Immigration Questionnaire

Contact Information

Salutation

Name

Phone

Email


Profile

Nationality

Country of Current Residence

Preferred Destination in Canada

Age

Marital Status

How many children do you have?

Do you have children over 18 years of age with a physical or mental disability?
 Yes No


Education

Have you completed high school (Also known as secondary school)?
 Yes No

Have you received any education/training after high school?
 Yes No


Language Skills

English

Speaking

Listening

Reading

Writing

French

Speaking

Listening

Reading

Writing


Canadian Connections

Work Experience in Canada

Have you been employed in Canada as a temporary foreign worker?
 Yes No

Job Offer in Canada

Do you have an official/written offer of employment from a Canadian employer?
 Yes No

Stay in Canada

Have you visited Canada before?
 Yes No

Family and Friends in Canada

Do you have family or close friends living in Canada?
 Yes No


Personal Net Worth

Personal net worth means the total value of your assets (bank accounts, stocks, bonds, real estate, etc) MINUS the total of your liabilities (mortgages, loans, credit card balances, etc).
* Please Include assets and debts/liabilities of spouse/common-law partner (if applicable)
* Also Include value of share ownership in companies you own (if applicable)

Currency

Networth

Do you have experience managing a business?
 Yes No
Have you ever owned and operated your own business?
 Yes No


Security and Medical

Have you ever been convicted of a criminal offense?
 Yes No

Do you or any of your immediate family members have a medical condition?
 Yes No


Questions & Comments