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Assessment Form
Fill out our FREE Assessment Form to assess your eligibility to immigrate to Canada.
Client Intake Form
Fields marked with an * are required
Family Name
*
Given Names
*
Referred by:
Have you consulted with or been represented by another immigration consultant or lawyer *
*
Are you interested in coming to Canada as a:
*
Mobile Number
*
Work Number
Home Number
Email
*
Residential Addres
*
Gender
*
Gender
Male
Female
Non Binary
Prefer not to say
Date of Birth
*
Place of Birth
*
Citizenship/s
*
Marital Status
*
Number of Children
Ages of Children (If Applicable)
Employment History
Education History
Have you taken an English Proficiency Test
*
Have you taken an English Proficiency Test
Yes
No
Provide your IELTS/CELPIP test results if applicable
Click to choose a file or drag here
Size limit: 10 MB
Have you taken a French Language test?
*
Have you taken a French Language test?
Yes
No
Provide your TEF/TCF test results if applicable
Click to choose a file or drag here
Size limit: 10 MB
Do you have a written full-time job offer from a Canadian employe
*
Do you have a written full-time job offer from a Canadian employe
Yes
No
Do you have a spouse, child, mother or father, brother or sister who is 18 years old or older and who is a Permanent Resident or Citizen of Canada?
*
Do you have a spouse, child, mother or father, brother or sister who is 18 years old or older and who is a Permanent Resident or Citizen of Canada?
Yes
No
Have you submitted an Express Entry profile to Immigration, Refugees and Citizenship Canada in the last 12 months
*
Have you submitted an Express Entry profile to Immigration, Refugees and Citizenship Canada in the last 12 months
Yes
No
Your Personal Net Worth (In Canadian Dollars)
Have you ever been removed from Canada/USA or any other country?
*
Have you ever been removed from Canada/USA or any other country?
Yes
No
Have you ever been arrested, detained or convicted of a crime?
*
Have you ever been arrested, detained or convicted of a crime?
Yes
No
Have you ever been charged with a crime but the case was not prosecuted or was dismissed
*
Have you ever been charged with a crime but the case was not prosecuted or was dismissed
Yes
No
Comments
Signature
*
Signature
Date
*
Submit
