Canada Qualification Form

Gender

Male Female

Date of Birth

Marital

Married Never Married Divorced Other

Work Experience

Your Employment Information From the Recent

From

Your Spouse Employment Information From the Recent

From

Education Level

Applicant Education Level

Under Diploma Diploma Bachelor Master PHD & Higher

Your Spouse Education Information Starting From the Recent

Under Diploma Diploma Bachelor Master PHD & Higher

Language Proficiency

Please Indicate your Level of Proficiency in English Language

Speaking

High Moderate Basic None

Listening

High Moderate Basic None

Reading

High Moderate Basic None

Writing

High Moderate Basic None

Please Indicate your Spouse Level of Proficiency in English Language

Speaking

High Moderate Basic None

Listening

High Moderate Basic None

Reading

High Moderate Basic None

Writing

High Moderate Basic None

Your French Language

If yes, please indicate the level of proficiency in the French language. (Applicant & Spouse)

Licensed, Certification(s)

Immigration Status

What is your and your parent current citizenship status?

Immigration

1. Do you have a relative who is over the age of 18 years who is a permanent resident or citizen of Canada, and who presently resides in Canada? If yes, in which province(s) do they live in?

Yes No

2. Have you ever remained beyond the validity of your status, attended school or worked without authorization in Canada or any other country? If “yes”, please provide details.

Yes No

3. Have you ever submitted an application for immigration to Canada in the past? If yes, please provide details (Visitor visa, Work permit visa, Study Permit Visa, Startup Visa, PNP and others?

Yes No

4. Have you ever been refused any kind of visa, admission, or been ordered to leave USA? If “yes”, please provide details.

Yes No

5. Have you or any family members (spouse or children) ever served in any capacity in a military, paramilitary or military? If “yes”, please provide details.

Yes No

Canada Qualification Form

Gender

Marital

Work Experience

Your Employment Information From the Recent

Your Spouse Employment Information From the Recent

Education Level

Applicant Education Level

Your Spouse Education Information Starting From the Recent

Language Proficiency

Please Indicate your Level of Proficiency in English Language

Speaking

Listening

Reading

Writing

Please Indicate your Spouse Level of Proficiency in English Language

Speaking

Listening

Reading

Writing

Your French Language

Licensed, Certification(s)

Immigration Status

What is your and your parent current citizenship status?

Immigration

1. Do you have a relative who is over the age of 18 years who is a permanent resident or citizen of Canada, and who presently resides in Canada? If yes, in which province(s) do they live in?

2. Have you ever remained beyond the validity of your status, attended school or worked without authorization in Canada or any other country? If “yes”, please provide details.

3. Have you ever submitted an application for immigration to Canada in the past? If yes, please provide details (Visitor visa, Work permit visa, Study Permit Visa, Startup Visa, PNP and others?

4. Have you ever been refused any kind of visa, admission, or been ordered to leave USA? If “yes”, please provide details.

5. Have you or any family members (spouse or children) ever served in any capacity in a military, paramilitary or military? If “yes”, please provide details.

6. How much funds would you and your spouse have available to settle in Canada?

including savings, investments, and other liquid assets (not including real estate property).