Immigration Assessment Form



EXPRESS ENTRY COMPREHENSIVE RANKING SYSTEM

NAME:
AGE:
CONTACT ADDRESS:
E-MAIL ADDRESS:
PHONE NUMBER(S):

EDUCATION

SCHOOLS ATTENDED:
NUMBER OF YEARS:
QUALIFICATION OBTAINED:
TOTAL NUMBER OF YEARS IN SCHOOL:

LANGUAGE ABILITY: ENGLISH OR FRENCH (PRINCIPAL APPLICANT)

First official Language

Read:
Write:
Listen to:
Speak:

Second Official Language

Read:
Write:
Listen to:
Speak:

WORK EXPERIENCE

OCCUPATION:
NUMBER OF YEARS:
DUTIES:

TOTAL NUMBER OF YEARS OF FULL TIME OR EQUIVALENT PART TIME WORK EXPERIENCE OUTSIDE CANADA WITHIN THE LAST 10 YEARS:

Do you have a job offer in Canada?
Do you have work experience in Canada?
How many years of Canadian work experience do you have?
Do you have a Certificate of Qualification issued by a Canadian Province or Territory?
Are you married or in a Common Law Partnership?
Relatives in Canada?
If Yes, state relationship:
Where does your relative live?
Do you have a Nomination Certificate from a Province or territory except Quebec and Nunavut?

EDUCATION OF SPOUSE

SCHOOLS ATTENDED:
NUMBER OF YEARS:
QUALIFICATION OBTAINED:
TOTAL NUMBER OF YEARS IN SCHOOL:
AGE:

LANGUAGE ABILITY OF SPOUSE: ENGLISH OR FRENCH

First official Language

Read:
Write:
Listen to:
Speak:

Second Official Language

Read:
Write:
Listen to:
Speak:
TOTAL NUMBER OF YEARS OF FULL TIME OR EQUIVALENT WORK EXPERIENCE OF SPOUSE INSIDE CANADA WITHIN THE LAST 10 YEARS: