Immigration Self-Assessment

Name:

Email address:*

How did you hear about us (if Other, please specify):
Internet searchReferralNewspaper advertisementOther

Phone number:

Country of residency:

Title:
MaleFemale

Age:*

Marital status:*
---SingleMarriedEngaged

Children (if yes, please tell us how many and how old in "Additional Notes"):
YesNo

Occupation title and duties (list your occupation(s) in the past 10 years and your main duties):*

Work experience (your work experience must be skilled and in the past 10 years. You will earn points for the number of years you have spent in full-time (30 hours per week or 1560 hours per year) paid work.):*
Under 1 year1 year2-3 years4-5 years6+ years

Education (choose the highest level of completed education):*
---No high schoolHigh schoolTwo-year or longer post-secondary credentialThree-year or longer post-secondary credentialMasters degreeDoctoral level

What is the name of your degree or area of specialty in education (e.g. Bachelor of Mechanical Engineering):*

How many years of formal education (this includes elementary/primary school, secondary/high school, university/college, trade school, or other post secondary school):*

Age of spouse (if applicable):

Occupation title and duties of spouse (if applicable, list their occupation(s) in the past 10 years and their main duties):

Education of spouse (if applicable, choose the highest level of completed education):
---No high schoolHigh schoolTwo-year or longer post-secondary credentialThree-year or longer post-secondary credentialTwo or more post-secondary credentials (one should be three years or longer)Masters degreeDoctoral level

What is the name of your spouse's degree or area of specialty in education (e.g. Bachelor of Mechanical Engineering):

How many years of formal education does your spouse have (this includes elementary/primary school, secondary/high school, university/college, trade school, or other post secondary school):

Arranged employment (is there a company in Canada that wants to hire you?)*
Yes (if yes, please describe below under Additional Notes)No

Relative in Canada (you or your accompanying spouse have a relative above 18 years old, parent, grandparent, child, grandchild, brother, sister, aunt, uncle, niece, or nephew who is residing in Canada and is a Canadian citizen or permanent resident):*
YesNo

Previous work or study in Canada (you or your accompanying spouse have completed a minimum of one year of full-time work or study in Canada):*
YesNo

Additional notes (if you have any comments or concerns, please share with us):

Canadian immigration consultation (are you interested in a consultation in person/skype/phone):*
YesNo

Enter the code:*