Free Assessment

Part 1: Personal Information




Title:


Mailing Address












Telephone Number








Vital Statistics

















Part 2: Educational Background





If you have completed university/college, please answer the question below. Otherwise, move to Part 3.

Name of the most recent university/college, program of study, highest level completed, and dates attended:

 
1.
2.
3.



Part 3: Employment Background










Part 4: Language Ability

English

I speak English:

I read English:

I write English:

I listen to English:

French

I speak French:

I read French:

I write French:

I listen to French:




Part 5: Family in Canada












Part 6: Financial Information

Please provide all monetary amounts in U.S. Dollars







Part 7: Final Questions

Have you or any of your dependants ever:

Had any serious disease or physical or mental disorder?

Been convicted of or are currently charged with any crime or offence in any country?

Applied previously for an immigrant or visitor visa to Canada?

Been refused an immigrant or visitor visa to Canada or any other country?

Been refused admission to, or ordered to leave Canada or any other country?

Been involved in the commission of a war crime or a crime against humanity?

Do you have a job offer from a prospective Canadian employer?