Canada Immigration Guide and Free Assessment of Eligibility
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Immigroup
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Skilled
Worker Assessment
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
Less then US$10,000
US$10,000 to US$20,000
US$20,000 to US$50,000
More
than US$50,000
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
Applicant's
Work and/or Business Experience Organization
1 (the most recent one)
From
(most recent)
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).
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).
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).
Principal
Applicant's Work and/or Business
Experience Organization 4
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).
Principal
Applicant's Work and/or Business
Experience Organization 5
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).
Comments
Please
use this space to provide any additional information
or ask any questions you may have about immigration
to Canada.
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)