Canada Immigration Assessment

Contact Information

First Name*

Last Name*

Email*

Phone*

Nationality*

General Information

Age*

Marital Status*

Married
Unmarried or in Common-Law relationship

Do you have dependent children?*

Yes
No

How many dependent children do you have ?

12 years old or younger*

13 to 18 years old*

22 years and over*

Language Proficiency

English Proficiency :

Reading*

Writing*

Speaking*

Listening*

French Proficiency :

Reading*

Writing*

Speaking*

Listening*

Education

Have you finished High School ?*

Yes
No

Total Years of Education since first grade ?

Do you have any education more than high school ?*

Yes
No

Level of your education :

Most recent Program of study

Field of study

Program duration

Where did you study ?

When did you complete it ?

Have you received your degree, diploma or certificate ?

Yes
No

Do you have another diploma, certificate, training, apprenticeship or post-secondary education ?

Yes
No

Level of your education :

Program of study

Field of study

Where did you study ?

Program duration

When did you complete it ?

Have you received your degree, diploma or certificate ?

Yes
No

Do you have another diploma, certificate, training, apprenticeship or post-secondary education ?

Yes
No

Level of your education :

Program of study

Field of study

Where did you study ?

Program duration

When did you complete it ?

Have you received your degree, diploma or certificate ?

Yes
No

Do you have another diploma, certificate, training, apprenticeship or post-secondary education ?

Yes
No

Level of your education :

Program of study

Field of study

Where did you study ?

Program duration

When did you complete it ?

Have you received your degree, diploma or certificate ?

Yes
No

Do you have another diploma, certificate, training, apprenticeship or post-secondary education ?

Yes
No

Level of your education :

Program of study

Field of study

Where did you study ?

Program duration

When did you complete it ?

Have you received your degree, diploma or certificate ?

Yes
No

Work Experience

Have you had any paid work experience ?*

Yes
No

From Month

Year

To Month

Year

Occupation

Type

Full-Time
Part-Time

Is it a managerial position ?

Yes
No

Percentage of ownership:

Location

Province

Residency Status

Have you had another job ?

Yes
No

From Month

Year

To Month

Year

Occupation

Type

Full-Time
Part-Time

Is it a managerial position ?

Yes
No

Percentage of ownership:

Location

Province

Residency Status

Have you had another job ?

Yes
No

From Month

Year

To Month

Year

Occupation

Type

Full-Time
Part-Time

Is it a managerial position ?

Yes
No

Percentage of ownership:

Location

Province

Residency Status

Have you had another job ?

Yes
No

From Month

Year

To Month

Year

Occupation

Type

Full-Time
Part-Time

Is it a managerial position ?

Yes
No

Percentage of ownership:

Location

Province

Residency Status

Have you had another job ?

Yes
No

From Month

Year

To Month

Year

Occupation

Type

Full-Time
Part-Time

Is it a managerial position ?

Yes
No

Percentage of ownership:

Location

Province

Residency Status

Arranged Employment

Do you have a job offer from a Canadian Employer or an Employer who is interested in hiring you ?*

Yes
No

Occupation

Province

Relatives in Canada

Do you have a relative currently living in Canada ?*

Yes
No

Relationship

Residency Status

Living In

Lived there for

Do you want to add another relative ?

Yes
No

Relationship

Residency Status

Living In

Lived there for

Do you want to add another relative ?

Yes
No

Relationship

Residency Status

Living In

Lived there for

Personal Net Worth

Please indicate the total value of your assets (including, cash, real estate, investments, business, etc.) under you and/or your spouse's name, minus liabilities (mortgages, loans, credit card balances).

Net Worth

Spouse - Contact Information

First Name*

Last Name*

Age*

Nationality*

Spouse - Language Proficiency

English Proficiency :

Reading*

Writing*

Speaking*

Listening*

French Proficiency :

Reading*

Writing*

Speaking*

Listening*

Spouse - Education

Have you finished High School ?*

Yes
No

Total Years of Education since first grade ?

Do you have any education more than high school ?*

Yes
No

Level of your education :

Most recent Program of study

Field of study

Program duration

Where did you study ?

When did you complete it ?

Have you received your degree, diploma or certificate ?

Yes
No

Do you have another diploma, certificate, training, apprenticeship or post-secondary education ?

Yes
No

Level of your education :

Program of study

Field of study

Program duration

Where did you study ?

When did you complete it ?

Have you received your degree, diploma or certificate ?

Yes
No

Do you have another diploma, certificate, training, apprenticeship or post-secondary education ?

Yes
No

Level of your education :

Program of study

Field of study

Program duration

Where did you study ?

When did you complete it ?

Have you received your degree, diploma or certificate ?

Yes
No

Spouse Work Experience

Have you had any paid work experience ?*

Yes
No

From Month

Year

To Month

Year

Occupation

Type

Full-Time
Part-Time

Is it a managerial position ?

Yes
No

Percentage of ownership:

Location

Province

Residency Status

Have you had another job ?

Yes
No

From Month

Year

To Month

Year

Occupation

Type

Full-Time
Part-Time

Is it a managerial position ?

Yes
No

Percentage of ownership:

Location

Province

Residency Status

Have you had another job ?

Yes
No

From Month

Year

To Month

Year

Occupation

Type

Full-Time
Part-Time

Is it a managerial position ?

Yes
No

Percentage of ownership:

Location

Province

Residency Status

Spouse - Arranged Employment

Do you have a job offer from a Canadian Employer or an Employer who is interested in hiring you ?*

Yes
No

Occupation

Province

Spouse - Relatives in Canada

Do you have a relative currently living in Canada ?*

Yes
No

Relationship

Residency Status

Living In

Lived there for

Do you want to add another relative ?

Yes
No

Relationship

Residency Status

Living In

Lived there for

Do you want to add another relative ?

Yes
No

Relationship

Residency Status

Living In

Lived there for

Questions and Comments

Please mention here any specific questions, comments or additional information that may be relevant to your inquiry. Please also mention any prior applications for permanent residence, known medical issues, etc.

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ITC Free Canada Immigration Assessment

Contact Information

General Information

How many dependent children do you have ?

Language Proficiency

Education

Work Experience

Arranged Employment

Relatives in Canada

Personal Net Worth

Spouse - Contact Information

Spouse - Language Proficiency

Spouse - Education

Spouse Work Experience

Spouse - Arranged Employment

Spouse - Relatives in Canada

Questions and Comments

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