Please complete the following immigration assessment form and submit to us when completed. This will enable us to assess your scope for immigration.

If you wish to send this information by fax, you can print this page and fax the completed form to 604-420-9353.

Note : the more detailed your submission, the easier it is for us to assess your information. Fields highlighted are required fields.
 
* Personal Details
 *Name :   
 Destination :   
 Category :   
 Date of birth :   
 Spouse :   
 Date of birth :   
 Marital Status :   
 Children :   
 Children ages :   
 Address :   
 Telephone (home):   
 Telephone (work):   
 Telephone (Mobile):   
 Email :   
 
 Do you have relatives in the country   
 Have you visited the country?   
 Remarks-to include more details (e.g. destination, purposes etc.)
  
* Language
Language
High proficiency - You can communicate effectively in most community and workplace situations.
Moderate proficiency - You can make yourself understood and you understand what others are saying in most workplace and community situations.
Basic proficiency - You do not meet the above criteria for moderate proficiency but still have some ability to speak, listen to, read or write the language.
No proficiency - You have no ability whatsoever in speaking, listening to, reading or writing the language.
   ¢º Applicant
English   High Moderate Basic Not at all
 Speaking
 Reading
 Writing
 Listening
French   High Moderate Basic Not at all
 Speaking
 Reading
 Writing
 Listening
 English/French language test score :   
 Name of test :   
   ¢º Spouse
English   High Moderate Basic Not at all
 Speaking
 Reading
 Writing
 Listening
French   High Moderate Basic Not at all
 Speaking
 Reading
 Writing
 Listening
 English/French language test score :   
 Name of test :   
* Education
   ¢º Post Secondary Education - Details
  
   ¢º School Education
   Post Secondary Education     e.g.) 2years 5months
   Secondary/High School     e.g.) 2years 5months
   Primary School     e.g.) 2years 5months
* Work Experience
   Please fill in details in the order of the most recently held job first
   ¢º Work Experience of Applicant
   From        to      
 Name of Company :   
 Job Title :   
 Job description :   
 Annual salary/sales/net income :   
 
   Please fill in details in the order of the most recently held job first
   ¢º Work Experience of Spouse (if applicable)
   From        to      
 Name of Company :   
 Job Title :   
 Job description :   
 Annual salary/sales/net income :   
* Personal Networth
 Fixed Assets (Real Estate) :   
 Liquid Assets
  (bank deposit/stocks and bonds) : 		  
 Other Assets :   
 Total amount :   
 Remarks - to include more details (e.g. attach resume)