Free Assessment
This is a FREE ASSESSMENT of your eleigibiity to immigrate to Canada.
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Full Name:
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Age:
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Birth Date (mm/dd/yyyy):
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Country where you currently live/work:
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Country of Nationality/Citizenship:
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E-mail address:
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Home Phone:
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Other/Cell Phone:
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Marital Status:
Select.
Single
Married
Separated
Divorced
Living with common-law partner> 1 year
Living with same-sex partner> 1 year
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Highest Educational Level Attained:
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Primary/Elementary
Secondary/High School
Trade/Apprenticeship
6-months Certificate
1-year Diploma/Certificate
2-year Diploma/Certificate
3-year Diploma/Certificate
3-year Bachelor Degree
4-year Bachelor Degree
5-year Bachelor Degree
Masters Degree
PhD/Doctorate
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Major in College:
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Year Graduated:
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Name of College/University:
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Country where College/University located:
Major in College:
Year Graduated:
Country where College/University located:
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Total years of Education:
Select...
6
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Have you worked in the last 10 years?:
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Yes
No
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Name of Company:
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Job Title:
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Date Started (mm/dd/yyyy):
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Date Ended (mm/dd/yyyy):
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Were you working?:
Full-Time
Part-Time
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How many hours did you work per week?:
Select.....
5
10
15
20
25
30
35
37.5
40
45
50
55
60
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Employment Location:
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Duties & Responsibilities:
Name of Company:
Job Title:
Date Started (mm/dd/yyyy):
Date Ended (mm/dd/yyyy):
Were you working?:
Full-Time
Part-Time
How many hours did you work per week?:
Select......
5
10
15
20
25
30
35
37.5
40
45
50
55
60
Employment Location:
Duties & Responsibilities:
Name of Company:
Job Title:
Date Started (mm/dd/yyyy):
Date Ended (mm/dd/yyyy):
Were you working?:
Full-Time
Part-Time
How many hours did you work per week?:
Select.......
5
10
15
20
25
30
35
37.5
40
45
50
55
60
Employment Location:
Duties & Responsibilities:
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English Reading Skills:
None
Basic
Moderate
High
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English Writing Skills:
None
Basic
Moderate
High
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English Speaking Skills:
None
Basic
Moderate
High
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English Listening Skills:
None
Basic
Moderate
High
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French Reading Skills:
None
Basic
Moderate
High
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French Writing Skills:
None
Basic
Moderate
High
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French Speaking Skills:
None
Basic
Moderate
High
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French Listening Skills:
None
Basic
Moderate
High
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Do you have any children:
Select........
Yes
No
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List their names, birthdate and age:
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Do you have any relative(s) in Canada?:
Yes
No
If yes, check all that applies:
Parents
Grandparents
Brother/Sister
Son/Daughter
Aunts/Uncles
Niece/Nephew
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What Province/Territory does your relative lives?:
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Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territories
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Have you/your spouse studied in Canada for >1 year:
Select...........
Yes
No
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Have you/your spouse worked in Canada for >1 year:
Select.........
Yes
No
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Did you receive Job Offer from Canadian Employer?:
Select........
Yes
No
If yes, please provide details of offer:
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Have you/your spouse ever had serious illness?:
Select......
Yes
No
If yes, please give details of illness:
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Have you/your spouse been convicted of crime?:
Select.....
Yes
No
If yes, please give details of conviction.:
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Have you applied for immigrant visa before?:
Select......
Yes
No
If yes, please give details of application:
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Estimated Personal Networth (in US$):
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Do you have a current passport?:
Select.....
Yes
No
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Lawfully admitted for 12 mos. where you live/work:
Select.......
Yes
No
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Type of visa do you currently hold?:
Select......
Visitor/Tourist
Work
Study
Business
Permanent Resident
Citizen of my country
Out-of-Status/No Status
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Validity Period:
Name of Spouse:
Age:
Birthdate (mm/dd/yyyy):
Highest Educational Level:
Select......
Primary/Elementary
Secondary/High School
Trade/Apprenticeship
6-months Certificate
1-year Diploma/Certificate
2-year Diploma/Certificate
3-year Diploma/Certificate
3-year Bachelor Degree
4-year Bachelor Degree
5-year Bachelor Degree
Masters Degree
PhD/Doctorate
Major in College:
Year Graduated:
Name of College/University:
Total years of Education:
Select......
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
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How did you hear about us?:
Search Engine
Newspaper ad
Magazine ad
Radio/TV
Job/Career Fair
School
Relative in Canada
Friend
Other
If referred by friend/ or Other, please specify:
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Would you like to avail our Payment Plan option?:
Yes
No
If yes, please choose whether:
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Pay in Full (10% discount)
Monthly Installment
1st pay 50%, 2nd pay 40%, last pay 10%
Would you like to get more information?:
Yes
No
Comments:
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