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Free Immigration Evaluation Form



If you are interested in immigrating to Canada, simply fill out the following preliminary evaluation form and we will provide you with a free Immigration Evaluation. If you have a spouse or live with a partner, he or she should also complete the questionnaire.

Please complete the form below and click the SUBMIT EVALUATION button when finished. We will respond to you shortly.
required field = Required
1. Title: Mr. Dr. Mrs. Miss Ms required field

2. Last Name:
required field
3. First Name:
required field
4. Address:
required field
5. City:
required field

6. Province/State
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7. Country:
required field
8. Postal/Zip Code:
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9. Phone Number:
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10. Fax Number:


11. E-Mail Address:
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12. Date of Birth:
required field required field required field
13. Marital Status:
Single Married Divorced Widowed Live With Partner required field

14. Number of Children:
required field

15. Age of Children:
16. If children are over 22 yrs old, are they still enrolled in full-time study?
Yes No

17. Do you or your spouse have any of the following relatives living in Canada? (please check all that apply)
Mother/Father
Grandmother/Grandfather
Son/Daughter
Grandson/Granddaughter
Brother/Sister
Aunt/Uncle
Niece/Nephew
18. How many total years of education do you have?
required field
19. Do you have a trade certificate? Yes No required field
If yes, in what field?
20. How many years did you spend in trade school?


21. Do you have a University degree/diploma? Yes No required field
If yes, in what field?


22. Do you have a Masters degree or Ph. D.? Yes No required field
If yes, in what field?
23. Including your current occupation, chronologically list all occupations you have had in the last 10 years and how many years you spent in each occupation:
required field
24. Your Knowledge of English:
Excellent Good Poor required field

25. Your Knowledge of French:
Excellent Good Poor required field

26. Have you or your spouse ever worked in Canada? Yes No required field

27. Have you or your spouse ever studied in Canada? Yes No required field

28. Do you own a business? Yes No required field
If yes, what type?
29. What is your personal net worth in U.S. Dollars?
(calculate your total personal net worth by adding up all the cash in banks and elsewhere that you have, then add the value of all property located anywhere in the world such as real estate, cars, and furniture and then subtract all of your debts)
$
required field

30. Do you currently have an Application for Immigrating to Canada in process which was filed by yourself or someone on your behalf?
Yes No required field

31. Do you have any additional comments or questions?


 
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