Basic Assessment Questionnaire for Canadian Immigration

Home Contact Us

Basic Assessment Questionnaire
for Canadian Immigration

Please complete the following form. The purpose of this form is to assess your eligibility for immigration. All Information provided in this form will remain strictly confidential and secure. We will not, in any circumstances, share your personal information with other individuals or organizations without your permission, except when applicable by law.

Last Name

First Name

Gender

Phone

Date of Birth

Country of Birth

Country of Citizenship

Marital Status

Are you currently in Canada?

YES NO

Service you are interested to know about?

Business Immigration Citizenship Express Entry Family Sponsorship Labour Market Impact Assessment (LMIA) Provincial Nominee Program (PNP) Permanent Residence Application Post Graduate Work Permit (PGWP) Study Permit/ Study Permit Extension Visitor Visa/ Visitor Record Work Permit/ Bridging Open Work Permit Other Services Not sure, please evaluate all options

Have you earned a Canadian degreee, diploma, or certificate?

YES NO

What is your highest level of education?

Which language test did you take?

IELTS - General IELTS - Academic CELPIP TEF Other

Reading

Listening

Writing

Speaking

Do you have a job offer or potential job offer from a Canadian Employer?

YES NO

Please upload your updated resume or curriculum vitae.

Spouse Full Name

Spouse Country of Citizenship

Spouse Date of Birth

Is your spouse currently in Canada?

YES NO NOT APPLICABLE

Spouse - Highest Level of Education

Do you have any children?

YES NO

If YES, provide details.

Have you or your spouse ever been refused a visa or permit, denied entry or ordered to leave Canada or any other country?

YES NO

Do you or your spouse have a pending immigration application in Canada?

YES NO

Do you or your spouse have any relatives in Canada?

YES NO

Have you ever owned or operated a business?

YES NO

How many years of business experience do you have?

When is the best time to contact you?

Morning Afternoon Evening

What is the best way to contact you?

Phone Email

Do you have any questions for us?

If YES, please attach your company profile (including: the type of business, your role, duties and responsibilities).

Declaration

I, AGREE that the information provided by me in the form is true and correct to the best of my knowledge.

Declaration

I, AGREE to the Terms and Conditions.

I wish to receive occasional newsletter emails.