Free Assessment
Important Note
All information you provide us with is held in strict confidence and will not be disclosed to anyone. Your information is only used to assess you for immigrating to Canada. You should enter a valid email address so that we can send you our reply.

Please complete the form in English only.

*Required fields

CONTACT INFORMATION


Last Name: *
First Name: *
Gender:
Male Female
Email Address: *
Phone Number: *
Fax Number:
City/Country of Residence:
Citizenship:
How old are you?

How did you find us?
If other, please specify:



MARITAL INFORMATION

Marital Status:
How many children do you have?
How old are your children?



LANGUAGE PROFICIENCY

Please indicate your proficiency in both the English and French languages:
HIGH - You can communicate effectively in most social and work situations.
MODERATE - You can communicate comfortably in familiar social and work situations.
BASIC - You can communicate in predictable contexts and on familiar topics, but with difficulty.

ENGLISH PROFICIENCY
Speak: Read: Write: Listen:

FRENCH PROFICIENCY
Speak: Read: Write: Listen:

Have you taken any language tests for English or French?
Yes No

If yes, which test did you take and when? Overall score:



YOUR EDUCATION

Please indicate your highest level of completed education:

Your field of study:
 
Number of years of study from grade 1 to present:



YOUR WORK EXPERIENCE

Starting with the most recent, please list the last three jobs you have held.

FULL JOB TITLE NUMBER OF YEARS NUMBER OF HOURS/WEEK

You may paste your resume (optional) or add further details here:




BUSINESS EXPERIENCE

Have you ever owned or managed a business enterprise?
Yes No

Have you ever been self-employed as a musician or artist or in athletics?
Yes No

Have you ever owned or managed a farm?
Yes No



SPOUSE/COMMON-LAW PARTNER EDUCATION

If you have a spouse or common-law partner, please complete this section:

What is the highest level of completed formal education that your spouse/common-law partner has?


Spouse's field of study:
 
Number of years of study from grade 1 to present:



STUDY OR WORK IN CANADA

Do you or your spouse/common-law partner have a 2 year (or longer) post secondary degree from Canada?
Yes No

Have you or your spouse/common-law partner ever worked in Canada for 1 year or longer?
Yes No

Do you currently have an offer of employment from an employer in Canada?
Yes No



RELATIVES IN CANADA

Do you or your spouse/common-law partner have any relatives in Canada?


If yes, where in Canada?




WHEN YOU ARE IN CANADA

Do you want to work for an employer in Canada?
Yes No

Do you want to open up your own business in Canada?
Yes No


If there is any additional information that you want to give us, or if you have any comments or special requests, you may tell us here:




 
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