Canada Immigration Practices

Evaluation Form

Please fill out the following form (to the best of your abilities) to obtain a free assessment. Upon completion, please press the button located at the end of the page.

Name First Last

Gender Male Female

Date of Birth MM DD YYYY

Phone

Fax

Country of Residence

Country of Citizenship

Marital Information

Language Skills

Are you able to communicate in English? Yes No

Have you taken an English language test? Yes No

Test Name

Test Scores Average Speaking Reading Writing Listening

Are you able to communicate in French? Yes No

Have you taken a French language test? Yes No

Test Name

Test Scores Average Speaking Reading Writing Listening

Education

Please indicate your highest three levels of completed education (please start with the highest and end with the lowest).

Degree 1

Subject of Study 1

Number of Years Studied 1

Name of Institution 1

Degree 2

Subject of Study 2

Number of Years Studied 2

Name of Institution 2

Degree 3

Subject of Study 3

Number of Years Studied 3

Name of Institution 3

Work Experience

Please list your last three jobs, starting with the most recent.

Job 1 Job Title Field Hours per Week

Job 1 Starting/Ending Dates MM YYYY to MM YYYY

Job 2 Job Title Field Hours per Week

Job 2 Starting/Ending Dates MM YYYY to MM YYYY

Job 3 Job Title Field Hours per Week

Job 3 Starting/Ending Dates MM YYYY to MM YYYY

Have you managed or owned a business? Yes No

Spouse's Language Skills

Please skip the following if you do not have a spouse.

Is your spouse able to communicate in English? Yes No

Has your spouse taken an English language test? Yes No

Test Name

Test Scores Average Speaking Reading Writing Listening

Is your spouse able to communicate in French? Yes No

Have you taken a French language test? Yes No

Test Name

Test Scores Average Speaking Reading Writing Listening

Spouse's Education

Please indicate your spouse's highest three levels of completed education (please start with the highest and end with the lowest). Please skip the following if you do not have a spouse.

Degree 1

Subject of Study 1

Number of Years Studied 1

Name of Institution 1

Degree 2

Subject of Study 2

Number of Years Studied 2

Name of Institution 2

Degree 3

Subject of Study 3

Number of Years Studied 3

Name of Institution 3

Spouse's Work Experience

Please list your spouse's last three jobs, starting with the most recent. Please skip the following if you do not have a spouse.

Job 1 Job Title Field Hours per Week

Job 1 Starting/Ending Dates MM YYYY to MM YYYY

Job 2 Job Title Field Hours per Week

Job 2 Starting/Ending Dates MM YYYY to MM YYYY

Job 3 Job Title Field Hours per Week

Job 3 Starting/Ending Dates MM YYYY to MM YYYY

Has your spouse ever managed or owned a business? Yes No

Children

Do you or your spouse have any children? If so, please fill out the following.

Study/Work/Relatives in Canada

Have you or your spouse worked full-time for one year in Canada? Yes No

Have you or your spouse studied full-time in a post secondary institution in Canada? Yes No

If you answered yes, how many years?

Do you or your spouse/common-law partner have any relatives in Canada? I do My spouse does

If either you or your spouse have relatives in Canada, please list all of them and their respective relationships (child, grandparent, etc.).

Funds and Assets

Amount of Money in Bank Accounts

Fixed Term Deposits, Stocks, Other Investments

Please describe your real estate property and the estimated market value

Please provide the amount of mortgages, liabilities, and any other personal loans.

Amount of unencumbered transferable and available funds you have, in Canadian Dollars

Miscellaneous Information

Please be as detailed as possible.

Have you or any members of your family been convicted of a crime? Yes No

If you answered yes, please explain:

Do you or any of the members of your family have any serious health conditions? Yes No

If you answered yes, please explain:

Additional Information

Please provide any information you think is useful. You may paste your resume in the box below.

Information