Special Immigrant Juvenile Status (SIJS) Screening

Full Name Country of Origin Date of Arrival in the U.S. Current Status of Biological Parents Who does the child currently live with? Has the child been abandoned, abused, or neglected by one or both parents? Yes No Unknown Is reunification with one or both parents not viable due to abuse, neglect, or abandonment? Yes No Unknown Is the child dependent on a juvenile court or in the custody of a court-appointed agency or individual? Yes No Unknown Is it in the best interest of the child NOT to return to their home country? Yes No Unknown