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Assesment Form
Enter Your Contact Information
First Name
*
Last Name
Email
*
Phone
*
Best Time(s) to Contact You in EST (Eastern Standard Time) or UTC-05:00
*
Best method of contact
*
Phone
Email
Both
Personal Profile
Area of Interest
*
Immigrate to Canada
Work in Canada
Study In Canada
Invest in Canada
Not Sure
Country of Citizenship
*
Current Country of Residence
*
Date of Birth
*
Net Worth
*
Less than 10,000 CND
Between 25,000 and 100,000 CND
Between 100,000 and 500,000 CND
Between 500,000 and 1,000,000 CND
Marital Status
*
Never Married
Married
Widowed
Legally Seperated
Annulled marriage
Divorced
Common law
Do You Have Children Under 22?
*
Yes
No
Please indicate your English and French skills below
English Writing
*
None
Basic
Intermediate
Superior
English Reading
*
None
Basic
Intermediate
Superior
English Speaking
*
None
Basic
Intermediate
Superior
English Listening
*
None
Basic
Intermediate
Superior
French Writing
*
None
Basic
Intermediate
Superior
French Reading
*
None
Basic
Intermediate
Superior
French Speaking
*
None
Basic
Intermediate
Superior
French Listening
*
None
Basic
Intermediate
Superior
Education
Have you graduated from high school (secondary school)?
*
Yes
No
Not including high school (secondary school), have you received any other education or training?
*
Yes
No
Education
Have you performed any paid work during the last 10 years?
*
Yes
No
Do you have a written job offer from a Canadian employer?
*
Yes
No
Do You Have Management Experience?
*
Yes
No
Have You Ever Owned a Business?
*
Yes
No
Family in Canada
Do you have any family members or relatives living in Canada and who are 18 years or older?
*
Yes
No
Express Entry
Have you already submitted an Express Entry profile to the government of Canada within the past 12 month
*
Yes
No
Criminal History
Has the applicant ever been refused entry or charged with a criminal offence?
*
Yes
No
Questions and Comments
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How did you hear about us?
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IM4 Webiste
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