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X
Home
About Us
Assurance & Process
Visas
Temporary Resident Visa
Student Visa
Work Visa
Sponsor Visa
Super Visa
Skills Immigration
Express Entry
Provincial Program
Atlantic Immigration Program
International Mobility Program
Agri-Food Pilot
Rural and Northern Immigration Pilot (RNIP)
Quebec Skill Program
Home Child Care Provider Pilot
Business Immigration
Business Federal Immigration
Business Provincial Immigration
Quebec Business Immigration
Others
Preliminary Assessment
Permanent Residents & Citizenship
Refugees and Humanitarian & Compassionate Grounds
Inadmissibility and Appeals
Blog
FAQ
X
PRELIMINARY ASSESSMENT
Please enable JavaScript in your browser to complete this form.
1. Family Name:
*
2. Given Name:
*
3. Date of Birth:
*
4. Place of Birth (city/town, county):
*
5. Nationality:
*
6. Current Address:
*
7. Telephone:
*
8. Email address:
*
9. Civil Status
*
Single
Engaged
Married
Divorced
Widowed
10. Have you applied to IRCC for any immigration matter before?
*
Yes
No
If Yes, Select any of the categories below
Visitor Visa
Study Permit
Work Permit
Permanent Residence
11. Age of Children, if any:
12. Do you have relatives in Canada? If yes, Indicate relationship, status in Canada and province where they reside
*
13. Secondary Education: How many years of elementary and secondary education did you complete?
*
14. Highest Post-secondary Education:
*
15. WORK: Current Work Experience:
*
City/Town
Country
Name of Employer
Job Title
16. WORK: If Canadian employer, please provide full Address:
17. WORK: Total number of Canadian experiences:
18. WORK: Total number of non-Canadian experiences:
19. LANGUAGE: 1. Have you taken an English exam?
*
Yes
No
LANGUAGE: 1. If yes, Which test did you take?
IELTS
CELPIP
Scores: Speaking
0.5
1
1.5
2
2.5
3
3.5
4
4.5
5
5.5
6
6.5
7
7.5
8
8.5
9
9.5
10
Scores: Listening
0.5
1
1.5
2
2.5
3
3.5
4
4.5
5
5.5
6
6.5
7
7.5
8
8.5
9
9.5
10
Scores: Reading
0.5
1
1.5
2
2.5
3
3.5
4
4.5
5
5.5
6
6.5
7
7.5
8
8.5
9
9.5
10
Scores: Writing
0.5
1
1.5
2
2.5
3
3.5
4
4.5
5
5.5
6
6.5
7
7.5
8
8.5
9
9.5
10
20. LANGUAGE: 2. Have you taken a French exam?
*
Yes
No
LANGUAGE: 2. If yes, Which test did you take?
TEF
TCF
Scores: Speaking
0.5
1
1.5
2
2.5
3
3.5
4
4.5
5
5.5
6
6.5
7
7.5
8
8.5
9
9.5
10
Scores: Listening
0.5
1
1.5
2
2.5
3
3.5
4
4.5
5
5.5
6
6.5
7
7.5
8
8.5
9
9.5
10
Scores: Reading
0.5
1
1.5
2
2.5
3
3.5
4
4.5
5
5.5
6
6.5
7
7.5
8
8.5
9
9.5
10
Scores: Writing
0.5
1
1.5
2
2.5
3
3.5
4
4.5
5
5.5
6
6.5
7
7.5
8
8.5
9
9.5
10
21. SPOUSE SECTION: Family Name:
22. SPOUSE SECTION: Given Name:
23. SPOUSE SECTION: Date of Birth:
24. SPOUSE SECTION: Place of Birth (city/town, county):
25. SPOUSE SECTION: Education: 1. Secondary Education: How many years of elementary and secondary education did you complete?
26. SPOUSE SECTION: Spouse Education: 2. Highest Post-secondary Education:
27. SPOUSE SECTION: Current Work Experience:
City/Town
Country
Name of Employer
Job Title
28. SPOUSE SECTION: If Canadian employer, please provide full Address:
29. SPOUSE SECTION: Total number of Canadian experiences:
30. SPOUSE SECTION: Total number of non-Canadian experiences:
31. SPOUSE SECTION: Language: 1. Has your spouse taken an English exam?
Yes
No
SPOUSE SECTION: Language: 1. If yes, Which test did you take?
IELTS
CELPIP
Scores: Speaking
0.5
1
1.5
2
2.5
3
3.5
4
4.5
5
5.5
6
6.5
7
7.5
8
8.5
9
9.5
10
Scores: Listening
0.5
1
1.5
2
2.5
3
3.5
4
4.5
5
5.5
6
6.5
7
7.5
8
8.5
9
9.5
10
Scores: Reading
0.5
1
1.5
2
2.5
3
3.5
4
4.5
5
5.5
6
6.5
7
7.5
8
8.5
9
9.5
10
Scores: Writing
0.5
1
1.5
2
2.5
3
3.5
4
4.5
5
5.5
6
6.5
7
7.5
8
8.5
9
9.5
10
32. SPOUSE SECTION: Language: 2. Have you taken a French exam?
Yes
No
SPOUSE SECTION: Language: 2. If yes, Which test did you take?
TEF
TCF
Scores: Speaking
0.5
1
1.5
2
2.5
3
3.5
4
4.5
5
5.5
6
6.5
7
7.5
8
8.5
9
9.5
10
Scores: Listening
0.5
1
1.5
2
2.5
3
3.5
4
4.5
5
5.5
6
6.5
7
7.5
8
8.5
9
9.5
10
Scores: Reading
0.5
1
1.5
2
2.5
3
3.5
4
4.5
5
5.5
6
6.5
7
7.5
8
8.5
9
9.5
10
Scores: Writing
0.5
1
1.5
2
2.5
3
3.5
4
4.5
5
5.5
6
6.5
7
7.5
8
8.5
9
9.5
10
33. What type of immigration are you interested in?
*
Visitors
Study Permit
Work Permit
Family Sponsorship
Express Entry
Caregiver
Atlantic Immigration Program
Provincial Nomination
Refugee Claim
Business
Citizenship
Other
If you have ticked ‘Others’, please explain:
34. In which of the following Provinces and Territories would you be prepared to live?
*
All provinces and territories
Ontario
Quebec
British Columbia
Alberta
Manitoba
Saskatchewan
Nova Scotia
New Brunswick
Newfoundland & Labrador
Prince Edward Island
Northwest Territories
Yukon
Nunavut
35. How did you find out about our services?
*
36. INVESTMENT OPTION (Please if you are interested to apply as an investor). What is the total dollar value (in Canadian dollars) of all of your and your spouse’s available money to invest in Canada?
37. Any additional Information that can help us?
Submit
We are committed to respecting your privacy and protecting your personal information and will only use the information for reviewing purpose. Thank you for taking the time to complete this form. We will review your case and contact you shortly.
