Evaluation Form -

1) Full Name *

First

Last

2) Date of birth *

dd-mm-yyyy

3) Email Address *

4) Marital Status *

5) Country of Birth *

6) Country of Citizenship *

7) Current Country of Residence *

8) Current Country of Status

9) Please select your level of education from the choices below *

10a. Are your test results less than two years old? *

English Language

10b. Which language test did you take for your first official language? *

Speaking *

Listening *

Reading *

Writing *

11a) Please list your previous work experience in the past 10 years. Starting with your most recent occupation. *

From

12) Please list your previous work experience in the past 10 years. Starting with your most recent occupation. (copy) *

To

12) Please list your previous work experience in the past 10 years. Starting with your most recent occupation. (copy) (copy) *

Job Title

12) Please list your previous work experience in the past 10 years. Starting with your most recent occupation. (copy) (copy) (copy) *

Basic Job Description

11b) Please list your previous work experience in the past 10 years. Starting with your most recent occupation. *

From

12) Please list your previous work experience in the past 10 years. Starting with your most recent occupation. (copy) (copy) *

To

12) Please list your previous work experience in the past 10 years. Starting with your most recent occupation. (copy) (copy) (copy) (copy) *

Job Title

12) Please list your previous work experience in the past 10 years. Starting with your most recent occupation. (copy) (copy) (copy) (copy) *

Basic Job Description

11c) Please list your previous work experience in the past 10 years. Starting with your most recent occupation.

From

12) Please list your previous work experience in the past 10 years. Starting with your most recent occupation. (copy) (copy) (copy) *

To

12) Please list your previous work experience in the past 10 years. Starting with your most recent occupation. (copy) (copy) (copy) *

Job Title

12) Please list your previous work experience in the past 10 years. Starting with your most recent occupation. (copy) (copy) (copy) (copy) (copy) *

Basic Job Description

12. Do you have a permanent job offer from a Canadian employer? *

Yes
no

Arranged Employment in Canada

13. Please check your accompanying spouse or common-law partner’s level of education.

Yes
no

Adaptability If you do not have an accompanying spouse or common-law partner, please skip this question and proceed to question no 16.

14. Have you or your accompanying spouse or common-law partner previously studied at least two-years on a valid study permit in Canada after age of 17 ? ( Note: you do not need to have completed the program) —

Yes
no

15. Have you or your accompanying spouse or common-law partner previously worked for one-year with a valid work permit?

Yes
no

16. Do you or your accompanying spouse or common-law partner have family in Canada such as parent, grandparent, child, grandchild, child of a parent, sibling, child of a grandparent, aunt or uncle, or grandchild of a parent, niece or nephew who is currently residing in Canada as Canadian citizen or permanent resident.?

Yes
no

17. Do you have a net worth of more that $300,000 or $800,000 Canadian Dollars? *

$300,000
$800,000
No

18. Are you able to provide documented proof to the Canadian government that your net worth was legally obtained? *

Yes
no

19. Do you have sole ownership of your business?

Yes
no

20. What percentage of the business do you own?

Yes
no

21. How many years have you actively managed your business in the past 5 years?

Yes
no

22. Have you managed a team of five employees or more in the last five years?

Yes
no

Thank you for completing this eligibility assessment form. Please press ‘submit form’ button to send. We will reply to you within two business days.