Questionnaire

Personal information
LAST NAME, Given Name(s)*
Gender*
- Male
- Female
Date of birth*
MM slash DD slash YYYY
Marital status*
Number of children and their ages.
Telephone number*
Email address*
Citizenship(s)*
Residential address*
City and country
Education
(diplomas or certificates earned in secondary and post-secondary education: university, college and apprenticeship training)*
Certificate, diploma or degree issued Name of institution Field of study From (month, year) To (month, year) City, country
Employment
Your paid work experience during the last 10 years.*
Job title, duties and responsibilities Number of hours worked per week From (month, year) To (month, year) Name of employer City, country
Hidden
Are there any other details you would like to provide regarding your work experience?
English language skills
Speak*
Listen*
Read*
Write*
If you indicated the score, please provide the date you took the test. If you have been tested for language ability under the IELTS, CELPIC or TEF, please record your scores here.
If you indicated the score, please provide the date you took the test. If you have been tested for language ability under the IELTS, CELPIC or TEF, please record your scores here.
Test name Date Speak Listen Read Write
French language skills
Speak*
Listen*
Read*
Write*
If you indicated the score, please provide the date you took the test. If you have been tested for language ability under the IELTS, CELPIC or TEF, please record your scores here.
If you indicated the score, please provide the date you took the test. If you have been tested for language ability under the IELTS, CELPIC or TEF, please record your scores here.
Test name Date Speak Listen Read Write
Spouse's Information
LAST NAME, Given Name(s)*
Gender
- Male
- Female
Date of birth
MM slash DD slash YYYY
Spouse's Education
(diplomas or certificates earned in secondary and post-secondary education: university, college and apprenticeship training)
Certificate, diploma or degree issued Name of institution Field of study From (month, year) To (month, year) City, country
Spouse's Employment
Your spouse's paid work experience during the last 10 years.
Job title, duties and responsibilities Number of hours worked per week From (month, year) To (month, year) Name of employer City, country
Spouse's English language skills
Speak
Listen
Read
Write
If you indicated the score, please provide the date you took the test. If you have been tested for language ability under the IELTS, CELPIC or TEF, please record your scores here.
If you indicated the score, please provide the date you took the test. If you have been tested for language ability under the IELTS, CELPIC or TEF, please record your scores here.
Test name Date Speak Listen Read Write
Spouse's French language skills
Speak
Listen
Read
Write
If you indicated the score, please provide the date you took the test. If you have been tested for language ability under the IELTS, CELPIC or TEF, please record your scores here.
If you indicated the score, please provide the date you took the test. If you have been tested for language ability under the IELTS, CELPIC or TEF, please record your scores here.
Test name Date Speak Listen Read Write
Other
Relative residing in Canada*
Do you or your spouse have a relative residing in Canada who is 18 years or older and who is a permanent resident or Canadian citizen?
The province or territory your relative resides at
Unencumbered funds
Please indicate the amount of unencumbered funds available to bring for settling in Canada, in Canadian dollars?
Net worth
What is your verifiable net worth, including your assets and the assets of your spouse, in Canadian dollars? This question will assist us to establish if you might qualify for immigration under the Business class.
Admissibility
Have you ever been refused any kind of visa, admission, or been ordered to leave Canada?
Have you ever been refused any kind of visa, admission, or been ordered to leave Canada?
- No
- Yes
If you replied “yes”, please provide details.
How did you hear about us?
Other
Immigration newsletter
- Yes, I consent to receive your free Canadian immigration and visa updates.
Do you want to receive an email with a copy of the questionnaire?*
- Yes
- No

Save and Continue Later

Questionnaire

Personal information

Education

Employment

English language skills

French language skills

Spouse's Information

Spouse's Education

Spouse's Employment

Spouse's English language skills

Spouse's French language skills

Other

Admissibility

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Certificate, diploma or degree issued	Name of institution	Field of study	From (month, year)	To (month, year)	City, country

Job title, duties and responsibilities	Number of hours worked per week	From (month, year)	To (month, year)	Name of employer	City, country

Test name	Date	Speak	Listen	Read	Write

Test name	Date	Speak	Listen	Read	Write