Canada Immigration | Immigrate to Canada
 
Canadian Advantage
Skilled Worker
Business Class
Family Class
Immigration Assessment
 
 
   

 Part A:  Personal Details          
Last Name:

First Name:

E-Mail Address:

Confirm E-Mail Address:

Your Sex:

Your Date of Birth:

    

Your Citizenship:

Martial Status:

Number of Children:

   Their ages: 

Your Phone Number: (including country code)

Street Address
City
State
Country
Post/Zip Code
   
Part B:  Your Education:
Total Years of Formal Education

Highest Level of Education Completed

   
Most Recent Academic Institution  (University/College/Trade) Attended

Dates

From       

  To         

Field of Study
Degree/Diploma Awarded

   

Past Academic Institution (1)

(University/College/Trade) Attended

Dates

From       

  To         

Field of Study
Degree/Diploma Awarded

   

Past Academic Institution (2)

(University/College/Trade) Attended

Dates

From       

  To         

Field of Study
Degree/Diploma Awarded

   
Part C:  Language Skills:

English

 
My Spoken Ability is
My Listening Ability is
My Reading Ability is
My Writing Ability is

French

 
My Spoken Ability is
My Listening Ability is
My Reading Ability is
My Writing Ability is
   
Part D:  Your Work Experience:
Present Employment
Joined In
Title
Occupational Duties
IMPORTANT: Please provide a detailed description of your duties
Employer
Previous Employment NO.1(if applicable)
Joined In
Left In
Title
Occupational Duties

IMPORTANT: Please provide a detailed description of your duties
Employer
Previous Employment NO.2(if applicable)
Joined In
Left In
Title
Occupational Duties
IMPORTANT: Please provide a detailed description of your duties
Employer
Part E:  Your Spouse:  (if applicable)
Family Name
First Name

Date of Birth:

   

Your Spouse's Education:  
Total Years of Formal Education

Highest Level of Education Completed

   
Most Recent Academic Institution  (University/College/Trade) Attended

Dates

From       

  To         

Field of Study
Degree/Diploma Awarded

   

Past Academic Institution (1)

(University/College/Trade) Attended

Dates

From       

  To         

Field of Study
Degree/Diploma Awarded

   

Past Academic Institution (2)

(University/College/Trade) Attended

Dates

From       

  To         

Field of Study
Degree/Diploma Awarded

   
Your Spouse's Work Experience:  
Present Employment
Joined In
Title
Occupational Duties
IMPORTANT: Please provide a detailed description of your duties
Employer
Previous Employment NO.1(if applicable)
Joined In
Left In
Title
Occupational Duties

IMPORTANT: Please provide a detailed description of your duties
Employer
Previous Employment NO.2(if applicable)
Joined In
Left In
Title
Occupational Duties
IMPORTANT: Please provide a detailed description of your duties
Employer
Your Spouse's Language Skills:  

English

 
Spoken Ability is
Listening Ability is
Reading Ability is
Writing Ability is

French

 
Spoken Ability is
Listening Ability is
Reading Ability is
Writing Ability is
   
   
Part F:  Adaptability
Your (or your spouse's)  Relatives in Canada
Their Province of Residence

Do you (or your spouse) have:

 
A minimum one year full time authorized work in Canada
A minimum two years full time post-secondary study in Canada
Arranged employment in Canada validated by HRDC
An informal job offer in Canada in keeping with past experience or education
   
Are you willing to settle in a region of Canada designated as low immigration?
Have you ever previously visited Canada?

If yes when?                           

                                                    

From: 

To:     

Your Personal Net Worth US$
Amount you will bring to Canada US$

Have you or your spouse or any Dependant ever:

had a serious disease or mental disorder
been convicted of, or are currently being charged with, a crime, or offence, in any country
   
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Other (please specify)
 
Comments or Questions
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