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Free Assessment Form
First Name
*
Middle Name
Last Name
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Phone
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Email Address
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Date of Birth
*
Citizenship
*
Please select an option
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Macedonia
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
St Kitts and Nevis
St Lucia
St Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Current Country of Residence
*
Please select an option
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Macedonia
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
St Kitts and Nevis
St Lucia
St Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Which province do you plan to stay in Canada?
Which province do you plan to stay in Canada?
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Your objective:
To visit for less than 6 months
To study in Canada temporarily
To work in Canada temporarily
To reside permanently in Canada
To seek help to prep my move to Canada
Do you have a spouse or common-law partner who is Canadian citizen or permanent resident and can sponsor you?
*
Yes
No
What is your marital status?
*
Never Married / Single
Married
Divorced
Common-Law
Separated
Widowed
Have you taken any English language test ? (Answer yes only if your test is IELTS-General or CELPIP General or PTE Core)
*
Yes
No
Which English test have you taken?
*
Please select an option
IELTS - General
CELPIP - General
PTE Core
Results of your English Test
Speaking
*
Please select an option
CLB 10
CLB 9
CLB 8
CLB 7
CLB 6
CLB 5
CLB 4
CLB 3
CLB 2
CLB 1
Listening
*
Please select an option
CLB 10
CLB 9
CLB 8
CLB 7
CLB 6
CLB 5
CLB 4
CLB 3
CLB 2
CLB 1
Writing
*
Please select an option
CLB 10
CLB 9
CLB 8
CLB 7
CLB 6
CLB 5
CLB 4
CLB 3
CLB 2
CLB 1
Reading
*
Please select an option
CLB 10
CLB 9
CLB 8
CLB 7
CLB 6
CLB 5
CLB 4
CLB 3
CLB 2
CLB 1
Have you taken any French language test? (Answer yes only if your test is TEF or TCF Canada)
*
Yes
No
Which French test have you taken?
*
Which French test have you taken?
TEF Canada
TCF Canada
TEFAQ (for Quebec)
TCF Québec (for Quebec)
Results of your French Test
Speaking
*
Please select an option
CLB 10
CLB 9
CLB 8
CLB 7
CLB 6
CLB 5
CLB 4
CLB 3
CLB 2
CLB 1
Listening
*
Please select an option
CLB 10
CLB 9
CLB 8
CLB 7
CLB 6
CLB 5
CLB 4
CLB 3
CLB 2
CLB 1
Writing
*
Please select an option
CLB 10
CLB 9
CLB 8
CLB 7
CLB 6
CLB 5
CLB 4
CLB 3
CLB 2
CLB 1
Reading
*
Please select an option
CLB 10
CLB 9
CLB 8
CLB 7
CLB 6
CLB 5
CLB 4
CLB 3
CLB 2
CLB 1
What is your highest level of education?
Less than high school
Secondary / High school graduate
Post-secondary program (at least 1 year)
Two or more post-secondary programs (one must be a program of at least 3-year long)
Master’s degree or a professional degree that is required to practice in a licensed profession
PhD
Do you have post-secondary education in Canada?
Yes
No
What is your education in Canada?
Credential of 1 or 2 years
Credential of at least 3 years
In the last ten years, how many years of skilled work experience in Canada do you have?
None or less than a year
1 year
2 years
3 years
4 years
5 years or more
In the last ten years, how many years of skilled work experience in Canada do you have? None or less than a year In the last ten years, how many years of foreign skilled work experience do you have?
None or less than a year
1 year
2 years
3 years or more
What is your current occupation? (Please specify industry and job title)
Have you or your family members been convicted of, or charged with a criminal offence?
Yes
No
Have you ever been refused entry, or ordered to leave any country?
Yes
No
Do you have any serious physical or mental medical conditions?
Yes
No
I would like to receive the newsletter
YES
NO
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