Student Name_______________________

Date _______________________

Citizenship Mock Interview Form

I. Following Instructions, Truth Oath, Small Talk, ID Check

READ ALL DIRECTIONS/QUESTIONS IN THIS SECTION ALOUD
Check one box for each
question asked
Gave Unable
Questions asked by USCIS Immigration Officer Appropriate Student Response Appropriate to
Response Answer

- Hello.
- How are you feeling? Need to be able to
- How is the weather outside? understand the questions
- Did you have problems getting here? and give any reasonable
- Have you been waiting a long time to talk to response
me today?

Stands and raises right

Ok, let’s begin. Please stand up and raise your right hand.
hand

Yes
Do you promise to tell the truth and nothing but the truth,
so help you God?

Sits down
You may sit down.
In your real interview, your interviewer will ask you for a  Alien resident card
type of identification. (aka: greencard)
 Passport
Do you know what type of ID you should take to your  Driver’s license
interview? (only need one of these)  State ID

Yes, to become an
Do you understand why you are here today?
American Citizen

Need to be able to
Why do you want to become an American Citizen?
understand the question
and give any reasonable
response

Minnesota Literacy Council Citizenship Mock Interview Form 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 INTERVIEWS IN FRONT OF CLASS: Ask no more than 6 QUESTIONS from this page.

Check one box for each

question asked
Gave Unable to
Questions asked by USCIS Immigration Officer Appropriate Student Response Appropriate Answer
Response

Okay, now we are going to go over your application to see if there have been any changes
(For interviews in front of class, ask no more than 6 questions from this page.)
Yes
Do you still live at the same address?
or
If not, what is your current address? can say new address
First and Last Name
What is your name?
Month, Day, Year
When is your birthday?
Country
Where were you born?
Month, Year
When did you become a permanent resident?
Number of Years
How long have you lived at your current address?
Are your parents U.S. citizens?
How tall you are you? How much do you weigh?
Yes or No
Do you work? Where?
Name of Company
Yes or No
Do you attend school? Where?
Name of School
How many times have you left the United States in the
last five years?
Were any of your trips for six months or more?
What were your reasons for leaving the country?
What is your current marital status?
How many times have you been married?
(If married) Is your current spouse a U.S. citizen?
How many children do you have?

Minnesota Literacy Council Citizenship Mock Interview Form Page 2

 III. Review of N-400, Part 2: Morals and Ethics Questions
a) The answers to all questions in this section are typically “No” (except question #9 and #46)
b) If a “yes” answer is given, an explanation should be provided and the student should likely seek legal
counsel.
c) FOR IN-CLASS INTERVIEWS: Ask no more than 6 QUESTIONS from this page.
Check one box for each
question asked
Gave Unable to
Questions asked by USCIS Immigration Officer Appropriate Student Appropriate Answer
Response Response
1. Have you ever claimed to be a U.S. Citizen?
No
2. Have you ever registered to vote in any Federal, State, or local election No
in the United States?
3. Have you ever voted in any Federal, State, or local election in the No
United States?
4. Do you now have, or did you ever have, a hereditary title or an order of No
nobility in any foreign country?
5. Have you ever been declared legally incompetent, or been confined to a No
mental institution?
6. Do you owe any Federal, State, or local taxes? No
7. Have you ever not filed a Federal, State, or local tax return since you No
became a permanent resident?
8. Have you called yourself a “non-U.S. resident” on a Federal, State, or No
local tax return since you became a Permanent Resident?
9. Have you ever been a member of, involved in, or in any way associated It is alright to
with any organization, association, fund, foundation, party, club, society, give either a yes
or similar group in the United States or in any other location in the world? or no answer
If so, what are they? here
10A. Have you ever been a member of, or in any way associated with the No (unless true)
Communist Party?
10B. Have you ever been a member of, or in any way associated with any No
other totalitarian party?
10C. Have you ever been a member of, or in any way associated with a No
terrorist organization?
11. Have you ever advocated the overthrow of any government by force or No
violence?
12. Have you ever persecuted any person because of race, religion, No
national origin, membership in a particular social group, or political
opinion?
13. Did you work for or associate in any way with the Nazi government of No
Germany?

Minnesota Literacy Council Citizenship Mock Interview Form Page 3

 Appropriate Student Gave Unable to
Questions asked by USCIS Immigration Officer Response Appropriate Answer
Response

14A. Were you ever involved in any way with genocide? No

14B. Were you ever involved in any way with torture? No
14C. Were you ever involved in any way with killing, or trying to kill, No
someone?
14D. Were you ever involved in any way with badly hurting, or trying to No
hurt, a person on purpose?
14E. Were you ever involved in any way with forcing, or trying to force, No
someone to have any kind of sexual contact or relations?
14F. Were you ever involved in any way with not letting someone practice No
his or her religion?
15A. Were you ever a member of, or did you serve in a military unit? No
15B. Were you ever a member of, or did you serve in a paramilitary unit? No
15C. Were you ever a member of, or did you serve in a police unit? No
15D. Were you ever a member of, or did you serve in a self-defense unit? No
15E. Were you ever a member of, or did you serve in a vigilante unit? No
15F. Were you ever a member of, or did you serve in a rebel group? No
15G. Were you ever a member of, or did you serve in a guerrilla group? No
15H. Were you ever a member of, or did you serve in a militia? No
15I. Were you ever a member of, or did you serve in an insurgent No
organization?
16A. Were you ever a worker, volunteer or soldier, or did you ever serve in No
a prison or jail?
16B. Were you ever a worker, volunteer or soldier, or did you ever serve in No
a prison camp?
16C. Were you ever a worker, volunteer or soldier, or did you ever serve in No
a detention facility?
16D. Were you ever a worker, volunteer or soldier, or did you ever serve in No
a labor camp?
16E. Were you ever a worker, volunteer or soldier, or did you ever serve in No
any other place where people were forced to stay?
17. Were you ever a part of a group, or did you ever help any group, unit No
or organization that used a weapon against any person, or threatened to do
so?
18. Did you ever sell, give, or provide weapons to any person or help No
another person sell weapons?
19. Did you ever receive any type of military, paramilitary, or weapons No
training?

Minnesota Literacy Council Citizenship Mock Interview Form Page 4

 Unable to
Questions asked by USCIS Immigration Officer Gave Answer
Appropriate Student Appropriate
Response Response

20. Did you ever recruit, enlist, conscript or use any person under age 15 No
to serve in or help an armed force or group?
21. Did you ever use any person under age 15 to do anything that helped No
or supported people in combat?
22. Have you ever committed a crime, assisted in committing, or No
attempted to commit a crime or offense for which you were not arrested?
23. Have you ever been arrested, citied, or detained by any law No/If yes, need to
enforcement officer for any reason? be able to
explain
No/If yes, need to
24. Have you ever been charged with committing, attempting to commit,
be able to
or assisting in committing a crime or offense?
explain
25. Have you ever been convicted of a crime or offense? No/If yes, need to
be able to
explain
26. Have you ever been placed in an alternative sentencing or No/If yes, need to
rehabilitative program? be able to
explain
27. Have you ever received a suspended sentence, been placed on No/If yes, need to
probation, or been paroled? be able to
explain
28. Have you ever been in jail or prison? No/If yes, need to
be able to
explain
30A. Have you ever been a habitual drunkard? No
30B. Have you ever been a prostitute or procured anyone for prostitution? No
30C. Have you ever sold or smuggled controlled substances, illegal drugs, No
or narcotics?
30D. Have you ever been married to more than one person at the same No
time?
30E. Have you ever married someone in order to obtain an immigration No
benefit?
30F. Have you ever helped anyone enter or try to enter the United States No
illegally?
30G. Have you ever gambled illegally or received income from illegal No
gambling?
30H. Have you ever failed to support your dependents or to pay alimony? No
30I. Have you ever made any misrepresentation to obtain any public No
benefit in the United States?
31. Have you ever given any U.S. Government official(s) any information No
or documentation that was false, fraudulent or misleading?
Minnesota Literacy Council Citizenship Mock Interview Form Page 5
32. Have you ever lied to any U.S. Government official to gain entry or No
admission into the United States or to gain immigration benefits while in
the United States?

Unable to
Questions asked by USCIS Immigration Officer Gave Answer
Appropriate Student Appropriate
Response Response

33. Have you ever been removed, excluded, or deported from the United No
States?
34. Have you ever been ordered removed, excluded, or deported from the No
United States?
35. Have you ever been placed in removal, exclusion, rescission, or No
deportation proceedings?
36. Are removal, exclusion, rescission, or deportation proceedings No
currently pending against you? (Is the U.S. saying that you have to leave
the U.S. soon?)
37. Have you ever served in the U.S. Armed Forces? No
38. Are you currently a member of the U.S. Armed Forces? No
39. If you are currently a member of the U.S. Armed Forces, are you No
scheduled to deploy overseas within the next 3 months?
40. If you are currently a member of the U.S. Armed Forces, are you No
currently stationed overseas?
41. Have you ever been court-martialed, administratively separated, or No
disciplined, or have you received an other than honorable discharge, while
in the U.S. Armed Forces?
42. Have you ever been discharged from training or service in the U.S. No
Armed Forces because you were an alien?
43. Have you ever left the United States to avoid being drafted in the U.S. No
Armed Forces?
44. Have you ever applied for any kind of exemption from military service No
in the U.S. Armed Forces?
45. Have you ever deserted from the U.S. Armed Forces? No
46. Are you a male who lived in the United States at any time between Depends on who
your 18th and 26th birthday? If yes, when did you register for the Selective the student is. If
Service? (***Answer should be yes***) the answer to the
first question is
“yes”, the
second question
should be “Yes”.

Minnesota Literacy Council Citizenship Mock Interview Form Page 6

 IV. Oath Requirements – ASK ALL QUESTIONS IN THIS SECTION (47-53)
Check one box for each
question asked
Gave Unable to
Questions asked by USCIS Immigration Officer Appropriate Student Response
Appropriate Answer
Response

47. Do you support the Constitution and form of government Yes

of the United States?
48. Do you understand the full Oath of Allegiance to the Yes
United States?
49. What is the Oath of Allegiance? It means I am loyal to the
US and its constitution,
and I will follow the laws
of this country.
50. Are you willing to take the full Oath of Allegiance to the Yes (If “no”, student
United States? should explain which part
they will not, and why)
51. If the law requires it, are you willing to bear arms on Yes or No (Must use
behalf of the United States? religious background for a
“No” Answer)
52. If the law requires it, are you willing to perform Yes
noncombatant services in the U.S. Armed Forces?
53. If the law requires it, are you willing to perform work of Yes
national importance under civilian direction?

V. 100 Questions Section

Use one list of 10 questions from the 100 Questions Lists.
These lists are the 100 civics questions broken down into shorter lists of 10 questions each.
Each list has questions from all the different categories, as well as one to two "easy" questions.

Minnesota Literacy Council Citizenship Mock Interview Form Page 7

 Lists can be accessed at: 100 Questions Lists,
http://www.mnliteracy.org/sites/default/files/10_lists_100_questions_for_mock_interview.pdf

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 Questions asked by USCIS

Correct Incorrect Correct Incorrect
Immigration Officer Immigration Officer
What is the capital of the United
Who was George Washington?
States?
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

Where does the Congress meet?
States?

What is the largest state? When do we vote for president?

What country is south of the United

Where does the president live?
States?
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?

What do we have to pay to the

When is Columbus Day?
government?
When is Thanksgiving? What does Congress do?

Minnesota Literacy Council Citizenship Mock Interview Form Page 8

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?

What president is on the dollar bill?

Minnesota Literacy Council Citizenship Mock Interview Form Page 9

 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 correctly, they pass.

Questions asked by USCIS Questions asked by USCIS

Correct Incorrect Correct Incorrect
Immigration Officer Immigration Officer

The United States has 50 states. Adams was the second president.

George Washington is the Father of Our

Washington, D.C. is the capital.
Country.
Lincoln was president during the Civil
The flag is red, white, and blue.
War.

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 The White House is in Washington, D.C.
They want to live in a free country. Washington is on the dollar bill.
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
They want to vote.
country.
Washington was the first president. Independence Day is in July.

Place book, binder or paper here.

1.

2.

Minnesota Literacy Council Citizenship Mock Interview Form Page 10

3.

Minnesota Literacy Council Citizenship Mock Interview Form Page 11

 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 Actual Check Only

# Pass Score One: Section
Pass Fail/More
Work Needed
1 8/8 /8 Section I. Following Instructions, Truth Oath,
Small Talk, ID Check
2 No need to score Section II. Review of N-400
this section Part 1: Personal Information Questions
3-6 6/6 /6 Section III. Review of N-400
Part 2: Morals and Ethics Questions
7 7/7 /7 Section IV. Oath Requirements
6/10 /10 Section V. 100 Questions
8 1/3 /3 Section VI. Reading
9 1/3 /3 Section VII. Writing

Final Score: Student passed _____ out of 6 scored sections.

Sharing Results with the student

 Emphasize what the student did right. If the student received a passing score in any of the 6 sections, congratulate him/her.
 Express confidence. 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.
 Share areas to work on. 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 for the teacher/student (what to work on, what went well):

Student _____________________________ Date___________________________

Class_____________________________ Interview conducted by________________________________

Minnesota Literacy Council Citizenship Mock Interview Form Page 12