Free Assessment
Skilled Worker Assessment

A Skilled Worker applicant comprises of the Federal Skilled Worker Class, the Quebec Skilled Worker Class and the Provincial Nominee Class. It is point based and confers permanent resident status to applicants who are able to demonstrate an ability to become economically established in Canada. An offer of employment from a Canadian employer is not required.

Please Complete this questionnaire to receive a free assessment of your qualifications for Canadian permanent residence as a Skilled Worker applicant.


Required fields marked with *
Personal Information
Name:*
Email Address:*
Nationality:
Current Place of Residence: (City,Country)*
Daytime Telephone number preceded by the area code: (areacode , phone number)
Home, Office, or Mobile
Date of Birth:  
 Day        Month             Year
Sex: Male Female
Marital Status : Single

Married

Divorced/Separated

If Married, please provide Spouse's Characteristics in the fields below
Spouse's Date of Birth:  
 Day        Month             Year
Spouse's Level of Education and duration:                                       (If other please specify)
Spouse's total years of education:
(Starting from primary school)

Spouse's field of study:


Spouse's Number of Years and Months of Working Experience:

Language Ability in French:
Number of Children 12 years old or younger:
Number of Children 13 to 17 years old:
Number of Children 22 years old or older:
Does your spouse have a second specialization / or preferred training?
Please specify:
Did your spouse have his/her studies in French?
Secondary School Post-Secondary N/A

Ability in English and French
English
Read
Write
Speak
Listen
French
Read
Write
Speak
Listen
Have you had your studies in French?
Secondary School Post-Secondary N/A

Educational Profile
Total Years of education:
(Including Primary, Secondary, and Post Secondary)
1. Certificate:

(If other please specify)
Field of Study:
Date Started: (Month, Year)
Date of Graduation: (Month, Year)
Name of Institution:
City:
Country:
2. Certificate:

(If other please specify)
Field of Study:
Date Started: (Month, Year)
Date of Graduation: (Month, Year)
Name of Institution:
City:
Country:
3. Certificate:

(If other please specify)
Field of Study:
Date Started: (Month, Year)
Date of Graduation: (Month, Year)
Name of Institution:
City:
Country:

Do you have a second specialty attested by a diploma? 1 Year Schooling
2 Years Schooling
N/A
Do you have a second specialization / or preferred training?
Please specify:

Employment History
1. Name of Company/Organization:
Job Title:
From: (Month, Year)
To: (Month, Year)
Employment Status: Part Time
Full Time
Number of Hours Worked per Week: Hours per Week
Do You Presently Still Work at this Company? (Yes/No):
Employment Duties:

(please provide details)
City:
Country:
2. Name of Company/Organization:
Job Title:
From: (Month, Year)
To: (Month, Year)
Employment Status: Part Time
Full Time
Number of Hours Worked per Week: Hours per Week
Do You Presently Still Work at this Company? (Yes/No):
Employment Duties:

(please provide details)
City:
Country:
3. Name of Company/Organization:
Job Title:
From: (Month, Year)
To: (Month, Year)
Employment Status: Part Time
Full Time
Number of Hours Worked per Week: Hours per Week
Do You Presently Still Work at this Company? (Yes/No):
Employment Duties:

(please provide details)
City:
Country:

If you have additional experience, please include in the Additional Comments below.
Other
• Relationship to Closest Blood Relative in Canada (Canadian Citizen or Landed Immigrant):
Blood Parent Blood Aunt/Uncle Blood Brother or Sister Blood Son/Daughter

Blood Niece/Nephew (22 years or older) Blood Grand ParentBlood Cousin

Friend / Other Relatives
Relative Province of Residence :

• Personal Net worth (CAD$):

• Do you currently have an offer of employment from a Canadian employer? Yes No
If your answer to the above question is "Yes" provide details here:

Other
• Have you or your spouse or common-law partner ever:
  • Had any serious disease*
 Yes No
  • Been convicted of or currently charged with any crime or offence in any country*
 Yes No
  • Applied previously for an immigrant visa to Canada*
 Yes No
  • Visited Canada (visit,study,work)*
 Yes No
Please indicate nature of visa, in which province and the length of visit?
  • Are you able to obtain a visitors visa to Canada*
 Yes No
If answer to any of above is "Yes" provide details here:

How did you hear about us:



(Company representative please insert your agent code)
or
(If other please specify)

• Additional Comments if Any:

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