If you are married or have a spouse, the spouse must fill this step (When applicable)
Assessment Form
Education
Work experience
Other
Spouse
Personal Information
Name
Address of residence (City, Street Nb, Building, Floor, Postal code, Country)
Cell phone
E-Mail
Date of birth
Place of birth
Passport number
Country of citizenship (can be more than one, he must be able to mention all)
How did you hear about us?
Marital Status
Have you been previously married or in previous common law relationship?
Do you have children from other marriages that will be accompanying you to Canada?
Will your children accompany you to Canada?
Will your spouse accompany you to Canada?
Diploma 1 title
Official number of study years
Year of graduation
Field of study
Name of the educational institution
Country of education
Diploma 2 title
Official number of study years
Year of graduation
Field of study
Name of the educational institution
Country of education
Do you have an ECA? If yes we need the below information
ECA report number
ECA date of report
Highest Degree obtained on ECA report
Employer 1 name
Location of the employer
Position title
Start date
End date
Number of hours per week
Main tasks
Employer 2 name
Location of the employer
Position title
Start date
End date
Number of hours per week
Main tasks
Employer 3 name
Location of the employer
Position title
Start date
End date
Number of hours per week
Main tasks
Grade your language skills in English
Listening
Reading
Writing
Speaking
Grade your language skills in French
Listening
Reading
Writing
Speaking
Did you do any language test for English or French?
Select option
Date of test
Fill if you have family members in Canada
Name
Relationship to you
Province
Name
Relationship to you
Province
Fill if you previously visited or stayed in Canada
Date of visit
Purpose of visit
Duration of stay
Province visited
How much in Canadian Dollars will you be able to bring with you to Canada if accepted?
Fill if you are bring more than $25,000 Canadian Dollars
How much you will be willing to invest?
Would you have a preference to certain province?
Would you be interested in immigrating to Canada as a student?
Do you have a job offer from a Canadian employer?
Statutory questions
Have you or any of your family members been convicted of a crime or offence in Canada for which a pardon has not been granted under the Criminal Records Act of Canada?
Have you or any of your family members ever committed, been arrested for, been charged with or convicted of any criminal offence in any country?
Have you or any of your family members made previous claims for refugee protection in Canada or at a Canadian visa office abroad, in any other country or countries, or with the United Nations High Commissioner for Refugees (UNHCR)?
Have you or any of your family members been refused refugee status, or an immigrant or permanent resident visa (including a Certificat de sélection du Québec (CSQ) or application to the Provincial nominee Program) or visitor or temporary resident visa, to Canada or any other country?
Have you or any of your family members ever been refused a visa or permit, denied entry or ordered to leave Canada or any other country?
Have you or any of your family members been involved in an act of genocide, a war crime or in the commission of a crime against humanity?
Have you or any of your family members used, planned or advocated the use of armed struggle or violence to reach political, religious or social objectives?
Have you or any of your family members been associated with a group that used, uses, advocated or advocates the use of armed struggle or violence to reach political, religious or social objectives?
Have you or any of your family members been a member of an organization that is or was engaged in an activity that is part of a pattern of criminal activity?
Have you or any of your family members been detained, incarcerated, or put in jail?
Have you or any of your family members had any serious disease or physical or mental disorder?
Did you or any of your family members serve any military time?
If you have any comments or information to share that are not listed in the above application and you think they are relevant to your case kindly share them here
Spouse Personal Information
s-First name
s-Last name
s-Date of birth
s-Country of citizenship
s-Phone number (including area code):
s-Email address
s-Have you been previously married or in previous common law relationship?
s-Do you have children from other marriages that will be accompanying you to Canada?
s-Will your children accompany you to Canada?
Diploma 1 title (Spouse)
s-Official number of study years:
s-Year of graduation
s-Field of study
s-Name of the educational institution
s-Country of education
Diploma 2 title (Spouse)
s-Official number of study years
s-Year of graduation
s-Field of study
s-Name of the educational institution
s-Country of education
Do you have an ECA? If yes we need the below information (Spouse)
s-ECA report number
s-ECA date of report
s-Highest Degree obtained on ECA report
Employer 1 name (Spouse)
s-Location of the employer
s-Position title
s-Start date
s-End date
s-Number of hours per week
s-Main tasks
Employer 2 name (Spouse)
s-Location of the employer
s-Position title
s-Start date
s-End date
s-Number of hours per week
s-Main tasks
Employer 3 name (Spouse)
s-Location of the employer
s-Position title
s-Start date
s-End date
s-Number of hours per week
s-Main tasks
Grade your language skills in English (Spouse)
s-Listening
s-Reading
s-Writing
s-Speaking
Grade your language skills in French (Spouse)
s-Listening
s-Reading
s-Writing
s-Speaking
Did you do any language test for English or French? (Spouse)
s-Select option
s-Date of test
Fill if you have family members in Canada (Spouse)
s-Name
s-Relationship to you
s-Province
s-Name
s-Relationship to you
s-Province
Fill if you previously visited or stayed in Canada (Spouse)
s-Date of visit
s-Purpose of visit
s-Duration of stay
s-Province visited
Statutory questions (Spouse)
s-Have you or any of your family members been convicted of a crime or offence in Canada for which a pardon has not been granted under the Criminal Records Act of Canada?
s-Have you or any of your family members ever committed, been arrested for, been charged with or convicted of any criminal offence in any country?
s-Have you or any of your family members made previous claims for refugee protection in Canada or at a Canadian visa office abroad, in any other country or countries, or with the United Nations High Commissioner for Refugees (UNHCR)?
s-Have you or any of your family members been refused refugee status, or an immigrant or permanent resident visa (including a Certificat de sélection du Québec (CSQ) or application to the Provincial nominee Program) or visitor or temporary resident visa, to Canada or any other country?
s-Have you or any of your family members ever been refused a visa or permit, denied entry or ordered to leave Canada or any other country?
s-Have you or any of your family members been involved in an act of genocide, a war crime or in the commission of a crime against humanity?
s-Have you or any of your family members used, planned or advocated the use of armed struggle or violence to reach political, religious or social objectives?
s-Have you or any of your family members been associated with a group that used, uses, advocated or advocates the use of armed struggle or violence to reach political, religious or social objectives?
s-Have you or any of your family members been a member of an organization that is or was engaged in an activity that is part of a pattern of criminal activity?
s-Have you or any of your family members been detained, incarcerated, or put in jail?
s-Have you or any of your family members had any serious disease or physical or mental disorder?
s-Did you or any of your family members serve any military time?
