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Skilled Worker Free Assessment Form
Skilled Worker Free Assessment Form
Skilled Worker Free Assessment Form
Name:
*
Email:
*
Nationality:
*
Current Place of Residence: (City, Country)
*
Daytime Telephone number:
*
Date of Birth: (DD, MM, YYYY)
*
Gender:
*
Male
Female
Marital Status:
*
Single
Married
Divorced/Separated
Widowed
Spouse's Date of Birth: (DD, MM, YYYY)
Spouse's Highest Level of Education:
Spouse's Field of Study:
Spouse's Number of Years & Months of Work Experience:
Spouse's French Language Ability:
High
Moderate
Basic
Not at all
Number of Dependant Children:
*
Your Own English Language Skills:
*
High
Moderate
Basic
Not at All
Your Own French Language Skills:
High
Moderate
Basic
Not at All
Total Number of Years of Education:
*
First Certificate Acquired:
*
Field of Study:
*
Name of Institution:
*
City, Country:
*
2nd Certificate Acquired:
Field of Study:
Name of Institution:
City, Country:
3rd Certificate Acquired:
Field of Study:
Name of Institution:
City, Country:
Employment History: 1st Company or Organization Name:
Job Title
From Date: (DD, MM, YYYY)
To Date: (DD, MM, YYYY)
Employment Status:
Full Time
Part Time
Number of Hours Worked per Week:
Do You Still Work at This Company?
Yes
No
Employment Duties:
City, Country:
2nd Company or Organization Name:
Job Title:
From Date: (DD, MM, YYYY)
To Date: (DD, MM, YYYY)
Employment Status:
Full Time
Part Time
Number of Hours Worked per Week:
Do You Still Work at This Company?
Yes
No
Employment Duties:
City, Country:
3rd Company or Organization Name:
Job Title:
From Date: (DD, MM, YYYY)
To Date: (DD, MM, YYYY)
Employment Status:
Full Time
Part Time
Number of Hours Worked per Week:
Do You Still Work at This Company?
Yes
No
Employment Duties:
City, Country:
Relationship to Closest Blood Relative in Canada (Canadian Citizen or Landed Immigrant):
Blood Parent
Blood Aunt or Uncle
Blood Brother or Sister
Blood Son or Daughter
Blood Niece or Nephew (22 Years or Older)
Blood Grand Parent
Blood Cousin
Relative's Province of Residence:
Personal Net Worth (in Canadian Dollars):
*
Do you currently have an offer of employment from a Canadian employer?
Yes
No
If Yes, Provide Details Here:
Have you or your spouse/common law partner or dependent children ever have any serious disease?
Yes
No
Have you or your spouse/common law partner or dependent children ever been convicted of or currently charged with any crime or offence in any country?
Yes
No
Have you or your spouse/common law partner or dependent children ever applied for an immigrant visa to Canada?
Yes
No
Have you or your spouse/common law partner or dependent children ever visited Canada (for a visit, study or work)?
Yes
No
If The Answer to Any of The Above Four Questions Is Yes, Provide Details Below:
Additional Comments if Any:
Verification
Please enter any two digits with
no
spaces (Example: 12)
*
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About us
Citizenship
Visas
Our Services
Sponsoring your Family
Skilled workers and Professionals
Investors, Entrepreneurs and Self-Employed
Canadian Experience Class
Provincial Nominees
Quebec-selected skilled workers
Our Missions
Contact us
