Free Assessment Please answer all questions truthfully and in as much detail as possible. If a question does not apply to you, write “NA” in the answer. Step 1 of 4 25% Salutation*Mr.Ms.Mrs.Miss.Dr.Name First Last Marital Status*Never marriedMarriedWidowedLegally separatedAnnulled marriageDivorcedCommon-lawDate of birth:* Spouse's date of birth Country of citizenship* AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Current country of residence* AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Email* Enter Email Confirm Email Phone (Optional)Fax (Optional)How did you hear about us?*GoogleYahooFriendsYour clientsOtherArea of Interest Immigrate To Canada Work in Canada Study in Canada Invest in Canada Not sure Further Information CHILDRENNumber of children0123456+Age of child 1Age of child 2Age of child 3Age of child 4Age of child 5Age of child 6+EDUCATIONYour Education:What is your highest level of education?*Please SelectPh. D.Master's degree2 or more Bachelor's degreesBachelor's degree (4 years)Bachelor's degree (3 years)Bachelor's degree (2 years)Bachelor's degree (1 years)Diploma, Trade certificate, or Apprenticeship (3 years)Diploma, Trade certificate, or Apprenticeship (2 years)Diploma, Trade certificate, or Apprenticeship (1 year)High school diplomaBelow high school diplomaName of Diploma*Area of Studies*Country of Studies*Type of Educational Institute*Please SelectPublicPrivateHave you completed any post-secondary studies in Canada?*YesNoPost-secondary studies periodPlease Select1 Year2 Years3 Years or moreName of bachelor's degreeYour Spouse's Education:What is your highest level of education?*Please SelectPh. D.Master's degree2 or more Bachelor's degreesBachelor's degree (4 years)Bachelor's degree (3 years)Bachelor's degree (2 years)Bachelor's degree (1 years)Diploma, Trade certificate, or Apprenticeship (3 years)Diploma, Trade certificate, or Apprenticeship (2 years)Diploma, Trade certificate, or Apprenticeship (1 year)High school diplomaBelow high school diplomaName of Diploma*Area of Studies*Country of Studies*Type of Educational Institute*Please SelectPublicPrivateHave you completed any post-secondary studies in Canada?*YesNoPost-secondary studies period1 Year2 Years3 Years or moreName of bachelor's degreeLANGUAGEMain ApplicantHave you done any English language test?*Please SelectIELTSCELPIPNoHave you done TEF (Test d'évaluation de français)?Please SelectYesNoEnglish (IELTS scores)SpeakReadWriteListenEnglish (CELPIP)SpeakPlease SelectLevel 1Level 2Level 3Level 4Level 5Level 6Level 7Level 8Level 9Level 10Level 11Level 12ReadPlease SelectLevel 1Level 2Level 3Level 4Level 5Level 6Level 7Level 8Level 9Level 10Level 11Level 12WritePlease SelectLevel 1Level 2Level 3Level 4Level 5Level 6Level 7Level 8Level 9Level 10Level 11Level 12ListenPlease SelectLevel 1Level 2Level 3Level 4Level 5Level 6Level 7Level 8Level 9Level 10Level 11Level 12English (general proficiency)SpeakSpeakPlease SelectAdvanced/Native Proficiency (CLB 9+)Upper Intermediate (CLB 8)Intermediate (CLB 7)Lower Intermediate (CLB 5)Basic (CLB 3)Not at all (CLB 1)ReadPlease SelectAdvanced/Native Proficiency (CLB 9+)Upper Intermediate (CLB 8)Intermediate (CLB 7)Lower Intermediate (CLB 5)Basic (CLB 3)Not at all (CLB 1)WritePlease SelectAdvanced/Native Proficiency (CLB 9+)Upper Intermediate (CLB 8)Intermediate (CLB 7)Lower Intermediate (CLB 5)Basic (CLB 3)Not at all (CLB 1)ListenPlease SelectAdvanced/Native Proficiency (CLB 9+)Upper Intermediate (CLB 8)Intermediate (CLB 7)Lower Intermediate (CLB 5)Basic (CLB 3)Not at all (CLB 1)French (TEF scores)SpeakReadWriteListenFrench (general proficiency)SpeakPlease SelectAdvanced/Native Proficiency (NCLC 9+)Upper Intermediate (NCLC 8)Intermediate (NCLC 7)Lower Intermediate (NCLC 5)Basic (NCLC 3)Not at all (NCLC 1)ReadPlease SelectAdvanced/Native Proficiency (NCLC 9+)Upper Intermediate (NCLC 8)Intermediate (NCLC 7)Lower Intermediate (NCLC 5)Basic (NCLC 3)Not at all (NCLC 1)WritePlease SelectAdvanced/Native Proficiency (NCLC 9+)Upper Intermediate (NCLC 8)Intermediate (NCLC 7)Lower Intermediate (NCLC 5)Basic (NCLC 3)Not at all (NCLC 1)ListenPlease SelectAdvanced/Native Proficiency (NCLC 9+)Upper Intermediate (NCLC 8)Intermediate (NCLC 7)Lower Intermediate (NCLC 5)Basic (NCLC 3)Not at all (NCLC 1)SpouseHas your spouse/common-law partner done any English language test?*Please SelectIELTSCELPIPNoEnglish (IELTS scores)ReadWriteListenEnglish (general proficiency)SpeakPlease SelectLevel 1Level 2Level 3Level 4Level 5Level 6Level 7Level 8Level 9Level 10Level 11Level 12ReadPlease SelectLevel 1Level 2Level 3Level 4Level 5Level 6Level 7Level 8Level 9Level 10Level 11Level 12WritePlease SelectLevel 1Level 2Level 3Level 4Level 5Level 6Level 7Level 8Level 9Level 10Level 11Level 12ListenPlease SelectLevel 1Level 2Level 3Level 4Level 5Level 6Level 7Level 8Level 9Level 10Level 11Level 12English (general proficiency)SpeakPlease SelectAdvanced/Native Proficiency (CLB 9+)Upper Intermediate (CLB 8)Intermediate (CLB 7)Lower Intermediate (CLB 5)Basic (CLB 3)Not at all (CLB 1)ReadPlease SelectAdvanced/Native Proficiency (CLB 9+)Upper Intermediate (CLB 8)Intermediate (CLB 7)Lower Intermediate (CLB 5)Basic (CLB 3)Not at all (CLB 1)WritePlease SelectAdvanced/Native Proficiency (CLB 9+)Upper Intermediate (CLB 8)Intermediate (CLB 7)Lower Intermediate (CLB 5)Basic (CLB 3)Not at all (CLB 1)ListenPlease SelectAdvanced/Native Proficiency (CLB 9+)Upper Intermediate (CLB 8)Intermediate (CLB 7)Lower Intermediate (CLB 5)Basic (CLB 3)Not at all (CLB 1)Has your spouse done TEF (Test d'évaluation de français)?Please SelectYesNoFrench (TEF scores)SpeakReadWriteListenFrench (general proficiency)SpeakPlease SelectAdvanced/Native Proficiency (NCLC 9+)Upper Intermediate (NCLC 8)Intermediate (NCLC 7)Lower Intermediate (NCLC 5)Basic (NCLC 3)Not at all (NCLC 1)ReadPlease SelectAdvanced/Native Proficiency (NCLC 9+)Upper Intermediate (NCLC 8)Intermediate (NCLC 7)Lower Intermediate (NCLC 5)Basic (NCLC 3)Not at all (NCLC 1)WritePlease SelectAdvanced/Native Proficiency (NCLC 9+)Upper Intermediate (NCLC 8)Intermediate (NCLC 7)Lower Intermediate (NCLC 5)Basic (NCLC 3)Not at all (NCLC 1)ListenPlease SelectAdvanced/Native Proficiency (NCLC 9+)Upper Intermediate (NCLC 8)Intermediate (NCLC 7)Lower Intermediate (NCLC 5)Basic (NCLC 3)Not at all (NCLC 1)WORK IN CANADAHave you been in Canada as a temporary foreign worker?YesNoHow many years have you worked full-time in this position in Canada?1 yearNone2 years or moreAre you currently employed in Canada?YesNoWhen did you leave your employment in Canada?Less than a year agoMore than a year agoArranged employment:YesNoNOC:NOC 00NOC 0, A, BNot sureDo you have a certificate of qualification in a trade occupation issued by a province?YesNoDo you have a a nomination certificate from a Canadian province (except Quebec)?YesNoFAMILY RELATIONS IN CANADADo you or, if applicable your accompanying spouse, or common-law partner have a blood relative living in Canada who is a citizen or a permanent resident of Canada?YesNoTheir relationship with youNoneMother or fatherDaughter or sonSister or brotherNiece or nephewGrandmother or grandfatherGranddaughter or grandsonAunt or uncleSpouse or common-law partnerDoes this relative wish to sponsor you? If unsure, please choose No.YesNoDoes this relative wish to sponsor you? If unsure, please choose No.YesNoAre you currently a full-time student?YesNoDoes this relative wish to sponsor you? If unsure, please choose No.YesNoHow old is your relative?Younger than 18 years18 years or overWhat is the employment status of your relative?EmployedSelf-EmployedUnemployedHow many people is this relative financially responsible for in his/her household in Canada?0Self-EmployedUnemployed3456789How much is the annual household income of your relative? This includes the combined annual income of your relative and his/her spouse.CDN$Have you been a full-time student and substantially dependent on your parents for financial support since before the age of 19?YesNoHave you been a full-time student and substantially dependent on your parents for financial support since before the age of 19?YesNoPrevious and the Future Visit(s)Have you or your spouse previously visited Canada for work, travel, or study?Please SelectYesNoHave you or your spouse previously applied for immigration or visa to Canada?Please SelectYesNoWhere is your preferred destination in Canada?Please SelectAnyAlberta (AB)British Columbia (BC)Manitoba (MB)New Brunswick (NB)Newfoundland and Labrador (NL)Northwest Territories (NT)Nova Scotia (NS)Nunavut (NU)Ontario (ON)Prince Edward Island (PE)Quebec (QC)Saskatchewan (SK)Yukon (YT)Have you previously submitted an Express Entry application?Please SelectYesNoI am not sur what it is WHAT IS YOUR OCCUPATION?Attach Your Most Recent CV/ResumeJob TitleDuration6 years or more5 years or more, but less than 6 years4 years or more, but less than 5 years3 year or more, but less than 4 years2 year or more, but less than 3 years1 year or more, but less than 2 years9 months or more, but less than 1 year6 months or more, but less than 9 months3 months or more, but less than 6 monthsLess than 3 monthsLocationOutside CanadaIn CanadaIn USAProvinceSelect OneAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonAre you PRESENTLY WORKING in this job?YesNoWere you legally entitled to work in the country where you gained this work experience?YesNoType of EmploymentDoes your spouse/common-law partner have any occupational experience?YesNoWHAT IS YOUR SPOUSE'S OR COMMON-LAW PARTNER'S OCCUPATION?Attach Your Most Recent CV/ResumeJob TitleDuration6 years or more5 years or more, but less than 6 years4 years or more, but less than 5 years3 year or more, but less than 4 years2 year or more, but less than 3 years1 year or more, but less than 2 years9 months or more, but less than 1 year6 months or more, but less than 9 months3 months or more, but less than 6 monthsLess than 3 monthsLocationOutside CanadaIn CanadaIn USAProvinceSelect OneAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonAre you PRESENTLY WORKING in this job?YesNoIs your job qualified for social security?YesNoType of Employment BUSINESS/FINANCESHow much is your net worth?0 to 9,99910,000 to 24,99925,000 to 49,99950,000 to 99,999100,000 to 299,999300,000 to 499,999500,000 to 799,999800,000 to 999,9991,000,000 to 1,599,9991,600,000+Prefer not to discloseDo you have experience managing a business?YesNoIn the past 5 years, how many years of managerial experience do you have?1 Year2 Years3 Years4 Years5 Years+What is the number of full-time staff under your management?Do you own this business?YesNoWhat is your percentage of ownership in this business?%What is the annual sales of this business?CDN$What is the annual net income of this business?CDN$What is the net assets of this business?CDN$ This iframe contains the logic required to handle Ajax powered Gravity Forms.
