IMMIGRATION TO CANADA - Preliminary Questionnaire

New Immigration Procedures
Immigration Service
Business Immigration
Family Sponsorship
Government Fees
Preliminary Questionnaire
FAQ
Contact

Preliminary Questionnaire

We shall use this questionnaire to elicit basic personal information to perform a preliminary assessment of your chances of qualifying for immigration to Canada. The information you provide will be kept in strictest of confidence and not released to third parties for any reason. However, you should know that any information provided over the Internet is not necessarily secure. We cannot assume responsibility for unauthorized interception of Internet information.

If you wish to provide the basic information requested below, we will respond with a preliminary assessment by e-mail, fax or post.

Personal

First Name:
Last Name:
Date of birth:
Nationality:
Country of current residence:
Gender:	Male Female
Your age:
Marital Status:

Language Ability

English:	Read	Write	Speak	Comprehend
French:	Read	Write	Speak	Comprehend

Education

Highest Level of Education Achieved

Name of educational institution

Name of Degree (include area(s) of specialization)

(i.e. B.Sc. Major Computer Programming)

Year of graduation from the educational institution

Work experience

Select any one title in which you have previous work experience.

If not on the list, please specify:

Years of related working experience

Dates worked	Type of Work (describe)	Occupation Title

Relatives in Canada

Are any of your relatives citizens or permanent residents of Canada?
None Spouse Child Father Mother Sister Brother Aunt Uncle Niece Nephew Grandparent Grandchild

Do you have close friends in Canada who will offer to give you settlement assistance ? No Yes

Do you have any concrete employment prospects in Canada? No Yes

Family

Spouse's First Name:
Spouse's Last Name:

Spouse's age:

Spouse's Language Ability:

English: Read
Write
Speak
Comprehend

French: Read
Write
Speak
Comprehend

Spouse's Education:

Spouse's Occupation:

Number of Children:

Their Ages:

Financial Resouces

How much cash or liquid financial resources (in US Dollars) do you have available to transfer to Canada?

Address

E-Mail address:

Postal Address:

Phone Number:

Fax Number:

Additional Comments or Questions:

Please use the space below to provide any additonal information or ask any questions you may have about immigration to Canada.

Please indicate how you prefer us to contact you:
E-Mail Post Mail Fax