Immigration to Canada Assessment

Spouse’s language ability in English

Reading* BeginnerIntermediateAdvancedNone

Writing* BeginnerIntermediateAdvancedNone

Speaking* BeginnerIntermediateAdvancedNone

Listening* BeginnerIntermediateAdvancedNone

Spouse’s language ability in French

Reading* BeginnerIntermediateAdvancedNone

Writing* BeginnerIntermediateAdvancedNone

Speaking* BeginnerIntermediateAdvancedNone

Listening* BeginnerIntermediateAdvancedNone

Language ability in English

Reading* BeginnerIntermediateAdvancedNone

Writing* BeginnerIntermediateAdvancedNone

Speaking* BeginnerIntermediateAdvancedNone

Listening* BeginnerIntermediateAdvancedNone

Do you have any diploma/certificate which attest your abilities*

Language ability in French

Reading* BeginnerIntermediateAdvancedNone

Writing* BeginnerIntermediateAdvancedNone

Speaking* BeginnerIntermediateAdvancedNone

Listening* BeginnerIntermediateAdvancedNone

Do you have any diploma/certificate which attest your abilities*

Have you received any post-secondary education or training?* YesNo

Current

Job title*

Employment status* —Please choose an option—Full Time – more than 30 hours per weekPart Time – less than 30 hours per week

Employment duties*

Add another job? —Please choose an option—YesNo

Job title*

Employment status* —Please choose an option—Full Time – more than 30 hours per weekPart Time – less than 30 hours per week

Employment duties*

Add another job? —Please choose an option—YesNo

Job title*

Employment status* —Please choose an option—Full Time – more than 30 hours per weekPart Time – less than 30 hours per week

Employment duties*

Add another job? —Please choose an option—YesNo

Job title*

Employment status* —Please choose an option—Full Time – more than 30 hours per weekPart Time – less than 30 hours per week

Employment duties*

Add another job? —Please choose an option—YesNo

Job title*

Employment status* —Please choose an option—Full Time – more than 30 hours per weekPart Time – less than 30 hours per week

Employment duties*

Add another job? —Please choose an option—YesNo

Job title*

Employment status* —Please choose an option—Full Time – more than 30 hours per weekPart Time – less than 30 hours per week

Employment duties*

Add another job? —Please choose an option—YesNo

Job title*

Employment status* —Please choose an option—Full Time – more than 30 hours per weekPart Time – less than 30 hours per week

Employment duties*

Add another job? —Please choose an option—YesNo

Job title*

Employment status* —Please choose an option—Full Time – more than 30 hours per weekPart Time – less than 30 hours per week

Employment duties*

Do you or your spouse/common-law partner have any close family members above 18 years old who are permanent residents or Canadian citizens and live in Canada now?* YesNo

If you answered Yes to the above:

Relationship to Closest Blood Relative in Canada (Parent, grandparent, child, grandchild, brother or sister, aunt or uncle, niece or nephew)

Do you currently have an offer of employment from a Canadian employer? YesNo

Provide details

Have you or your spouse/common-law partner or dependent children ever:

Had any serious disease or physical or mental disorders YesNo

Been convicted or currently charged with any crime or offence in any country YesNo

Previously applied for refugee status or visa to Canada YesNo

Been refused refugee status or visa to Canada YesNo

Visited Canada (visit, study, work) YesNo

If your answer to any of above is “Yes” please provide details

Additional questions and comments