General Assessment Form

Complete your evaluation below

Personal Profile

Age*

Country of Residence*

Preferred Destination in Canada

Marital Status
Single Married Common-Law Partner

Do you have any children under the age of 22?
Yes No

How many children do you have under the age of 13?

How many children do you have aged 13 to 21?

Your Language Skills

Have you appeared for IELTS / CELPIP?
Yes No

Please provide your scores

Writing

Reading

Speaking

Listening

Do you speak French?
Yes No

Is French your Native Language?
Yes No

Have you appeared for TEF /TCF?
Yes No

Please provide your scores

Writing

Reading

Speaking

Listening

If you have not appeared for any test please provide an estimate of your Scores

Writing

Reading

Speaking

Listening

English

French

Your Education and Training

Have you completed high school (secondary school)?*
Yes No

Have you received any education or training other than high school (secondary school)?
Yes No

Please list all of your education and/or training other than high school (secondary school), starting with the most recent:

Type of Program

Program Duration

Did you complete this program?
Yes No

Location
Inside Canada Outside Canada

Province or Territory

Your Work History

Have you done any paid work during the last 10 years?*
Yes No

Starting with your current (or most recent) job, please list all the paid work you have done during the last 10 years:

Occupation

Length of Work*

When*

Work hours
Full Time (At least 30 hours per week)
Part Time (At least 15 hours per week)
Less than 15 hours per week

Type of Job
On the payroll of any organization (i.e. commercial, governmental or other)
Self-Employed or working for your own company or business

Location
Inside Canada Outside Canada

Province or Territory

What type of Work Permit do you currently hold?

Express Entry Profile

Have you already submitted an Express Entry profile to the Government of Canada within the past 12 months
Yes No

Have you already received an Invitation to Apply for permanent residence from the Government of Canada through the Express Entry system?
Yes No

Canadian Job Offer

Do you have a written job offer from a Canadian employer?
Yes No

Occupation

Province or Territory

What is the contract duration?
Two years or longer
Between one and two years
Between six months and one year
Less than six months

Work hours
Full Time (At least 30 hours per week)
Part Time (At least 15 hours per week)
Less than 15 hours per week

Is this Job Offer supported by a Labour Market Impact Assessment (LMIA)?
Yes No I don't know

Is the job being offered exempt from a LMIA by an international trade agreement (e.g. NAFTA) or a federal-provincial agreement?
Yes No I don't know

Family or Friends in Canada

Do you have a close friend living in the province of Manitoba who is 18 years or older?
Yes No

Do you have any family members or relatives living in Canada and who are 18 years or older?
Yes No

Please list all your and/or your spouse/common-law partner's relatives in Canada

Relationship

Residency Status

Living in

Since

Your Spouse/Common-Law Partner's Information (Optional)

How old is your Spouse/Common-Law Partner?

What is your Spouse/Common-Law Partner's highest level of education completed?

What is your Spouse/Common-Law Partner's English proficiency?

What is your Spouse/Common-Law Partner's French proficiency?

Has your Spouse/Common-Law Partner worked OUTSIDE of CANADA within the last 10 years?

Yes No

How many years of full-time (30 hours per week or equivalent part-time) skilled work experience has your Spouse/Common-Law Partner obtained OUTSIDE CANADA within the last 10 years?

Has your Spouse/Common-Law Partner worked INSIDE of CANADA within the last 10 years?

Yes No

How many years of full-time (30 hours per week or equivalent part-time) skilled work experience has your Spouse/Common-Law Partner obtained INSIDE CANADA within the last 10 years?

Enter Your Contact Information

First Name*

Last Name*

Email*

Telephone

Questions and Comments

You may provide additional information that you think would be relevant to your immigration assessment. Would you like to add information at this time?
Yes No

Complete your evaluation below

Personal Profile

Your Language Skills

Your Education and Training

Please list all of your education and/or training other than high school (secondary school), starting with the most recent:

Your Work History

Starting with your current (or most recent) job, please list all the paid work you have done during the last 10 years:

Express Entry Profile

Canadian Job Offer

Family or Friends in Canada

Please list all your and/or your spouse/common-law partner's relatives in Canada

Your Spouse/Common-Law Partner's Information (Optional)

Enter Your Contact Information

Questions and Comments

REGULATED CANADIAN IMMIGRATION CONSULTANT - RCIC