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

Canadian Immigration Services

FREE PRELIMINARY ASSESSMENT FORM

FOR FEDERAL SKILLED WORKERS (INDEPENDENT IMMIGRANTS)

Please completely fill out the following questionnaire. If you have a spouse or common-law partner accompanying you to Canada, then he/she 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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*PART A: GENERAL INFORMATION*
Email (Required for reply)
Full name
Address
City
Province
Postal / Zip Code
Country
Nationality
Telephone (Include Area Code)
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:
Listen:	Listen:
*PART C: EDUCATION*
Total Years of Formal Education
Highest Level of Education Completed
Most Recent Academic Institution (University/College/Trade) Attended
Number of years and months completed:	Year: Month:
Field of Study
Degree/Diploma Awarded

Previous Academic Institution No.1 (if applicable) (University/College/Trade) Attended
Number of years and months completed:	Year: Month:
Field of Study
Degree/Diploma Awarded

Past Academic Institution No.2 (if applicable) (University/College/Trade) Attended
Number of years and months completed:	Year: Month:
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
Number of years and months employed:	Year: Month:
Occupation and Duties (Important! Please provide a detailed description of your occupation and duties)
Name of Previous Employer No.1 (if applicable)
Position / Title
Number of years and months employed:	Year: Month:
Occupation and Duties (Important! Please provide a detailed description of your occupation and duties)
Name of Previous Employer No.2 (if applicable)
Position / Title
Number of years and months employed:	Year: Month:
Occupation and Duties (Important! Please provide a detailed description of your occupation and duties)
Name of Previous Employer No.3 (if applicable)
Position / Title
Number of years and months employed:	Year: Month:
Occupation and Duties (Important! Please provide a detailed description of your occupation and duties)
PART E: ARRANGED EMPLOYMENT
Do you have an offer of employment approved by Human Resources Development of Canada (HRDC)?	Yes No If yes, specify location:
Are you currently working in Canada under a work permit?	Yes No
*PART F: ADAPTABILITY*
Spouse/common-law partner's age
Total years of formal education of your spouse/common-law partner
Spouse/common-law's highest level of education completed
Spouse/common-law's current occupation

Do you or your accompanying spouse/common-law partner complete at least two years of post-secondary education in Canada since the age of 17?	Yes No
Do you or your accompanying spouse/common-law partner has worked full-time in Canada for at least one year?	Yes No
Do you or your accompanying spouse/Common-law partner have any relatives in Canada who is a Canadian citizen or permanent resident?
Your Personal Net Worth (US Dollar)
Amount you will bring to Canada (US Dollar)
*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.