Assessment form

First Name:

Last Name:

E-mail:

Phone:

Age:

Country of residence:

—Please choose an option—AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua & DepsArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia HerzegovinaBotswanaBrazilBruneiBulgariaBurkinaBurundiCambodiaCameroonCanadaCape VerdeCentral African RepChadChileChinaColombiaComorosCongoCongo {Democratic Rep}Costa RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIreland {Republic}IsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKorea NorthKorea SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar, {Burma}NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussian FederationRwandaSt Kitts & NevisSt LuciaSaint Vincent & the GrenadinesSamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe

Marital status:

SingleMarriedWidowedCommon-Law

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

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

YesNo

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

YesNo

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

Did you get this education in Canada?

What is your profession / primary occupation?

How many years of skilled work experience do you have?

Do you have Canadian Work ExperienceYesNo

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

YesNo

Family in Canada

Do you or your spouse/common-law partner have any family members or relatives (parents and siblings only) living in Canada?

YesNo

Your personal Net Worth

Choose currency

Canadian DollarsUS DollarsEuro

Amount

10.000-15.00015.000-20.00020.000-25.00025.000-50.00050.000-100.000100.000-250.000250.000-500.000

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

At what stage of decision making are you?

—Please choose an option—Ready to start my applicationJust gathering information

When do you plan to start your application?

—Please choose an option—ImmediatelyIn the next 3 monthsIn 6-12 monthsI'm not planning yet

What is the best way to approach you?

EmailSkypeWhatsAppViberPhone call

I give permission to share my personal information with Canadian immigration companies.