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Online Assessment
Assessment
Intake form
1
Step 1
2
Step 2
3
Step 3
4
Step 4
PERSONAL INFORMATION
Salutation:
Mr.
Ms.
Mrs.
Miss.
Dr.
First name:
(Required)
Last name:
(Required)
Marital Status:
Never married
Married
Widowed
Legally separated
Annulled marriage
Divorced
Common-law
Date of birth:
(Required)
MM slash DD slash YYYY
Spouse's date of birth:
(Required)
MM slash DD slash YYYY
Country of citizenship:
(Required)
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Current country of residence:
(Required)
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Email (case sensitive):
(Required)
Email (please confirm again):
(Required)
Phone (Optional):
Fax (Optional):
How did you hear from us?
Google
Yahoo
Friends
Your clients
Other
Area of Interest
(Required)
Immigrate To Canada
Work in Canada
Study in Canada
Invest in Canada
Not sure
Do you have admission from a school or post-secondary institution in Canada?
Yes
No
Further Information:
CHILDREN
Number of children:
0
1
2
3
4
5
6+
Age of child 1:
Age of child 2:
Age of child 3:
Age of child 4:
Age of child 5:
Age of child 6:
EDUCATION
Your Education:
What is your highest level of education?
(Required)
Please select
Ph. D.
Master's degree
2 or more Bachelor's degrees
Bachelor's degree (4 years)
Bachelor's degree (3 years)
Bachelor's degree (2 years)
Bachelor's degree (1 year)
Diploma, Trade certificate, or Apprenticeship (3 years)
Diploma, Trade certificate, or Apprenticeship (2 years)
Diploma, Trade certificate, or Apprenticeship (1 year)
High school diploma
Below high school diploma
Grade 12
Grade 10
Name of Diploma/degree
(Required)
Area of Studies:
(Required)
Country of Studies:
(Required)
Type of Educational Institute:
(Required)
Public
private
Have you completed any post-secondary studies in Canada?
(Required)
Yes
No
Post-secondary studies period (i.e. after Grade 12 or High School):
(Required)
1 Year
2 year
3 year or more
Name of bachelor's degree
(Required)
Your Spouse's Education:
What is your spouse's highest level of education?
(Required)
Please select
Ph. D.
Master's degree
2 or more Bachelor's degrees
Bachelor's degree (4 years)
Bachelor's degree (3 years)
Bachelor's degree (2 years)
Bachelor's degree (1 year)
Diploma, Trade certificate, or Apprenticeship (3 years)
Diploma, Trade certificate, or Apprenticeship (2 years)
Diploma, Trade certificate, or Apprenticeship (1 year)
High school diploma
Below high school diploma
Name of Diploma:
(Required)
Area of Studies:
(Required)
Country of Studies:
(Required)
Type of Educational Institute:
(Required)
Please Select
Public
Private
Has your spouse or common-law spouse completed any post-secondary studies in Canada?
(Required)
Yes
No
Spouse or common-law spouse post-secondary studies period (i.e. after Grade 12 or High School):
(Required)
1 Year
2 years
3 years Or more
Name of spouse's bachelor's degree
(Required)
LANGUAGE
Main Applicant
Have you done any English language test?
(Required)
Please Select
IELTS
CELPIP
No
English (IELTS scores)
Speak
(Required)
Read
(Required)
Write
(Required)
Listen
(Required)
English (CELPIP)
Speak
(Required)
please Select
level 1
level 2
level 3
level 4
level 5
level 6
level 7
level 8
level 9
level 10
level 11
level 12
Read
(Required)
please Select
level 1
level 2
level 3
level 4
level 5
level 6
level 7
level 8
level 9
level 10
level 11
level 12
Write
(Required)
please Select
level 1
level 2
level 3
level 4
level 5
level 6
level 7
level 8
level 9
level 10
level 11
level 12
Listen
(Required)
please Select
level 1
level 2
level 3
level 4
level 5
level 6
level 7
level 8
level 9
level 10
level 11
level 12
English (general proficiency)
Speak
(Required)
please select
Advanced/Native Proficiency (CLB 9+)
Upper Intermediate (CLB 8)
Intermediate (CLB 7)
Lower Intermediate (CLB 5)
Basic (CLB 3)
Not at all (CLB 1)
Read
(Required)
please select
Advanced/Native Proficiency (CLB 9+)
Upper Intermediate (CLB 8)
Intermediate (CLB 7)
Lower Intermediate (CLB 5)
Basic (CLB 3)
Not at all (CLB 1)
Write
(Required)
please select
Advanced/Native Proficiency (CLB 9+)
Upper Intermediate (CLB 8)
Intermediate (CLB 7)
Lower Intermediate (CLB 5)
Basic (CLB 3)
Not at all (CLB 1)
Listen
(Required)
please select
Advanced/Native Proficiency (CLB 9+)
Upper Intermediate (CLB 8)
Intermediate (CLB 7)
Lower Intermediate (CLB 5)
Basic (CLB 3)
Not at all (CLB 1)
Have you done TEF (Test d'évaluation de français)?
please select
Yes
No
French (TEF scores)
Speak
Read
Write
Listen
Otherwise Knowledge of French ?(general proficiency)
Speak
Please select
Advanced/Native Proficiency (NCLC 9+)
Upper Intermediate (NCLC 8)
Intermediate (NCLC 7)
Lower Intermediate (NCLC 5)
Basic (NCLC 3)
Not at all (NCLC 1)
Read
Please select
Advanced/Native Proficiency (NCLC 9+)
Upper Intermediate (NCLC 8)
Intermediate (NCLC 7)
Lower Intermediate (NCLC 5)
Basic (NCLC 3)
Not at all (NCLC 1)
Write
Please select
Advanced/Native Proficiency (NCLC 9+)
Upper Intermediate (NCLC 8)
Intermediate (NCLC 7)
Lower Intermediate (NCLC 5)
Basic (NCLC 3)
Not at all (NCLC 1)
Listen
Please select
Advanced/Native Proficiency (NCLC 9+)
Upper Intermediate (NCLC 8)
Intermediate (NCLC 7)
Lower Intermediate (NCLC 5)
Basic (NCLC 3)
Not at all (NCLC 1)
Spouse
Has your spouse/common-law partner done any English language test?
Please Select
IELTS
CELPIP
No
English (IELTS scores)
Speak
Read
Write
Listen
English (CELPIP)
Speak
Please Select
level 1
level 2
level 3
level 4
level 5
level 6
level 7
level 8
level 9
level 10
level 11
level 12
Read
Please Select
level 1
level 2
level 3
level 4
level 5
level 6
level 7
level 8
level 9
level 10
level 11
level 12
Write
Please Select
level 1
level 2
level 3
level 4
level 5
level 6
level 7
level 8
level 9
level 10
level 11
level 12
Listen
Please Select
level 1
level 2
level 3
level 4
level 5
level 6
level 7
level 8
level 9
level 10
level 11
level 12
English (general proficiency)
Speak
Please select
Advanced/Native Proficiency (CLB 9+)
Upper Intermediate (CLB 8)
Intermediate (CLB 7)
Lower Intermediate (CLB 5)
Basic (CLB 3)
Not at all (CLB 1)
Read
Please select
Advanced/Native Proficiency (CLB 9+)
Upper Intermediate (CLB 8)
Intermediate (CLB 7)
Lower Intermediate (CLB 5)
Basic (CLB 3)
Not at all (CLB 1)
Write
Please select
Advanced/Native Proficiency (CLB 9+)
Upper Intermediate (CLB 8)
Intermediate (CLB 7)
Lower Intermediate (CLB 5)
Basic (CLB 3)
Not at all (CLB 1)
Listen
Please select
Advanced/Native Proficiency (CLB 9+)
Upper Intermediate (CLB 8)
Intermediate (CLB 7)
Lower Intermediate (CLB 5)
Basic (CLB 3)
Not at all (CLB 1)
Has your spouse done TEF (Test d'évaluation de français)?
Please Select
Yes
No
French (TEF scores)
Speak
Read
Listen
Write
Otherwise Knowledge of French ?(general proficiency)
Speak
Please select
Advanced/Native Proficiency (NCLC 9+)
Upper Intermediate (NCLC 8)
Intermediate (NCLC 7)
Lower Intermediate (NCLC 5)
Basic (NCLC 3)
Not at all (NCLC 1)
Read
Please select
Advanced/Native Proficiency (NCLC 9+)
Upper Intermediate (NCLC 8)
Intermediate (NCLC 7)
Lower Intermediate (NCLC 5)
Basic (NCLC 3)
Not at all (NCLC 1)
Write
Please select
Advanced/Native Proficiency (NCLC 9+)
Upper Intermediate (NCLC 8)
Intermediate (NCLC 7)
Lower Intermediate (NCLC 5)
Basic (NCLC 3)
Not at all (NCLC 1)
Listen
Please select
Advanced/Native Proficiency (NCLC 9+)
Upper Intermediate (NCLC 8)
Intermediate (NCLC 7)
Lower Intermediate (NCLC 5)
Basic (NCLC 3)
Not at all (NCLC 1)
WORK IN CANADA
Have you been in Canada as a temporary foreign worker?
(Required)
Yes
No
How many years have you worked full-time in this position in Canada?
(Required)
1 year
None
2 years or more
Are you currently employed in Canada?
(Required)
Yes
No
When did you leave your employment in Canada?
(Required)
Less than a year ago
More than a year ago
Arranged employment:
(Required)
Yes
No
NOC:
NOC 00
NOC 0, A, B
Not sure
Do you have a certificate of qualification in a trade occupation issued by a province?
(Required)
Yes
No
Do you have a a nomination certificate from a Canadian province (except Quebec)?
(Required)
Yes
No
FAMILY RELATIONS IN CANADA
Do you or, if applicable your accompanying spouse, or common-law partner have a blood relative living in Canada who is a citizen or a permanent resident of Canada?
(Required)
Yes
No
Their relationship with you
None
Mother or father
Daughter or son
Sister or brother
Niece or nephew
Grandmother or grandfather
Granddaughter or grandson
Aunt or uncle
Spouse or common-law partner
Does this relative wish to sponsor you? If unsure, please choose No.
(Required)
Yes
No
Are you currently a full-time student?
(Required)
Yes
No
Have you been a full-time student and substantially dependent on your parents for financial support since before the age of 19?
(Required)
Yes
No
Does this relative wish to sponsor you? If unsure, please choose No.
(Required)
Yes
No
How old is your relative?
(Required)
Younger than 18 years
18 years or over
What is the employment status of your relative?
(Required)
Employed
Self-Employed
Unemployed
How many people is this relative financially responsible for in his/her household in Canada?
(Required)
0
1
2
3
4
5
6
7
8
9
How much is the annual household income of your relative? This includes the combined annual income of your relative and his/her spouse.
(Required)
CDN$
Does this relative wish to sponsor you? If unsure, please choose No.
(Required)
Yes
No
How old is your relative?
(Required)
Younger than 18 years
18 years or over
What is the employment status of your relative?
Employed
Self-Employed
Unemployed
How many people is this relative financially responsible for in his/her household in Canada?
0
1
2
3
4
5
6
7
8
9
How much is the annual household income of your relative? This includes the combined annual income of your relative and his/her spouse.
CDN$
Does this relative wish to sponsor you? If unsure, please choose No.
Yes
No
Previous and the Future Visit(s)
Have you or your spouse previously visited Canada for work, travel, or study?
please select
Yes
No
Have you or your spouse previously applied for immigration or visa to Canada?
please select
Yes
No
Where is your preferred destination in Canada?
please select
Any
Alberta (AB)
British Columbia (BC)
Manitoba (MB)
New Brunswick (NB)
Newfoundland and Labrador (NL)
Northwest Territories (NT)
Nova Scotia (NS)
Nunavut (NU)
Ontario (ON)
Prince Edward Island (PE)
Quebec (QC)
Saskatchewan (SK)
Yukon (YT)
Have you previously submitted an Express Entry application?
please select
Yes
No
I am not sure what it is
WHAT IS YOUR OCCUPATION?
Attach Your Most Recent CV/Resume:
Max. file size: 512 MB.
Please indicate what best describes your occupational job title.
Job Title:
(Required)
Duration:
(Required)
6 years or more
5 years or more, but less than 6 years
4 years or more, but less than 5 years
3 year or more, but less than 4 years
2 year or more, but less than 3 years
1 year or more, but less than 2 years
9 months or more, but less than 1 year
6 months or more, but less than 9 months
3 months or more, but less than 6 months
Less than 3 months
Location:
(Required)
Outside Canada
In Canada
In USA
Province:
(Required)
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Are you PRESENTLY WORKING in this job?
(Required)
Yes
No
Were you legally entitled to work in the country where you gained this work experience?
(Required)
Yes
No
Type of Employment:
Does your spouse/common-law partner have any occupational experience?
(Required)
Yes
No
WHAT IS YOUR SPOUSE'S OR COMMON-LAW PARTNER'S OCCUPATION?
Attach Your Spouse/Partner's Most Recent CV/Resume:
Max. file size: 512 MB.
Please indicate what best describes your occupational job title.
Job Title:
Duration:
Please Select
6 years or more
5 years or more, but less than 6 years
4 years or more, but less than 5 years
3 year or more, but less than 4 years
2 year or more, but less than 3 years
1 year or more, but less than 2 years
9 months or more, but less than 1 year
6 months or more, but less than 9 months
3 months or more, but less than 6 months
Less than 3 months
Location:
Outside Canada
In Canada
In USA
Province:
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Are you PRESENTLY WORKING in this job?
(Required)
Yes
No
Is your job qualified for social security?
(Required)
Yes
No
Type of Employment:
BUSINESS/FINANCES
How much is your net worth? (in Canadian Dollars CDN$)
0 to 9,999
10,000 to 24,999
25,000 to 49,999
50,000 to 99,999
100,000 to 299,999
300,000 to 499,999
500,000 to 799,999
800,000 to 999,999
1,000,000 to 1,599,999
1,600,000+
Prefer not to disclose
Do you have experience managing a business?
(Required)
Yes
No
In the past 5 years, how many years of managerial experience do you have?
1 Year
2 Years
3 Years
4 Years
5 Years +
What is the number of full-time staff under your management?
Do you own this business?
Yes
No
What is your percentage of ownership in this business?
%
What is the annual sales of this business?
CDN$
What is the annual net income of this business?
CDN$
What is the net assets of this business?
CDN$