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Immigration Assessment

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PERSONAL PROFILE
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WHERE ARE YOU LOCATED?*
- In Canada
- Overseas
Email address*

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Name*
First Name Last Name
Country of citizenship*
Country
Country of residence*
The country you are currently in

Country
Age*
Marital status*
- Unmarried/Single/Divorced
- Married/Common-Law Partnership
Full Name of Spouse*
Spouse age*
Do you have children?*
- Yes
- No
How old are children?*
Telephone*
Your status in Canada*
When does your status expire?*
Date Format: MM slash DD slash YYYY
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EDUCATION
YOUR EDUCATION
Have you received any post-secondary education?*
- YES
- NO
Current/Most recent Program of Study*
Field of Study*
Country of studies*
Country
Name of education facility*
Total years of study for the program*
Did you complete this program?*
- Yes
- No
ADD ANOTHER EDUCATION PROGRAM
- ADD ANOTHER EDUCATION PROGRAM
Current/Most recent Program of Study*
Field of Study*
Country of studies*
Country
Name of education facility*
Total years of study for the program*
Did you complete this program?*
- Yes
- No
ADD ANOTHER EDUCATION PROGRAM
- ADD ANOTHER EDUCATION PROGRAM
Current/Most recent Program of Study*
Field of Study*
Country of studies*
Country
Name of education facility*
Total years of study for the program*
Did you complete this program?*
- Yes
- No
ADD ANOTHER EDUCATION PROGRAM
- ADD ANOTHER EDUCATION PROGRAM
Current/Most recent Program of Study*
Field of Study*
Country of studies*
Country
Name of education facility*
Total years of study for the program*
Did you complete this program?*
- Yes
- No
ADD ANOTHER EDUCATION PROGRAM
- ADD ANOTHER EDUCATION PROGRAM
Current/Most recent Program of Study*
Field of Study*
Country of studies*
Country
Name of education facility*
Total years of study for the program*
Did you complete this program?*
- Yes
- No
Have you obtained your ECA report?*
- Yes
- No

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WORK HISTORY
WORK HISTORY:
Do you have paid work experience in the last 10 years?*
- Yes
- No
Your occupation*
Employment type:*
Location of Employment:*
- In Canada
- Other countries
Employment start date:*
Date Format: MM slash DD slash YYYY
Employment end date*
End date:*
Date Format: MM slash DD slash YYYY
Add more Work Experience
- Add more Work Experience
Your occupation*
Employment type:*
Location of Employment:*
- In Canada
- Other countries
Employment start date:*
Date Format: MM slash DD slash YYYY
Employment end date*
End date:*
Date Format: MM slash DD slash YYYY
Add more Work Experience
- Add more Work Experience
Your occupation*
Employment type:*
Location of Employment:*
- In Canada
- Other countries
Employment start date:*
Date Format: MM slash DD slash YYYY
Employment end date*
End date:*
Date Format: MM slash DD slash YYYY
Add more Work Experience
- Add more Work Experience
Your occupation*
Employment type:*
Location of Employment:*
- In Canada
- Other countries
Employment start date:*
Date Format: MM slash DD slash YYYY
Employment end date*
End date:*
Date Format: MM slash DD slash YYYY
Add more Work Experience
- Add more Work Experience
Your occupation*
Employment type:*
Location of Employment:*
- In Canada
- Other countries
Employment start date:*
Date Format: MM slash DD slash YYYY
Employment end date*
End date:*
Date Format: MM slash DD slash YYYY
Describe your job duties and the industry you are working in*

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LANGUAGE PROFICIENCY
LANGUAGE PROFICIENCY:
First official language:*
- English
- French
Did you take a test?*
- Yes
- No
Please select a proficiency level*
Date of the Language Test*
Date Format: MM slash DD slash YYYY
Please choose a test:*
Please outline your test results:*
Listening Reading Speaking Writing
Second official language:

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SPOUSE - EDUCATION
SPOUSE - EDUCATION
Does your spouse received any post-secondary education?*
- Yes
- No
Current/Most recent Program of Study
Field of Study*
Country of studies*
Country
Name of education facility*
Total years of study for the program*
Does your spouse complete this program?*
- Yes
- No
ADD ANOTHER EDUCATION PROGRAM
- ADD ANOTHER EDUCATION PROGRAM
Current/Most recent Program of Study
Field of Study*
Country of studies*
Country
Name of education facility*
Total years of study for the program*
Does your complete this program?*
- Yes
- No
ADD ANOTHER EDUCATION PROGRAM
- ADD ANOTHER EDUCATION PROGRAM
Current/Most recent Program of Study
Field of Study*
Country of studies*
Country
Name of education facility*
Total years of study for the program*
Does your spouse complete this program?*
- Yes
- No
ADD ANOTHER EDUCATION PROGRAM
- ADD ANOTHER EDUCATION PROGRAM
Current/Most recent Program of Study
Field of Study*
Country of studies*
Country
Name of education facility*
Total years of study for the program*
Did you complete this program?*
- Yes
- No
ADD ANOTHER EDUCATION PROGRAM
- ADD ANOTHER EDUCATION PROGRAM
Current/Most recent Program of Study
Field of Study*
Country of studies*
Country
Name of education facility*
Total years of study for the program*
Does your spouse complete this program?*
- Yes
- No
Does your spouse obtained ECA report?*
- Yes
- No

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SPOUSE - WORK HISTORY
SPOUSE - WORK HISTORY
Does your spouse have paid work experience in the last 10 years?*
- Yes
- No
Your spouse occupation*
Employment type:*
Location of Employment:*
- In Canada
- Other countries
Employment start date:*
Date Format: MM slash DD slash YYYY
Employment end date*
End date:*
Date Format: MM slash DD slash YYYY
Add more Work Experience
- Add more Work Experience
Your spouse occupation*
Employment type:*
Location of Employment:*
- In Canada
- Other countries
Employment start date:*
Date Format: MM slash DD slash YYYY
Employment end date*
End date:*
Date Format: MM slash DD slash YYYY
Add more Work Experience
- Add more Work Experience
Your spouse occupation*
Employment type:*
Location of Employment:*
- In Canada
- Other countries
Employment start date:*
Date Format: MM slash DD slash YYYY
Employment end date*
Employment end date:*
Date Format: MM slash DD slash YYYY
Add more Work Experience
- Add more Work Experience
Your occupation*
Employment type:*
Location of Employment:*
- In Canada
- Other countries
Employment start date:*
Date Format: MM slash DD slash YYYY
Employment end date*
Employment end date:*
Date Format: MM slash DD slash YYYY
Add more Work Experience
- Add more Work Experience
Your spouse occupation*
Employment type:*
Location of Employment:*
- In Canada
- Other countries
Employment start date:*
Date Format: MM slash DD slash YYYY
Employment end date*
Employment end date:*
Date Format: MM slash DD slash YYYY

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SPOUSE LANGUAGE PROFICIENCY
YOUR SPOUSE LANGUAGE PROFICIENCY:
First official language:*
- English
- French
Does your spouse take a test?*
- Yes
- No
Your spouse proficiency level:*
Your spouse date of the language test*
Date Format: MM slash DD slash YYYY
Please choose a test:*
Please outline your test results:*
Listening Reading Speaking Writing
Second official language:

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ADDITIONAL INFORMATION
ADDITIONAL INFORMATION:
Have you registered an Express Profile?*
- Yes
- No
What is you current score:*
Have you been to Canada?*
- Yes
- No
Type of visa:*
Duration of your stay:*
Have you ever been denied a visa to Canada?*
- Yes
- No
Year of denial:*
Please attach a copy of the denial with your assessment form.*
Accepted file types: jpg, gif, png, pdf, txt, doc, docx.
Please MARK your interest*
- Language courses and pathway college/university programs
- Study Permit
- Express Entry immigration
- Work Permit and LMIA
- Family Sponsorship
Budget for Immigration*
- $10k - $25k
- $25k - $50k
- Over $50k
- None of the Above
What budget do you have for immigration to Canada?
When do you want to move to Canada?*
How did you hear about us?*
Other
Do you, or your spouse/common-law partner, have any family members and/or relatives living in Canada?*
- Yes
- No
Relationship to the person*
Residency Status*
Residency Status
Province of Residency*
Questions and comments
Upload a document/resume/refusal letter/etc
Drop files here or

Accepted file types: jpg, gif, png, pdf, txt, doc, docx.

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BY CLICKING SUBMIT I AGREE WITH THE PRIVACY TERMS
I would like to receive news, updates and information about Canadian Immigration programs.
- I would like to receive news, updates and information about Canadian Immigration programs.
Lead Status

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