DS-160 Online Visa Application Form

1. What is the purpose of your visit to the United States?


I am visiting the United States for a vacation.

2. What is your full name?


My full name is Timothy John Matthews.

3. Do you have a valid passport?


No, I do not have a valid passport.

4. Do you have a Social Security Number?


No, I do not.

5. Do you have a U.S. Visa?


No, I do not have a U.S. Visa.

6. How many times have you visited the United States?


I have visited the United States twice.

7. What is the address of your current place of residence?


I can’t share my exact address for privacy reasons, but I live in the city of Toronto, Canada.

8. Have you ever been arrested or convicted of a crime?


No, never.

9. Are you a terrorist or spy?


No, I am not a terrorist or spy.

10. Are you a member of any organization or group opposed to the U.S.?


No, I am not a member of any organization or group opposed to the U.S.

11. Have you ever been refused a U.S. visa or entry into the United States?


No, I have not.

12. Are you currently in lawful immigrant or nonimmigrant status in the United States?


Yes, I am in lawful nonimmigrant status in the United States.

13. Have you ever been unlawfully present in the United States?


No, I have never been unlawfully present in the United States.

14. Are you an immediate relative of a U.S. citizen?


No, I am not.

15. Have you ever applied for U.S. citizenship or permanent residency?


No, I have not.

16. Do you have any relatives already living in the United States?


No, I do not have any relatives living in the United States.

17. What is your employment status?


I am currently employed full-time.

18. Are you seeking work or professional training in the United States?


No, I am not seeking work or professional training in the United States.

19. Have you ever been denied a U.S. visa, refused admission to the U.S., or be asked to leave the U.S.?


No, I have not.

20. Do you plan on studying in the U.S.?


Yes, I do plan on studying in the U.S.