Patina · Real document

Information About You

the citizenship form, N-400 · the words forms use · the month first

The N-400 is the form for U.S. citizenship. Its first questions are about you: your name, your birthday, your country. Read Yolanda's form, learn the form words, then fill it in for Kamran.

Yolanda's form · ★ form words · ★★ read the form, the month first · ★★★ Kamran's form · now you

Download the PDF PDF · 5 pages

For the teacher · In class

Share Yolanda's form and let the room find her family name first: "Which one is her last name?" Then the form words. At ★★★, play Kamran's lines and let the class fill his form together. "Now you" is spoken with a partner. Nobody writes real information on this page.

Unit 1 teacher's key (PDF)

Yolanda's form

Part of a real form. Yolanda filled it in.

Form N-400 · Edition 01/20/25

Part 2. Information About You

Your Current Legal Name (do not provide a nickname)

Family Name (Last Name)QUISPEGiven Name (First Name)YOLANDAMiddle Name (if applicable)ROCIO

Date of Birth (mm/dd/yyyy)11/04/1991

Country of BirthPERU

Country of Citizenship or NationalityPERU

Part 11. Applicant's Contact Information, Certification, and Signature

Applicant's Daytime Telephone Number(718) 555-0148

Applicant's Mobile Telephone Number (if any)(347) 555-0193

Applicant's Email Address (if any)yolanda.quispe@example.com

Citizen life: the N-400

From U.S. Citizenship and Immigration Services (USCIS). The form on uscis.gov.

★ Form words

Forms use their own words. Here is what they mean.

★ What does it mean?

What is the meaning? Tap the answer.

Family Name
Given Name
mm/dd/yyyy
Mobile Telephone Number
(if any)
Applicant

★★ Read the form

Read Yolanda's form. Answer each question.

1What is her family name?
2What is her given name?
3What is her middle name?
4What is her date of birth?
5What is her country of birth?
6What is her mobile telephone number?
7What is her email address?

★★ The form way

On the form, the month is first. Write each date: mm/dd/yyyy.

1March 9, 1985
2June 1, 1990
3December 25, 2000
4July 4, 1776

★★★ Kamran's form

Listen to Kamran. Then fill in the form for him.

No middle name for Kamran. Leave it empty.

Form N-400 · Edition 01/20/25

Part 2. Information About You

Your Current Legal Name (do not provide a nickname)

Family Name (Last Name)Given Name (First Name)Middle Name (if applicable)

Date of Birth (mm/dd/yyyy)

Country of Birth

Country of Citizenship or Nationality

Part 11. Applicant's Contact Information, Certification, and Signature

Applicant's Daytime Telephone Number

Applicant's Mobile Telephone Number (if any)

Applicant's Email Address (if any)

Now you

Ask a partner. Say your answers. Do not write them here.

For the teacher · Answer key

What does it mean? 1 last name · 2 first name · 3 month, day, year · 4 cell phone number · 5 only if you have one · 6 the person on the form. Read the form: 1 Quispe · 2 Yolanda · 3 Rocio · 4 11/04/1991 · 5 Peru · 6 (347) 555-0193 · 7 yolanda.quispe@example.com. The form way: 1 03/09/1985 · 2 06/01/1990 · 3 12/25/2000 · 4 07/04/1776. Kamran's form: Family Name RAHIMI · Given Name KAMRAN · Date of Birth 05/02/1988 · Country of Birth IRAN · Country of Citizenship or Nationality IRAN · Daytime Telephone Number (718) 555-0172 · Mobile Telephone Number (347) 555-0126 · Email Address k.rahimi@example.com · Middle Name: empty.