Assesment - Immigre.ca

Canadian Immigration Assessment Form:

To find out if you are eligible to immigrate to Canada, you may complete the following form.

It only takes 5 minutes, and we will be e-mailing you your Free Eligibility Report within 1 to 2 days.

Personal Information

Full name:*

Email:*

Confirm Email:*

Phone:

Sex:

Date of Birth:

Nationality:

Country of residence:

City and state of residence:

Status

Civil Status:

Children under age 19:

Relatives in Canada:

Immigration demand already submitted:

Preferred desination in Canada:

Official Languages Skills

English - Speaking skills:

English - Reading skills:

English - Writing skills:

English - Listening skills:

French - Speaking skills:

French - Reading skills:

French - Writing skills:

French - Listening skills:

Education

Have you completed a secondary (high school) diploma?

Highest level of education completed:

Please specify the above:

Work Experience

Most recent or significant work experience:

Name of the Company or Organization:

Duration of said job:

Job location:

Second most recent or significant work experience:

Name of the company or organization:

Duration of said job:

Job location:

Spouse's education and work experience (if applicable)

Has your spouse completed a secondary (high school) diploma?

Your spouse's highest level of education completed:

Please specify the above:

Spouse's most recent or significant work experience:

Name of the company or organization:

Duration of said job:

Job location:

Confirmation

Money to be brought in Canada with you:

Type of immigration desired:

Timeline to apply for Canada Immigration:

How did you hear about us:

Questions or comments: