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Your Contact Information
Immigration Assessment Form
This information is provided under the terms of strict confidentiality agreements and your information will not be shared, sold or rented by other parties without your permission.
First Name
Last Name
Telephone
Nationality
Your Personal Profile
Date Of Birth
Marital Status
What is your preferred destination in Canada?
Do you have any Dependent Children?
Your Personal Net Worth
Your Personal Net Worth is the current value of all the assets (e.g. properties, investments, stocks, bonds, bank accounts) that you (and your spouse/common-law partner, if applicable) personally own, MINUS the current value of all your combined personal liabilities (e.g. mortgages, loans, credit card balances).
Please be sure to include your share of the value of any businesses that you own.
Choose Currency
Net Worth ( Enter approx. value)
Your Language Skills
English
Speak
Read
Write
Listen
French
Speak
Read
Write
Listen
Your Education and Training
Have you completed high school (secondary school)?
Have you done any education or training other than high school (secondary school)?
Your Work History
Have you done any paid work during the last 10 years?
Canadian Job Offer
Do you have a written job offer from a Canadian employer?
Do you have any family members, relatives, or close friends living in Canada?
Questions and CommentsPlease use this space to send any specific questions, comments or additional information that may be relevant to your inquiry.
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