EmailMeForm
Assessment form for Immigration to Canada
Questionnaire for couples with or without children
Name:
*
First
Last
Email:
*
Country of birth:
*
Actual country of residence:
*
Age:
*
Educational background:
Please provide basic information about your highest level of completed education.
*
Knowledge of the English Language:
*
None
Basic
Intermediate
Advanced
Knowledge of the French Language:
*
None
Basic
Intermediate
Advanced
Work experience:
Please provide basic information about your last two employment or business operation.
*
Name of your spouse:
First
Last
Spouse's country of birth:
*
Age of your spouse:
*
Spouse's educational background:
Please provide basic information about your spouse's highest level of completed education.
*
Spouse's knowledge of the English Language:
*
None
Basic
Intermediate
Advanced
Spouse's knowledge of the French Language:
*
None
Basic
Intermediate
Advanced
Spouse's work experience:
Please provide basic information about your spouse's last two employment of business operation.
*
Do you have any children?
*
Yes
No
If yes, what is his/her/their age?
*
Have you traveled to any country in the past 10 years? Please explain.
Have you been refused a visa for any country in the past 10 years? Please explain.
*
I would like to go to Canada as a:
*
Permanent Resident
Temporary Resident
Visitor with a tourist visa
Refugee claimant
I do not know yet
Health issues?
*
Yes
No
Prior convictions?
*
Yes
No
Third option
Any other relevant information: