare under penalty of perjury under the laws of the United States of America that the information in this personal statement and in my Form I-821D and supporting documents is true and correct to the best of my knowledge and belief.
Executed on [Day] [Month], [Year], in [City, State].
[Your Full Name]
[Signature, if printed]
[Date]
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Learn more about
I-821D Consideration of Deferred Action for Childhood Arrivals Personal Statement Template
Click below for detailed info on the template.
For quick answers, scroll below to see the FAQ.
Click below for detailed info on the template.
For quick answers, scroll below to see the FAQ.
I-821D CONSIDERATION OF DEFERRED ACTION FOR CHILDHOOD ARRIVALS PERSONAL STATEMENT TEMPLATE FAQ
What is Form I-821D, Consideration of Deferred Action for Childhood Arrivals?
Form I-821D is the USCIS form used to request consideration of Deferred Action for Childhood Arrivals (DACA). It allows certain people who came to the United States as children, meet specific age, residence, education, and background requirements, and lack lawful status, to ask the government to defer removal (deportation) action against them for a period of time.
Who may be eligible to request DACA on Form I-821D?
Under current guidelines, DACA is generally available to people who came to the U.S. before age 16; have continuously lived in the U.S. since June 15, 2007; were physically present in the U.S. on June 15, 2012 and at the time of filing; were under age 31 on June 15, 2012; had no lawful status on June 15, 2012; meet certain education or military service requirements; and do not have disqualifying criminal history or security concerns. Meeting these guidelines does not guarantee approval; USCIS makes decisions case by case.
What is an I-821D personal statement for DACA?
An I-821D personal statement (sometimes called a DACA declaration or cover letter) is a written document you prepare to submit with Form I-821D. It explains, in your own words, your background, when and how you came to the U.S., your continuous residence and presence, your education or military history, and any other important facts that help show you meet the DACA guidelines. It supports the information on the forms and in your evidence but does not replace the official USCIS forms.
What should I include in my DACA personal statement?
In your DACA personal statement, you should clearly describe when and how you first came to the U.S.; where you have lived and studied since then; how you meet the continuous residence and physical presence requirements; your school history or military service; any immigration or criminal history (if applicable); and your ties and contributions to your family and community. Focus on specific dates, places, and examples that match your documents and the answers on your I-821D and I-765.
How long should an I-821D DACA personal statement be?
Most effective DACA personal statements are around two to five pages long. They should be long enough to clearly explain your story and eligibility, but not so long that they become repetitive or confusing. Clear structure, accurate dates, and honest, detailed explanations are more important than the exact number of pages.
Can AI Lawyer help me write my DACA personal statement?
Yes. AI Lawyer can help you use this I-821D DACA template by suggesting clear wording, helping you organize your life story, and keeping a consistent, respectful tone. You must still provide true facts and documents and make the final decisions about what to include. AI Lawyer does not replace a licensed immigration attorney and does not provide legal advice or any guarantee, but it can save time, reduce stress, and help you prepare a more polished DACA personal statement to review with a qualified professional.
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