Family Class Assessment Questionnaire

Skilled Worker/Business/Provincial Nominee/Canada Experience Class Assessment

If you would like more information on your eligibility to apply to immigrate through the Skilled Worker Class, Business Class, Provincial Nominee Class or Canada Experience Class, please complete this form.

PERSONAL INFORMATION (Sponsor)

Name:*

Email Address:*

Nationality:

Current Place of Residence:
(include city and country)

Daytime Phone:

include area code

Date of Birth:

Select Date

Status in Canada:

Are you living in Canada:

PERSONAL INFORMATION (Person you wish to sponsor)

Relationship:

Citizen of :

Currently living in :

Have you or the person you wish to sponsor ever:

Had any serious disease:

Been convicted of or currently charged with any crime or offence in any country:

Applied previously for an immigrant visa to Canada:

Declared bankruptcy or are on social assistance:

If answer to any of the questions is "Yes" provide details here:

Please inform us how you were introduced to this site:

Please specify:

Additional comments if any:

Captcha Image (Security Code):

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