Canada Immigration Guide and Free Assessment of Eligibility
Canadian Immigration Consultants
Immigroup
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Applicant Assessment
d
Principal Applicant's General
Information
Gender
Male Female
Family
Name
First
Name
Country
of Residence
Age
E-mail
Verify
E-mail
Phone
Fax
Mail Address
What
services (click on the link) are you retaining from
Immigroup?
I have read and understood the
retainer and communication FAQ
(click on the link)
Yes, I have read the FAQ
I certify that the information provided by me in this form for my free Canadian
Immigration assessment is accurate and I consent to Immigroup
corresponding with me at
the e-mail address, above, regarding this assessment.
Yes, I certify and consent
Total number of years of full-time study starting from grammar school
Highest level of education overall achieved starting from grammar school
Principal Applicant's Education Institution 1 ( the
most recent one)
Degree achieved (most recent)
From
month/year
To
month/year
Program
Full Time Part Time
Institution
Location
Name of the Degree/Diploma (for example - Bachelor of Electrical Engineering)
Remarks
Principal
Applicant Education Institution 2
Degree
achieved
From
month/year
To
month/year
Program
Full Time Part Time
Institution
Location
Name
of the Degree/Diploma (for example - Bachelor of Electrical Engineering)
Remarks
Principal
Applicant's Education Institution 3
Degree achieved
From
month/year
To
month/year
Program
Full Time Part Time
Institution
Location
Name
of the Degree/Diploma (for example - Bachelor of Electrical Engineering)
Remarks
Principal
Applicant's Language
Abilities
English
French
Speak
Speak
Read
Read
Write
Write
Listen
Listen
Principal
Applicant's Family
Information
Marital
Status
Never Married
Engaged
Married
Divorced
Separated
Widowed
Number
of Children
Below age of 19
19 years or older
Relatives
in Canada
None
Multiple items maybe chosen.
Spouse
Child(ren)
Father
Mother
Sister(s)
Brother(s)
Aunt(s)
Uncle(s)
Niece(s)
Nephew(s)
Grandparent(s)
Grandchild(ren)
Principal
Applicant's Support
Information
Friends In Canada
Yes No
Prospective
Employers in Canada
Yes No
Liquid
Financial Resources
US$250,000 to US$500,000
US$500,000 to US$1,000,000
US$1,000,000 to US$5,000,000
more than US$5,000,000
Financial Liabilities
US$0 to US$250,000
US$250,000 to US$500,000
US$500,000 to US$1,000,000
US$1,000,000 to US$5,000,000
more than US$5,000,000
Destination
- Province of Quebec
Study French at the post-secondary level
No Yes, part of it Yes, all of it
Friends
or relatives in Quebec
No Yes, relative Yes, friend
Visit
Quebec for at least two weeks
No Yes, a two-week visit or longer
Principal
Applicant's Work and/or Business Experience
Organization 1
From
month/year
To
month/year
Employment
Full Time Part Time
Organization's
Name
Location
Position Title
Duties:
(Please
provide a one paragraph
description of your
duties in this position which mentions the most important
aspects of your work
experience).
Sales/Turnover
>
= $500,000
<
500,000
#
of Employees
>
= 10
<
10
Total
Assets
>
= $250,000
<
$250,000
Authority
Owner
Manager
Principal
Applicant's Work and/or Business Experience
Organization 2
From
month/year
To
month/year
Employment
Full Time Part Time
Organization's
Name
Location
Position
Title
Duties:
(Please
provide a one paragraph
description of your
duties in this position which mentions the most important
aspects of your work
experience).
Sales/Turnover
>
= $500,000
<
500,000
#
of Employees
>
= 10
<
10
Total
Assets
>
= $250,000
<
$250,000
Authority
Owner
Manager
Principal
Applicant's Work and/or Business Experience
Organization 3
From
month/year
To
month/year
Employment
Full
Time Part
Time
Organization's
Name
Location
Position
Title
Duties:
(Please
provide a one paragraph description of your duties in this
position which mentions the most important aspects of your work
experience).
Sales/Turnover
>
= $500,000
<
500,000
#
of Employees
>
= 10
<
10
Total
Assets
>
= $250,000
<
$250,000
Authority
Owner
Manager
Comments
Please
use this space to provide any additional information or ask any
questions you may have about immigration to Canada.
Please
note: Canada
prohibits the entry of persons with serious medical problems or those who have
serious criminal records,
although there are exceptions, depending on the seriousness of the
problem, the category of application, and so forth. If you think you may
qualify for immigration to Canada but may be affected by the medical
or criminal inadmissibility provisions, please give details in the box
above.
Spouse's
General
Information
Gender
Male
Female
Family
Name
First
Name
Country
of Residence
Age
Total
number of years of full-time study starting from grammar school
Highest level of education overall achieved
Spouse's Education Institution 1 (the most recent
one)
Degree achived (most recent)
From
month/year
To
month/year
Program
Full Time Part Time
Institution
Location
Name of the Degree/Diploma (for example - Bachelor of Electrical Engineering)
Remarks
Spouse's
Education Institution 2
Degree
achieved
From
month/year
To
month/year
Program
Full Time Part Time
Institution
Location
Name
of the Degree/Diploma (for example - Bachelor of Electrical Engineering)
Remarks
Spouse's
Education Institution 3
Degree achieved
From
month/year
To
month/year
Program
Full Time Part Time
Institution
Location
Name of the Degree/Diploma (for example - Bachelor of Electrical Engineering)
