Questionnaire

Name *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Email Address *

Phone

Age *

City of residence:

Current and previous status/type of permit in Canada (if applicable):

Date of expiry of your current immigration status in Canada (if applicable):YYYY-MM-DD

Place of birth:

Nationality(ies):

Marital status:

Do you have spouse/common-law partners? *

Age

Nationality:

Canadian PR

The highest level of education:

Number of years of skilled work experience:

Did they take an English or French language exam?

Specify the results

Do you have children?

Children age

Your highest level of education:

Degree:

No. of years:

Mayor:

Educational institution:

Do you have Canadian education?

Canadian educational institution name:

Do you speak English or French?

EnglishFrenchDo you speak English or French?

Did you have taken a language test?

What is your score

Listening:

Reading:

Writing:

Speaking:

Do you have at least one year of Canadian work experience?

Number of years

Name of your current job position:

How many years of work experience do you have in total?

Please specify your work experience below:

Position

FromYYYY-MM-DD

ToYYYY-MM-DD

Company Name

City, Country

Do you have an LMIA work permit?

Do you or your spouse / common-law partner have a sibling living in Canada who is a Canadian citizen or permanent resident?

Do you have a job offer from a Canadian employer?

Canadian employer:

Company name:

For what position is the job offer?

Hourly offered salary?

Would you like to study in Canada?

Do you know what program and the institution?

Have you ever stayed beyond the validity of your status in any country or been refused visa to any country?

Please specify:

Do you have any criminal record in any country or have you been charged with a crime?

Questionnaire

Do you speak English or French?

Are you interested in our services?

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