Immigration Assessment Form

Immigration Assessment Form

Personal Information
Full Name *

First Name Last Name
Spouse Full Name

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Country of Resident *
Immigration status of Country of Resident
How long have you live in Country of Resident
Country/Countries of Citizenship *
Phone Number
E-mail *
Birth Date *

Month Day Year
Spouse Birth Date

Month Day Year
Number of Children under 18
Number of Children over 18
Education
Highest level of Education
Spouse Highest level of Education
Professional Background
Occupation *
Spouse Occupation
Number of years of experience *

1 2 3 4 5 6 or more
Spouse Number of years of experience

1 2 3 4 5 6 or more
Upload CV *
Upload Spouse CV
Language Skills

English Skills *

	Fluent	Moderate	With Difficulty	No Skills
Reading
Writing
Speaking
Listening

Spouse English Skills

	Fluent	Moderate	With Difficulty	No Skills
Reading
Writing
Speaking
Listening

French Skills

	Fluent	Moderate	With Difficulty	No Skills
Reading
Writing
Speaking
Listening

Spouse French Skills

	Fluent	Moderate	With Difficulty	No Skills
Reading
Writing
Speaking
Listening

IELTS Score if taken

	9	8.5	8	7.5	7	6.5	6	Less than 6
Reading
Writing
Speaking
Listening

Spouse IELTS Score if taken

	9	8.5	8	7.5	7	6.5	6	Less than 6
Reading
Writing
Speaking
Listening

Adaptability
Do you have family in Canada

Yes No
Do you have a job offer from a Canadian employer

Yes No
Your Net Worth
Assets - Total Amount of Assets in USD Dollars
Settlements Funds - Total amount of available and transferable funds you have in USD
How did you hear About us
Please write any information you think will help us in Assessing your file
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