CONTACT DETAILS:

First Name

Last Name

Email

Telephone

Home Address

Nationality

PERSONAL PROFILE:

Age

Marital status

Country of Residence

Preferred Destination in Canada

LANGUAGE SKILLS:

English:

Have you taken the IELTS test?YesNo

Select the score below. If you haven't taken a test please guess

Speaking:
---7.5 - 97.06.56.05.04.0 - 4.50 - 3.5

Reading :
---8 - 97.0 - 7.56.56.05.04.0 - 4.50 - 3.5

Writing :
---7.5 - 97.56.56.05.04.0 - 4.50 - 3.5

Listening :
---8.5 - 98.07.0 - 7.56.56.0 - 75.0 - 5.54.0 - 4.50 - 3.5

French:

Have you taken the TEF test?YesNo

If yes - select the score below. If no - please guess if you speak French

Speaking:
---393-450371-392349-370310-348271-309226-270181-2250-180

Reading:
---393-450371-392349-370310-348271-309226-270181-2250-180

Writing:
---393-450371-392349-370310-348271-309226-270181-2250-180

Listening:
---393-450371-392349-370310-348271-309226-270181-2250-180

What Other language do you speak?

EDUCATION AND TRAINING:

Highest level of education

Total years of education

Do you have a Canadian equivalency degree?
YesNo

If yes, title of equivalent degree

Any training (other than education)?

WORK HISTORY:

# of years paid work outside of Canada in the last 10 years

Job title

# of years paid work in Canada in skilled occupation

Job title

JOB OFFER:

Do you have a written job offer from a Canadian employer?

If yes, job title

Name of the company and province

SPOUSE AND DEPENDENTS (If applicable):

How old is your spouse?

What is the highest level of education of your spouse?

Your Spouse's English Language profieicnty

Speaking:
---7.5 - 97.06.56.05.55.04.0 - 4.50 - 3.5

Reading :
---8 - 97.0 - 7.56.56.05.0 - 5.54.0 - 4.50 - 3.5

Writing :
---7.5 - 976.56.05.04.0 - 4.50 - 3.5

Listening :
---8.5 - 98.07.56.0 - 75.554.50 - 4

How many dependent children do you have?

FAMILY AND FRIENDS IN CANADA:

Do you have any family members, relatives in Canada?

If yes, relationship

Which province they are living in?

PERSONAL NET WORTH:

Net Worth (in Canadian dollar)

Ability to bring funds in Canada

ADMISSIBILITY:

Have you or your spouse convicted of a crime?

Do you or spouse have a serious health problem?

Who referred you to contact to us?

Additional Notes

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