Form G-1190 12/06/17 Page 1 of 2
Application for FREE Training for Civics and
Citizenship Teachers of Adults
Department of Homeland Security
U.S. Citizenship and Immigration Services
USCIS
Form G-1190
OMB No. 1615-0120
Expires 12/31/2020
Registration Form's Information
Registrant's Information
USCIS offers free training events for adult educators, volunteers, and teachers. These events are designed to enhance the skills needed
to teach U.S. history, civics, and the naturalization process to immigrant students. To find other available training materials, please
visit the Citizenship Resource Center at www.uscis.gov/citizenship.
To register for a training opportunity in your area, please complete and submit the registration form below. Please note there will be
no on-site registration the day of the event. Registrations will be accepted up to 10 business days in advance of the training date.
Space is limited. Dates, times, and locations are subject to change. Please visit our website at www.uscis.gov/teachertraining
regularly for the latest information.
Today's Date (mm/dd/yyyy) Your Fax Number (with area code)
Training Location (City, State and Date)
City State Training Date (mm/dd/yyyy)
Registrant's Name
You are a (check all that apply):
Registrant's First Name Registrant's Last Name
EL/Civics Teacher
Other (specify):
Volunteer AdministratorCitizenship TeacherESL Teacher
Organization Name Position Title
Registrant's Email Address (if any)
Street Number and Name City
State ZIP Code
Registrant's Telephone Number (including area code)
Office of Citizenship Email Community Relations Officer
Flier USCIS Website My employerCoworkerNewsletterPresentation
How did you hear about this training?
Other (specify):
Or Fax to 202-357-7946
Please check this box if you do not want U.S. Citizenship and Immigration Services Office of Citizenship to contact you
in the future about its citizenship-related products, resources, and training opportunities. Please contact us at
office.of.citizenship@uscis.dhs.gov if you have registered with our site previously and would like to be removed from
our mailing list. NOTE: If you do not check the box, U.S. Citizenship and Immigration Services Office of Citizenship
will contact you in the future about its citizenship-related products, resources, and training opportunities.
Submit Registration Form by Email
Form G-1190 12/06/17 Page 2 of 2
PURPOSES: The primary purpose for providing the requested information on this form is to register for a USCIS Office of
Citizenship sponsored Teacher Training Seminar and to deliver future updates regarding citizenship-related products, resources, and
training opportunities.
ROUTINE USES: The information will be used by and disclosed to DHS personnel and contractors or other agents who need the
information to register individuals for a USCIS sponsored Teacher Training Seminar and to deliver future updates regarding USCIS
citizenship-related products, resources, and training opportunities. USCIS holds any external events in government owned facilities,
to include a local county library, a public school institution, and other government facilities. USCIS may also share registration
information with the hosting organization. This includes using the information as necessary and authorized by the routine uses
published in DHS/All-003 - Department of Homeland Security General Training Records, available at www.dhs.gov/privacy.
An agency may not conduct or sponsor an information collection, and a person is not required to respond to a collection of
information unless it displays a currently valid Office of Management and Budget (OMB) control number. The public reporting
burden for this collection of information is estimated at 10 minutes per response, including the time for reviewing instructions and
completing and submitting the form. Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Regulatory Coordination
Division, Office of Policy and Strategy, 20 Massachusetts Ave., NW, Washington, DC 20529-2020; OMB No. 1615-0120. Do not
mail your application to this address.
Paperwork Reduction Act
DISCLOSURE: The information you provide is voluntary; however, failure to provide full contact information may prevent you
from successfully registering for a USCIS sponsored Teacher Training seminar.
AUTHORITY: The information requested on this form is collected pursuant to section 451(f)(2) of the Homeland Security Act of
2002, Public Law 107-296.
Special Accommodations (needed at the event)
DHS Privacy Notice
If you would like to request special accommodations to attend a training seminar, please contact us at
office.of.citizenship@uscis.dhs.gov at least one week prior to the training to allow us time to make arrangements.