ASSESSMENT FORM

INITIAL ASSESSMENT FORM

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Step 1 of 3 - Personal Information

33%

FIRST NAME*

FAMILY NAME*

TELEPHONE*

DATE OF BIRTH*

CURRENT MARITAL STATUS*

E-MAIL*

CITY AND COUNTRY OF BIRTH*

CURRENT ADDRESS*

INITIAL ASSESSMENT FORM

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Step 2 of 3 - Education , Language knowledge

66%

Education

NAME OF THE UNIVERSITY OR COLLAGE

INSTITUTION DATE COMPLETE

NAME OF THE CERTIFICATE

PROGRAM

PROFESSIONAL AFFILIATION & TECHNICAL TRAININGS / CERTIFICATES DATE*

Language knowledge

IF YOU HAVE COMPLETED IELTS, PLEASE ENTER YOUR SCORE:

ENGLISH LANGUAGE SPEAK

ENGLISH LANGUAGE READ

ENGLISH LANGUAGE WRITE

IF YOU HAVE COMPLETED TEF, PLEASE ENTER YOUR SCORE:

FRENCH LANGUAGE SPEAK

FRENCH LANGUAGE READ

FRENCH LANGUAGE WRITE

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Step 3 of 3 - Work Experience , rest of Information

100%

Work Experience

OCCUPATION

COMPANY FROM

COMPANY TO

CITY/COUNTRY

rest of Information

HOW MUCH MONEY WILL YOU BRING TO CANADA?

HAVE YOU BEEN CONVICTED OF OR CURRENTLY CHARGED WITH A CRIME OR OFFENCE IN ANY COUNTRY?

PREVIOUSLY SOUGHT REFUGEE STATUS IN CANADA OR APPLIED FOR AN IMMIGRANT OR VISITOR VISA?

BEEN REFUSED REFUGEE STATUS IN, OR AN IMMIGRANT OR VISITOR VISA TO, CANADA OR ANY OTHER COUNTRY?

IF APPLICABLE, HAVE YOU FINISHED YOUR MILITARY DUTY AND RECEIVE YOUR CARD?

INITIAL ASSESSMENT FORM

"*" indicates required fields

Step 4 of 5 - Language knowledge

80%

INITIAL ASSESSMENT FORM

"*" indicates required fields

Step 5 of 5 - rest of Information

100%

HOW MUCH MONEY WILL YOU BRING TO CANADA?

HAVE YOU BEEN CONVICTED OF OR CURRENTLY CHARGED WITH A CRIME OR OFFENCE IN ANY COUNTRY?

PREVIOUSLY SOUGHT REFUGEE STATUS IN CANADA OR APPLIED FOR AN IMMIGRANT OR VISITOR VISA?

BEEN REFUSED REFUGEE STATUS IN, OR AN IMMIGRANT OR VISITOR VISA TO, CANADA OR ANY OTHER COUNTRY?

IF APPLICABLE, HAVE YOU FINISHED YOUR MILITARY DUTY AND RECEIVE YOUR CARD?

INITIAL ASSESSMENT FORM

"*" indicates required fields

INITIAL ASSESSMENT FORM

"*" indicates required fields

Education

Language knowledge

INITIAL ASSESSMENT FORM

"*" indicates required fields

Work Experience

rest of Information

INITIAL ASSESSMENT FORM

"*" indicates required fields

INITIAL ASSESSMENT FORM

"*" indicates required fields

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