First name: *

Last name: *

Age: *

Country of Birth *

Citizenship *

Second Citizenship (if applicable) *

Current country of residence *

Email *

Phone number: *

Marital status: *

Number of Children under 22 years old: *

What is your preferred destination in Canada? Provinces *

Work experience: *

Do you have 1 year continuous, full time and paid work experience in a one occupation (skilled work experience only qualifies) or equivalent of a part time work? *

Total years of skilled foreign work experience; during last 10 years: *

What is your current skilled work experience (start with most recent)? (Insert job title) *

Total months/years in the current occupation: *

Previous skilled work occupation(insert job title) *

Previous work experience #1 *

Previous work experience #2 *

In the last ten years, how many years of skilled work experience in Canada do you have? (Paid and a full time work experience min. 30 hours per week) *

Is it full time or part time? *

Do you have a written permanent job offer from an employer in Canada? (ONLY employment offer approved by ESDC qualify) *

If yes, please provide the details.

What is your English language ability? *

What is your French language ability? *

Have you taken a test from a designated testing agency to assess your English language proficiency? *

If yes, was this test within last 2 years? *

Have you taken a test from a designated testing agency to assess your proficiency in French? *

Education

If yes, was the test within last 2 years? *

Have you completed secondary school (high school)? *

Have you completed post secondary education? *

Please indicate the highest level of your post secondary education *

Post secondary program duration: *

Location of your post secondary education: *

Relatives in Canada

Have you completed this program? *

Relatives in Canada Do you or your spouse/common law partner (if applicable) have any close relative residing in Canada who is 18 years old or older and is Canadian Citizen or Permanent Resident in Canada? *

If yes, what is the relationship?

Settlement funds. Certain Canadian immigration programs require prove of settlement founds in order for you and your family to settle in Canada. These funds must be available to you at anytime and must not be a legally unencumbered by debt or other legal obligations.

What is the estimated amount of your funds in Canadian currency? CAD *

Have you previously applied to enter Canada as a visitor, student, or worker? *

If yes, which one:

Have you previously applied to enter Canada as a Permanent Resident? *

If you have answered yes to any of the above questions, please provide the details:
Information about your spouse or common law partner ( if applicable)

Have you ever been denied entry to Canada? *

First name: (partner) *

Last name: (partner) *

Age: (partner) *

Country of Birth (partner) *

Citizenship (partner) *

Second Citizenship (if applicable) (partner) *

What is your spouse or common law partner’s English language ability? *

What is your spouse or common law partner’s French language ability? *

Indicate if your spouse previously studied and completed a program of full -time study of at least 2 years duration at post secondary institution in Canada? *

Indicate it your spouse previously work for at least 1 year full time job in Canada on a valid work permit? *

Confirm your email address: (assessment result will be sent to this email address) *

Do you have any questions and comments?

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Education

Relatives in Canada

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