PRELIMINARY ASSESSMENT


Fill out this assessment form to learn about your eligibility (based on the 6 selection factors) and  to know your CRS (Comprehensive Ranking System) score for Express Entry.

ASSESSMENT FORM

Online Form (Secure - https)

Your personal information submitted in this form will never be shared with or sold to a third party unless you provide consent to submit an immigration application based on the information in this form. In this case, your information will be shared with Canadian immigration authorities and you will need to agree and sign a legal contract with the RCIC as outlined by the regulations of ICCRC (Immigration Consultants of Canada Regulatory Council).

You are aware that the information submitted here will be used to perform assessment for Canadian immigration.

You can request at any time a copy of your personal data stored in our system. You can also request that your data be completely erased from our system.

For more information: Privacy Policy

    Personal Information

    First Name

    Last Name

    Middle Name (Optional)

    Enter day, month, and year of birth
    Day: Month: Year:

    Sex

    Country of Birth

    Country of Residence (if different from country of birth)

    Cell Phone (including country code)

    Home Phone

    Your Email (required)

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    Marital Status

    If you are in a common-law relationship, mention the date when you started living together
    Day: Month: Year:
    Is your partner going with you to Canada (if applicable)?

    Date of Marriage (if it applies to you)
    Day: Month: Year:
    Do you have children?

    IF yes, how many children do you have?

    How old are your children?

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    Indicate if you have previously (Select One):

    Have you ever had a work or study permit to Canada?

    How much funds do you plan to take with you to Canada?

    If you lived in Canada previously, mention the dates below

    Do you or your partner have close family members who are living in Canada now?

    IF yes, what is the relationship?

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    Language Knowledge

    English Language Level

    French Language Level

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    Education
    Provide below the name of school or university attended, in which city and country and the type of certificate or diploma. Just mention the highest achieved educational qualification.
    Name:

    City:

    Country:

    Type of Certification/Diploma:

    Area of Study:

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    Employment History

    List your job titles during the last 10 years and the duration in each job:

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    Enter information about your spouse or any other information that you feel is important?

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    Statutory Questions

    Read the following carefully and answer truthfully. Have you or your spouse/partner or dependents ever:

    1- Been convicted of, or currently subject to any criminal proceeding in any country?
    2- Previously sought refugee status in Canada or applied for Canadian immigrant or permanent resident visa OR any other type of visa? (e.g., temporary resident or visitor)?
    3- Been denied refugee status, OR any type of visa (e.g., immigrant, permanent resident, visitor, temporary resident) in Canada or any other country?
    4- Been refused admission to or ordered to leave Canada OR any other country?
    5- Been involved in an act of genocide, a war crime, a crime against humanity, or the desecration of religious property?
    6- Used, use or plan to use violence as an end to achieve political, social or religious objectives?
    7- Been a member of a group that is or was involved in organized crime?
    8- Had any serious diseases or physical or mental disorders?

    Explain if you answered "Yes" to any question above

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    I agree to submit my personal information to be used for Canadian immigration assessment

    (You will need to agree to submit the form)

    I have read and agree to the privacy policy of this website

    (You will need to agree to submit the form)

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    (Optional)

    Ready to Start an Express Entry Profile?

    If you finished consultation and you are confident that you want to start an Express Entry profile, you will need to provide more details.

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