| Employment Experience (Please provide details of current and past duties and responsibilities)
Also provide details of experience in business management and number of years in business experience.
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ADAPTABILITY
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| Questions for Self-Employed Persons Only |
| Do you or your accompanying spouse/common-law partner has obtained a Canadian post-secondary educational credential of at least 2 years since the age of 18? |
Yes
No |
| Do you or your accompanying spouse/common-law partner has worked full-time in Canada for at least 1 year? |
Yes
No |
| Spouse/common-law partner's age |
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Spouse/common-law partner's total years of formal education
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Spouse/common-law's highest level of education completed
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Spouse/common-law partner's field of study
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| Spouse/common-law's current occupation |
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NET WORTH |
| Provide the amount of your Net Worth assets including bank accounts, investments, real estate, business value, etc.. in USD. |
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| BUSINESS QUESTIONS |
| Have you made a business exploration trip to Canada in the last 5 years? |
Yes
No |
| Have you ever participated in business immigration initiatives? |
Yes
No |
| Is your personal net worth more than $300,000 CDN (combine with your spouse/common-law partner)? |
Yes
No |
| Have you ever managed more than 5 people in a company? |
Yes
No |
| Complete this section only if you have owned one or more companies in the last five years. |
| What percentage of the company did you own? |
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| Have you ever employed more than 5 people in your company? |
Yes
No |
| Has your company ever had gross sales of more than $500,000 CDN per year? |
Yes
No |
| Has your company ever had net income of more than $50,000 CDN per year? |
Yes
No |
| Has your company ever had net equity of more than $125,000 CDN per year? |
Yes
No |
| 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 |
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| Preferred fax number |
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| Preferred email Address |
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| Comments / questions? |
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