Personal information

    First Name:

    Last Name:

    E-mail:

    Phone:

    Age:

    Country of residence:

    Marital status:

    Do you have dependent children and if yes how many?:

    Nationality:

    Do you have a passport?

    Expiration date

    Nationality:

    Do you have a passport?

    Expiration date

    Nationality:

    Do you have a passport?

    Expiration date

    Knowledge of Canadian Official Languages

    Have you taken the English language exam in the last 2 years?

    What language exam did you take?

    What score did you get?

    Listening

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    Speaking

    What score did you get?

    Listening

    Reading

    Writing

    Speaking

    Have you taken the French language exam in the last 2 years?

    What language exam did you take?

    What score did you get?

    Listening

    Reading

    Writing

    Speaking

    What score did you get?

    Listening

    Reading

    Writing

    Speaking

    What is your level of English?

    Listening

    Reading

    Writing

    Speaking

    What is your level of French?

    Listening

    Reading

    Writing

    Speaking

    Education

    What is your level of education? (List all your education history)

    Did you get this education in Canada?

    Work experience

    What is your profession / primary occupation?

    How many years of skilled work experience do you have?

    Do you have Canadian Work Experience

    What is your profession / primary occupation?

    How many years of Canadian work experience do you have?

    Have you received a written job offer from a Canadian employer?

    Occupation

    Province

    Duration of your contract

    How many hours per week you will work?

    Is your job offer supported by a Labour Market Impact Assessment (LMIA)?

    Other Personal Information

    Family in Canada

    Do you or your spouse/common-law partner have any family members or relatives (parents and siblings only) living in Canada?

    Your personal Net Worth

    Choose currency

    Amount

    Spouse/Common-law Partner Information

    What is the highest level of education of your Spouse/Common-Law Partner?

    How many years of CANADIAN work experience does your Spouse/Common-Law Partner have within the last ten years?

    Have your spouse taken the English language exam in the last 2 years?

    What language exam did he/she take?

    What score did he/she get?

    Listening

    Reading

    Writing

    Speaking

    What score did he/she get?

    Listening

    Reading

    Writing

    Speaking

    Have your spouse taken the French language exam in the last 2 years?

    What language exam did he/she take?

    What score did he/she get?

    Listening

    Reading

    Writing

    Speaking

    What score did he/she get?

    Listening

    Reading

    Writing

    Speaking

    What is your spouse's level of English?

    Listening

    Reading

    Writing

    Speaking

    What is your spouse's level of French?

    Listening

    Reading

    Writing

    Speaking

    Additional information

    Please provide any additional information that you think would be relevant to your immigration assessment.

    At what stage of decision making are you?

    When do you plan to start your application?

    What is the best way to approach you?