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Canadian Immigration Council Immigration Assessment

Contact Information

First name *:
Last name *:
Gender *:
Country of birth *:
Country of citizenship:

Residential address

Address line 1 *:
Address line 2:
City *:
State/Province *:
Postal code:
Country *:

Telephone

Home:
Work:
Cell *:
Email *:

Personal Profile

Common-Law Partner: A person that you have lived in a conjugal relationship with for at least 12 months.
Age *: years old
Marital status *: Unmarried     Married or in a Common-Law Partnership
Do you have any
Dependent Children? *:
yes     no
Dependent Children includes all unmarried children that are financially dependent on you, who are less than 19 years old. How many dependent children do you have, according to the following age groups:
12 years and younger *:
13 - 18 years *:
19 and older *:

Personal Net Worth

Your Personal Net Worth is the current value of all the assets (e.g. properties, investments, stocks, bonds, bank accounts) that you (and your spouse/common-law partner, if applicable) personally own, MINUS the current value of all your combined personal liabilities (e.g. mortgages, loans, credit card balances). Please be sure to include your share of the value of any businesses that you own.
Estimated net worth
in Canadian Dollars *:

Language Skills

ADVANCED: You Participate in business meetings and debates; you understand a broad range of general and abstract topics; you write formal and informal notes and summary documents (equivalent to Canadian Language Benchmark 9).

INTERMEDIATE: You understand the main points and important details of a conversation and can write routine business correspondence; you are able to participate in small group discussions and express opinions and reservations about a topic (equivalent to Canadian Language Benchmark 7).

BASIC: You can read basic texts no longer than a couple short paragraphs; you ask and answer common questions; you write simple sentences about yourself and your family (at least Canadian Language Benchmark 3).
English [Speak] * Advanced    Intermediate    Basic    None   
English [Read] * Advanced    Intermediate    Basic    None   
English [Write] * Advanced    Intermediate    Basic    None   
English [Listen] * Advanced    Intermediate    Basic    None   

French [Speak] * Advanced    Intermediate    Basic    None   
French [Read] * Advanced    Intermediate    Basic    None   
French [Write] * Advanced    Intermediate    Basic    None   
French [Listen] * Advanced    Intermediate    Basic    None   

Education and Training

A Post-Secondary Degree, Diploma or Apprenticeship is any education or training that requires you to have successfully completed of high school (secondary school or higher secondary school) before admission.
Have you completed high school (secondary school)? *
yes    no   
Have you received any education or training other than high school (secondary school)? *
yes    no   

Program of Study

Notice: You have indicated that you have a Master's and/or Ph.D. degree. Please be sure to provide complete information about all of your post-secondary education, including any Bachelor's Degree, so that we can conduct an accurate assessment of your eligibility for Immigration to Canada.
Type of Program *
Program duration *
Program location *
Field of study *
Did you complete this program? *

Work History

You can only count work experience that you have been paid for.

Full-time Work means at least 37.5 hours of work per week.

Self-Employed workers usually work on contract basis, and are not on the payroll of an employer. To be considered self-employed: you must exercise control over how much time you spend on your day-to-day work activities, and you probably provide your own tools and equipment.
Have you ever worked in Canada in a skilled occupation for at least one year? *
yes    no   
Occupation
Employer
Start
End
Have you done any paid work any where in the world during the last 10 years? *
yes    no   

Work Experience

Occupation *
Employer *
Start
End

Canadian Job Offer

A Canadian employer has provided you, or your Spouse/Common-Law Partner, with a written job offer and is interested in hiring you now, or once you become a Permanent Resident. With a genuine Canadian job offer, you may be qualified for certain fast-track Canadian immigration programs.
Do you, or your Spouse/Common-Law Partner, have a written job offer from a Canadian employer? *
yes    no   
Occupation *
Province *

Family and Friends in Canada

A family member is someone who is related to you or your spouse/common-law partner. With family and/or friends in Canada, you may qualify for certain fast-track Canadian immigration programs.
NOTE: Certain provinces allow step (e.g. step-brother) and in-law (e.g. sister-in-law) relationship for purpose of family sponsorship. If your family member has such a relationship, please provide complete information in the Questions and Comments section below.
Do you, or your Spouse/Common-Law Partner, have any family members, relatives, or close friends living in Canada? * yes    no   

This person is your:

Relationship *
Residency status *
Living in *
since *

Spouse/Common-Law Partner's Information

[spouse_info_help]
How old is your Spouse/Common-Law Partner? * years old

Spouse/Common-Law Partner's Language Skills

ADVANCED: You Participate in business meetings and debates; you understand a broad range of general and abstract topics; you write formal and informal notes and summary documents (equivalent to Canadian Language Benchmark 9).

INTERMEDIATE: You understand the main points and important details of a conversation and can write routine business correspondence; you are able to participate in small group discussions and express opinions and reservations about a topic (equivalent to Canadian Language Benchmark 7).

BASIC: You can read basic texts no longer than a couple short paragraphs; you ask and answer common questions; you write simple sentences about yourself and your family (at least Canadian Language Benchmark 3).
English [Speak] * Advanced    Intermediate    Basic    None   
English [Read] * Advanced    Intermediate    Basic    None   
English [Write] * Advanced    Intermediate    Basic    None   
English [Listen] * Advanced    Intermediate    Basic    None   

French [Speak] * Advanced    Intermediate    Basic    None   
French [Read] * Advanced    Intermediate    Basic    None   
French [Write] * Advanced    Intermediate    Basic    None   
French [Listen] * Advanced    Intermediate    Basic    None   

Spouse/Common-Law Partner's Occupation

Please provide information about your Spouse or Common-Law Partner's work experience:
Occupation:
Experience:
Has your Spouse or Common-Law Partner ever worked in Canada in a skilled occupation for at least one year? *
yes     no

Spouse/Common-Law Partner's Education

Has your Spouse/Common-Law Partner completed high school (secondary school)? *
yes     no
Has your Spouse/Common-Law Partner received any education or training other than high school (secondary school)? *
yes     no

Program of Study

Notice: You have indicated that your Spouse/Common-Law Partner has a Master's and/or Ph.D. degree. Please be sure to provide complete information about all of your Spouse's/Common-Law Partner's post-secondary education, including any Bachelor's Degrees, so that we can conduct an accurate assessment of your eligibility for Immigration to Canada.
Type of Program *
Program duration *
Location *
Field of study *
Did you complete this program? *

Questions and Comments

You may list any specific questions or concerns here. If you wish, you can also paste your resume/CV here.
Please use this space to send any specific questions, comments or additional information that may be relevant to your inquiry.

Attachment (pdf,txt,doc,docx)

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