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	Living in Canada

	Free Online Assessment

Self-Assessment

The Self-Assessment tool will indicate if you qualify to immigrate to Canada. Your score on this test will show how your skills and experience could be assessed on your application.

This test is only to give us an idea of whether or not you will qualify.

Please Fill out this form and one of our Agents will contact you to inform you if you qualify for immigration to Canada

Questionnaire for Preliminary Assessment

Last Name:

First Name:
Date of Birth: DD/MM/YYYY
Mail Address:

Street and Number, City, Postal Code, Country

Country of Residence:

Country of citizenship:

Telephone No.
[i.e. +1 (613) 555-1212]

E-mail address:

Marital Status: Unmarried
Married / Common Law / Conjugal Partner

Dependants:

Names, Dates of Birth and Addresses

Do you have any close relatives in Canada? Yes No
If Yes, provide name(s), address and describe relationship:

Type of Visa

Level of education:        Highschool Vocational School College
                                            University Degree Post Graduate Degree

Name of institution(s), University or College attended, dates of attendance and degree(s) or diploma(s) obtained:

Total years of studies from grade 1 on

Language Proficiency: ENGLISH

Speaking: None Basic Working Knowledge Fluent

Reading: None Basic Working Knowledge Fluent

Writing: None Basic Working Knowledge Fluent

Language Proficiency: FRENCH

Speaking: None Basic Working Knowledge Fluent

Reading: None Basic Working Knowledge Fluent

Writing: None Basic Working Knowledge Fluent

In which province would you prefer to settle?

PROFESSIONAL HISTORY

Full Job Title Responsibilities: Number of Years

* please list last 4 jobs

Do you have or could you get employment arranged in Canada?
Yes No

Did you (or your spouse) study in Canada at a postsecondary level?
Yes No
If Yes, give dates and places:

Did you (or your spouse) work in Canada for at least one year?
Yes No
If Yes, give dates and employers:

Questions for Entrepreneurs & Investors Only

Did you ever own/manage a business? Yes No
If Yes, describe the business: (Main Activity, Net assets in CND$, Net profits, Number of employees, Net sales, Your percentage of the ownership).

Are you planning on establishing a business in Canada? Yes No

Are you interested in making a passive investment of CDN$400,000(or financing it for approx CDN$130,000)? Yes No

Questions for Self-employed Applicants Only

Are you an artist or are you involved in artistic or cultural activities?
Yes No

Are you a world class athlete or are you involved in athletic endeavours at a world class level?   Yes No

Are you a farm owner or manager? Yes No

We recommend you paste your C.V. below:

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