Canadian Immigration Services - Canada Immigration Visa - Free Assessment for Immigration to Canada

Free Independent Immigrants' Assessment Form

Free Business Applicants' Assessment Form

Canadian Immigration Services

FREE PRELIMINARY ASSESSMENT FORM

FOR INDEPENDENT IMMIGRANTS (SKILLED WORKERS)

Please completely fill out the following questionnaire. If you have a spouse or fiancé(e) accompanying you to Canada, then your spouse or fiancé(e) should complete a copy of this entire questionnaire. When you have completed the preliminary assessment form, please submit it to us and we will inform you as soon as possible about your eligibility. This is a secure form. Information provided to our firm is strictly private and confidential. [Our Privacy Policy]

In case of a positive assessment, please inform us of which services' package you are interested in.

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Please Make sure your email is correct if you want to receive a reply.

*PART A: GENERAL INFORMATION*
Email (Required for reply)
First name
Last name
Address
City
Province
Postal / Zip Code
Country
Telephone (Include Area Code)
Fax Number
Nationality
Date of Birth	Day: Month: Year:
Sex
Marital Status
Do you have children?	Yes No If Yes, specify their ages:
*PART B: LANGUAGE SKILLS*
English Knowledge	French Knowledge
Speak:	Speak:
Read:	Read:
Write:	Write:
*PART C: EDUCATION*
Total Years of Formal Education
Highest Level of Education Completed

Most Recent Academic Institution (University/College/Trade) Attended
Dates (Start and Finish)	From: Month: Year: To: Month: Year:
Field of Study
Degree/Diploma Awarded
Previous Academic Institution No.1 (if applicable) (University/College/Trade) Attended
Dates (Start and Finish)	From: Month: Year: To: Month: Year:
Field of Study
Degree/Diploma Awarded

Past Academic Institution No.2 (if applicable) (University/College/Trade) Attended
Dates (Start and Finish)	From: Month: Year: To: Month: Year:
Field of Study
Degree/Diploma Awarded
Describe any additional diplomas,certificates, training or apprenticeship that you have received.
*PART D: EMPLOYMENT* (Work History for the last 10 years)
Name of Present Employer
Position / Title
Date Started (Month /Year)	Month: Year:
Occupation and Duties (Important! Please provide a detailed description of your occupation and duties)
Name of Previous Employer No.1 (if applicable)
Position / Title
Date Started (Month/Year)	Month: Year:
Date Finished (Month/Year)	Month: Year:
Occupation and Duties (Important! Please provide a detailed description of your occupation and duties)
Name of Previous Employer No.2 (if applicable)
Position / Title
Date Started (Month/Year)	Month: Year:
Date Finished (Month/Year)	Month: Year:
Occupation and Duties (Important! Please provide a detailed description of your occupation and duties)
Name of Previous Employer No.3 (if applicable)
Position / Title
Date Started (Month/Year)	Month: Year:
Date Finished (Month/Year)	Month: Year:
Occupation and Duties (Important! Please provide a detailed description of your occupation and duties)
PART E: OTHER INFORMATION ABOUT YOU OR YOUR ACCOMPANYING SPOUSE OR COMMON-LAW PARTNER
Do you or your spouse or your Common-law partner, engaged in full-time work in Canada with appropriate authorization for a period of at least one year?	Yes No
Do you or your Spouse or Common-law partner, successfully completed a program of at least two years of full-time study at a post-secondary institution in Canada with appropriate authorization?	Yes No If Yes, specify location:
Do you have a Job Offer from a Canadian Employer that has been approved by the Human Resources Development of Canada (HRDC)?	Yes No
If Yes:
Name of Employer:
Location:
Position/Title:
Do you have a Job Offer From a Canadian Employer that is not approved by HRDC?	Yes No
Do you or your accompanying Spouse/Common-law partner have any relatives in Canada that are Canadian Citizen or Permanent Resident?
Your Personal Net Worth (US Dollar)
Amount you will bring to Canada (US Dollar)
*PART F: INFORMATION ABOUT YOUR SPOUSE (if applicable)*
Spouse's Full Name
Date of Birth	Day: Month: Year:
Spouse's Total Years of Formal Education
Spouse's Highest Level of Education Completed
Spouse's Current Occupation
*PART G: CONFIRMATION*
Please provide the preferred telephone and fax number in the event that a representative of our firm needs to contact you.
Preferred Telephone number
Preferred Fax number
Preferred Email Address
Any comments or questions ?
If you wish you may paste your resume here.
HOW DID YOU FIND THIS WEBSITE (OPTIONAL)
Search Engine:
Search phrase or keyword you used:

*** If you can not submit this form online, you may print it and send it by Fax or Mail.***

For accurate assessment, please complete all of the questions.