Assessment Form

Assessment Form

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Personal Profile

Age*:

Country of Residence*:

Country of Citizenship*:

Marital Status:

Do you have any children under the age of 22?:

Preferred Destination in Canada

Your Language Skills

English

Writing:

Reading:

Speaking:

Listening:

French

Writing:

Reading:

Speaking:

Listening:

Your Education and Training

Have you completed high school(secondary school)?*

Your Work History

Have you done any paid work during the last 10years?*

Express Entry Profile

Have you alrady submitted an Express Entry profile to the Government of Canada within the past 1 monts?*

Family or Friends in Canada

Do you have a close friend living in the province of Manitoba who is 18 years or older?

Do you have any family members or relatives living in Canada and who are 18 years older?

Your Personal Net Worth

Currency

Amount

Enter Your Contact Information

First Name*

Last Name*

Email*

Telephone

Questions and Comments

You may provide additional information that you think would be relevent to your immigration assessment. Would you like to add information at this time?

Immigration Newsletter

Yes, please send me the free Immigration newsletter by email.

Yes, I would like to receive timely immigration information and special offers from and trusted partners.

Enter Your Contact Information

First Name*

Last Name*

Email*

Telephone

Personal Profile

Age

Nationality:

Country of Residence:

Your Personal Net Worth

Currency

Amount

Your Management Experience

Do you have management experience?

Have you owned a business?

Enter Your Contact Information

First Name*

Last Name*

Email*

Telephone

Country of Residence:

Questions and Comments

You may provide additional information that you think would be relevent to your Immigration assessment. Would you like to add information at this time?

Immigration Newsletter

Yes, Please send me the free Immigration Newsletter by email

Yes, I would like timely immigration information and special offers from and trusted partners.

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