General Immigration Assessment form

Enter Your Contact Information

Age

Country of Residence

Preferred Destination in Canada*

Marital Status

Single

Married

Common-Law Partners

Common-Law Partner: A person that you have lived in a conjugal relationship with for at least 12 months.

Do you have children under the age of 19?

Yes

No

How many children do you have under the age of 13?

None

2

3

4 or more

How many children do you have under the aged 13 to 18?

None

2

3

4 or more

Your Language Skills

English

Writing

Reading

Speaking

Listening

Your Language Skills

French

Writing

Reading

Speaking

Listening

Your Education and Training*

Yes

No

Have you completed high school (secondary school)?*

Have you received any education or training other than high school (secondary school)?*

Yes

No

Type of Program*

Program Duration*

Did you complete this program?*

Yes

No

Location

Inside Canada

Outside Canada

Your Work History

Yes

No

Have you done any paid work during the last 10 years?

Occupation*

Length of work*

Work hours*

Full Time (At least 30 hours per week)

Part Time (At least 15 hours per week)

Less than 15 hours per week

When*

Type of job

On the payroll of any organization (i.e. commercial, governmental or other)

Self-Employed or working for your own company or business

Location

Inside Canada

Outside Canada

Express Entry Profile

Yes

No

Have you already submitted an Express Entry profile to the government of Canada within the past 12 months?

Yes

No

Have you already received an Invitation to Apply for permanent residence from the government of Canada through the Express Entry system?

Canadian Job Offer

Yes

No

Occupation*

Province or Territory*

What is the contract duration?

One year or longer

Between six months and one year

Less than six months

Work hours*

Full Time (At least 30 hours per week)

Part Time (At least 15 hours per week)

Less than 15 hours per week

Is this Job Offer supported by a Labour Market Impact Assessment (LMIA)?

Yes

No

I don't know

Family or Friends in Canada

Yes

No

Do you have a Close Friend living in the province of Manitoba who is 18 years or older?

Do you have any family members or relatives living in Canada and who are 18 years or older?

Yes

No

Relationship*

Residency Status*

Living in*

Since

Your Personal Net Worth

This question is optional. Net worth is considered for some immigration programs.

Currency

What currency?

Amount

Enter Your Contact Information

First Name*

Last Name*

Email*

Telephone

Questions and Comments

You may provide additional information that you think would be relevant to your immigration assessment. Would you like to add information at this time?

Yes

No

Comments