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Personal Information
Last Name:
First Name: Prefix

Middle Name:
Address:
City:
Province/State:
Country:
Postal/Zip Code:
Phone Number:
Office Number:
Fax Number:
E-mail Address:
   
Age:
Marital Status:
Country of Citizenship:

Country of Birth:

Spouse/Partner's Country of Birth:
Ages of Children:

Spouse/Partner's Country of Citizenship:

Education

Please select one of the following:

University

PhD, or Master's, AND at least 17 years of full-time or full-time equivalent study.

Two or more university degrees at the Bachelor's level AND at least 15 years of      full-time or full-time equivalent study.

A two-year university degree at the Bachelor's level AND at least 14 years of      full-time or full-time equivalent study.

A one-year university degree at the Bachelor's level AND at least 13 years of      full-time or full-time equivalent study.

Trade or Non-university Certificate or Diploma

A three-year diploma, trade certificate or apprenticeship AND at least 15 years of      full-time or full-time equivalent study.

A two-year diploma, trade certificate or apprenticeship AND at least 14 years of      full-time or full-time equivalent study.

A one-year diploma, trade certificate or apprenticeship AND at lease 13 years of      full-time or full-time equivalent study.

A one-year diploma, trade certificate or apprenticeship AND at least 12 years of      full-time or full-time equivalent study.


Secondary School Educational Credential

Completion of secondary (high) school.


Language Ability

Have You Written The IELTS Test? : Yes No

English Read Write Speak
High Proficiency
Moderate Proficiency
Basic Proficiency
No Proficiency
 
French Read Write Speak
High Proficiency
Moderate Proficiency
Basic Proficiency
No Proficiency

Employment Experience

Please list your total number of years of Employment experience indicate whether this is full-time or part-time experience:


Please describe your Employment experience below (attach a resume if you like) by listing the job title, a brief description of your duties and the dates of employment:

If you have ever owned a business, please describe your business experience in detail, including the dates of business ownership, the percentage of business ownership you held, and the role you played in the business (ie. manager or passive shareholder):


Spouses Education and Employment Experience:

If you are married or living common-law with a partner, please describe your spouse's level of education and his or her work or business ownership experience:


Employment/Study History in Canada

Have you or your spouse/partner ever worked or studied in Canada for at least 2 years? If so, please provide details:


Family Relationships

Do you or your spouse/partner have any relatives living in Canada or the United States? If so, please outline their relationship to you and their country of residence:


Offer of Employment in Canada or the U.S.

Do you or your spouse/partner have a current job offer from a Canadian or U.S. employer? If so, please provide the details of the offer:


Settlement funds available

Please list the amount of money you have available to transfer to Canada or the United States (in Canadian or U.S. currency):


Inadmissibility Issues

Criminal or Medical History:


Preferred Destination

Preferred country of destination:

Do you have an offer of employment from your preferred country of destination?
Yes No

Relative Information

1. Do you have any relatives in Canada? Yes No
2. Do you have any relatives in the U.S.? Yes No
3. Do you have a spouse or fiance(e) in Canada or the U.S.? Yes No
4. Were either of your parents Canadian citizens? Yes No
5. Were either of your parents U.S. citizens?

Yes No

 

Please ask us any specific questions in this section: