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Free Online Canada Immigration Assessment Form
Step 1
PERSONAL INFORMATION
Title
Mr.
Ms.
Mrs.
Miss.
Dr.
First name
*
Last name
*
Marital Status
Never married
Married
Widowed
Legally separated
Annulled marriage
Divorced
Common-law
Date of Birth (DOB)
*
Spouse's date of birth (DOB)
*
Country of citizenship
*
-- Please select --
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire
Bosnia and Herzegowina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Congo
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-bissau
Guyana
Haiti
Heard and Mc Donald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia, The Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Barthelemy
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia (Slovak Republic)
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
St. Helena
St. Pierre and Miquelon
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City State (Holy See)
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Current country of residence
*
-- Please select --
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire
Bosnia and Herzegowina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Congo
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-bissau
Guyana
Haiti
Heard and Mc Donald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia, The Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Barthelemy
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia (Slovak Republic)
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
St. Helena
St. Pierre and Miquelon
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City State (Holy See)
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Email
*
Email (please confirm again)
*
Phone (Optional)
Fax (Optional)
How did you hear about us?
Google
Yahoo
Friends
Your Clients
Global Residency
Other
Area of Interest
Immigrate To Canada
Work in Canada
Study in Canada
Invest in Canada
Not sure
Do you have admission from a school or post-secondary institution in Canada?
-- Please select --
Yes
No
Further Information
Step 2
EDUCATION
Your Education
What is your highest level of education?
-- Please select --
Ph. D.
Master's degree
2 or more Bachelor's degrees
Master's degree
Bachelor's degree (4 years)
Bachelor's degree (3 years)
Bachelor's degree (2 years)
Bachelor's degree (1 year)
Diploma, Trade certificate, or Apprenticeship (3 years)
Diploma, Trade certificate, or Apprenticeship (2 years)
Diploma, Trade certificate, or Apprenticeship (1 year)
school diploma
Below high school diploma
Name of Diploma
*
Area of Studies
*
Country of Studies
*
Type of Educational Institute
-- Please select --
Public
Private
Have you completed any post-secondary studies in Canada?
Yes
No
Post-secondary studies period
-- Please select --
1 Year
2 Year
3 Years or more
Name of bachelor's degree
LANGUAGE
Have you done any English language test?
-- Please select --
IELTS
CELPIP
No
English (IELTS scores)
Speak
Read
Write
Listen
English (CELPIP)
Speak
-- Please select --
Level 12
Level 11
Level 10
Level 9
Level 8
Level 7
Level 6
Level 5
Level 4
Level 3
Level 2
Level 1
Read
-- Please select --
Level 12
Level 11
Level 10
Level 9
Level 8
Level 7
Level 6
Level 5
Level 4
Level 3
Level 2
Level 1
Write
-- Please select --
Level 12
Level 11
Level 10
Level 9
Level 8
Level 7
Level 6
Level 5
Level 4
Level 3
Level 2
Level 1
Listen
-- Please select --
Level 12
Level 11
Level 10
Level 9
Level 8
Level 7
Level 6
Level 5
Level 4
Level 3
Level 2
Level 1
English (general proficiency)
Speak
-- Please select --
Advanced/Native Proficiency (CLB 9+)
Upper Intermediate (CLB 8)
Intermediate (CLB 7)
Lower Intermediate (CLB 5)
Basic (CLB 3)
Not at all (CLB 1)
Read
-- Please select --
Advanced/Native Proficiency (CLB 9+)
Upper Intermediate (CLB 8)
Intermediate (CLB 7)
Lower Intermediate (CLB 5)
Basic (CLB 3)
Not at all (CLB 1)
Write
-- Please select --
Advanced/Native Proficiency (CLB 9+)
Upper Intermediate (CLB 8)
Intermediate (CLB 7)
Lower Intermediate (CLB 5)
Basic (CLB 3)
Not at all (CLB 1)
Listen
-- Please select --
Advanced/Native Proficiency (CLB 9+)
Upper Intermediate (CLB 8)
Intermediate (CLB 7)
Lower Intermediate (CLB 5)
Basic (CLB 3)
Not at all (CLB 1)
Have you done TEF (Test d'évaluation de français)?
-- Please select --
Yes
No
French (TEF scores)
Speak
Read
Write
Listen
French (general proficiency)
Speak
-- Please select --
Advanced/Native Proficiency (CLB 9+)
Upper Intermediate (CLB 8)
Intermediate (CLB 7)
Lower Intermediate (CLB 5)
Basic (CLB 3)
Not at all (CLB 1)
Read
-- Please select --
Advanced/Native Proficiency (CLB 9+)
Upper Intermediate (CLB 8)
Intermediate (CLB 7)
Lower Intermediate (CLB 5)
Basic (CLB 3)
Not at all (CLB 1)
Write
-- Please select --
Advanced/Native Proficiency (CLB 9+)
Upper Intermediate (CLB 8)
Intermediate (CLB 7)
Lower Intermediate (CLB 5)
Basic (CLB 3)
Not at all (CLB 1)
Listen
-- Please select --
Advanced/Native Proficiency (CLB 9+)
Upper Intermediate (CLB 8)
Intermediate (CLB 7)
Lower Intermediate (CLB 5)
Basic (CLB 3)
Not at all (CLB 1)
WORK IN CANADA
Have you been in Canada as a
temporary foreign worker
?
Yes
No
How many years have you worked full-time in this position in Canada?
1 year
None
2 years or more
Are you currently employed in Canada?
Yes
No
When did you leave your employment in Canada?
Less than a year ago
More than a year ago
Arranged employment
Yes
No
NOC TEER/Code
-- Please select --
NOC TEER 00
NOC TEER 0, 1, 2, or 3
Not sure
Do you have a certificate of qualification in a trade occupation issued by a province?
Yes
No
Do you have a a nomination certificate from a Canadian province (except Quebec)?
Yes
No
FAMILY RELATIONS IN CANADA
Do 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
?
Yes
No
Their relationship with you
*
None
Mother or father
Daughter or son
Sister or brother
Niece or nephew
Grandmother or grandfather
Granddaughter or grandson
Aunt or uncle
Spouse or common-law partner
Does this relative wish to sponsor you? If unsure, please choose No.
Yes
No
Are you currently a full-time student?
Yes
No
How old is your relative?
Younger than 18 years
18 years or over
What is the employment status of your relative?
-- Please select --
Employed
Self-Employed
Unemployed
How many people is this relative financially responsible for in his/her household in Canada?
0
1
2
3
4
5
6
7
8
9
How 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?
Yes
No
PREVIOUS AND FUTURE VISIT(S)
Have you or your spouse previously visited Canada for work, travel, or study?
Please select
Yes
No
Have you or your spouse previously applied for immigration or visa to Canada?
Please select
Yes
No
Where is your preferred destination in Canada?
Please select
Any
Alberta (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 select
Yes
No
I am not sure what it is
Step 3
WHAT IS YOUR OCCUPATION?
Attach Your Most Recent CV/Resume
Please indicate what best describes your occupational job title.
Job Title
*
Duration
6 years or more
5 years or more, but less than 6 years
4 years or more, but less than 5 years
3 years or more, but less than 4 years
2 years or more, but less than 3 years
1 year or more, but less than 2 years
9 months or more, but less than 1 year
6 months or more, but less than 9 months
3 months or more, but less than 6 months
Less than 3 months
Location
Outside Canada
In Canada
In USA
Are you PRESENTLY WORKING in this job?
Please Select
Yes
No
Were you legally entitled to work in the country where you gained this work experience?
Please Select
Yes
No
Type of Employment
Add More Work Experience
Step 4
BUSINESS/FINANCES
How much is your net worth?
0 to 9,999
10,000 to 24,999
25,000 to 49,999
50,000 to 99,999
100,000 to 299,999
300,000 to 499,999
500,000 to 799,999
800,000 to 999,999
1,000,000 to 1,599,999
1,600,000+
Prefer not to disclose
