Registration & FREE Evaluation
Please complete the following questionaire to receive a free assessment of your qualifications for Canadian permanent residence as a Skilled Worker applicant.
Personal Information (All Fields Required)
Name :
Email Address :
Required In order to receive a reply, kindly ensure that you have sufficient space in your e-mail account. In addition, for Hotmail and Yahoo users our reply may be filtered as "Junk Mail".
Nationality :
Current Place of Residence :
Telephone Number :
Date of Birth :
Sex :
Male Female
Marital Status :
Single
Married
Divorced/Separated
Spouse Information
If Married, please provide Spouse′s Characteristics in the fields below:
Spouse's Date of Birth :
Spouse's Level of Education and Duration :
Spouse's total years of education :
(Starting from primary school)
Spouse's Field of Study :
Spouse's Number of Years and Months of Working Experience
Language Ability in French :
Number of Dependant Children :
Ability in English and French
 
English
   
Read :
Write :
Speak :
Listen :
 
French
   
Read :
Write :
Speak :
Listen :
   
Educational Profile
Total years of education : (Including Primary, Secondary, and Post Secondary)
1. Certificate : (if other space specify)
Field of Study :
Date of Started : (Month, Year)
Date of Graduation : (Month, Year)
Name of Institution :
City :
Country :
 
 
2. Certificate : (if other space specify)
Field of Study :
Date of Started : (Month, Year)
Date of Graduation : (Month, Year)
Name of Institution :
City :
Country :
 
 
3. Certificate : (if other space specify)
Field of Study :
Date of Started : (Month, Year)
Date of Graduation : (Month, Year)
Name of Institution :
City :
Country :
Employment History
1. Name of Company/Organization :
Job Title :
From : (Month, Year)
To : (Month, Year)
Employment Status :
Part Time
Full Time
Number of Hours Worked per Week :  Hours per Week
Do You Presently Still Work at this Company? (Yes/No)
Employment Duties : (please provide details)
City :
Country :
 
 
2. Name of Company/Organization :
Job Title :
From : (Month, Year)
To : (Month, Year)
Employment Status :
Part Time
Full Time
Number of Hours Worked per Week :  Hours per Week
Do You Presently Still Work at this Company? (Yes/No) :
Employment Duties :
(please provide details)
City :
Country :
 
 
3. Name of Company/Organization :
Job Title :
From : (Month, Year)
To : (Month, Year)
Employment Status :
Part Time
Full Time
Number of Hours Worked per Week :  Hours per Week
Do You Presently Still Work at this Company? (Yes/No) :
Employment Duties : (please provide details)
City :
Country :
If you have additional experience, please include in the Additional Comments below.
Other
Relationship to Closest Blood Relative in Canada (Canadian Citizen or Landed Immigrant) :
 
Blood Parent Blood Aunt/Uncle
Blood Brother or Sister Blood Son/Daughter
Blood Niece/Nephew (22 years or older) Blood Grand Parent
Blood Cousin
Relative Province of Residence :
Personal Net Worth (CAD$) :
Do you currently have an offer of employment from a Canadian employer?
yes No
If your answer to the above question is "Yes" provide details here :
Have you or spouse/common law partner or dependent children ever :
Had any serious disease
yes No
Been convicted of or currently charged with any crime or offence in any country
yes No
Applied previously for an immigrant visa to Canada
yes No
Visited Canada (visit,study,work)
yes No
Are you able to obtain a visitors visa to Canada
yes No
If answer to any of above is "Yes" provide details here :