Personal information

First Name:

Last Name:

E-mail:

Phone:

Date of Birth:

Country of residence:

Marital status:

Do you have dependent children and if yes how many?:

Nationality:

Do you have a passport?

Expiration date

Nationality:

Do you have a passport?

Expiration date

Nationality:

Do you have a passport?

Expiration date

Knowledge of Canadian Official Languages

Have you taken the English language exam in the last 2 years?

What language exam did you take?

What score did you get?

Listening

Reading

Writing

Speaking

What score did you get?

Listening

Reading

Writing

Speaking

Have you taken the French language exam in the last 2 years?

What language exam did you take?

What score did you get?

Listening

Reading

Writing

Speaking

What score did you get?

Listening

Reading

Writing

Speaking

What is your level of English?

Listening

Reading

Writing

Speaking

What is your level of French?

Listening

Reading

Writing

Speaking

Education

What is your level of education? (List all your education history)

Did you get this education in Canada?

Spouse/Common-Law Education

What is your spouse level of education? (List all your education history)

Did your spouse get this education in Canada?

Work experience

What is your profession / primary occupation?

How many years of skilled work experience do you have?

Do you have Canadian Work Experience

What is your profession / primary occupation?

How many years of Canadian work experience do you have?

Have you received a written job offer from a Canadian employer?

Occupation

Province

Duration of your contract

How many hours per week you will work?

Is your job offer supported by a Labour Market Impact Assessment (LMIA)?

Spouse/Common-Law Work Experience

What is your spouse profession / primary occupation?

How many years of skilled work experience does your spouse have?

Does your spouse have Canadian Work Experience

What is your spouse profession / primary occupation?

How many years of Canadian work experience does your spouse have?

Other Personal Information

Family in Canada

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

Your personal Net Worth

Choose currency

Amount

Spouse/Common-law Partner Information

How many years of CANADIAN work experience does your Spouse/Common-Law Partner have within the last ten years?

Have your spouse taken the English language exam in the last 2 years?

What language exam did he/she take?

What score did he/she get?

Listening

Reading

Writing

Speaking

What score did he/she get?

Listening

Reading

Writing

Speaking

Have your spouse taken the French language exam in the last 2 years?

What language exam did he/she take?

What score did he/she get?

Listening

Reading

Writing

Speaking

What score did he/she get?

Listening

Reading

Writing

Speaking

What is your spouse's level of English?

Listening

Reading

Writing

Speaking

What is your spouse's level of French?

Listening

Reading

Writing

Speaking

Additional information

Please provide any additional information that you think would be relevant to your immigration assessment.

At what stage of decision making are you?

When do you plan to start your application?

What is the best way to approach you?