Canada Immigration Preliminary Questionnaire


Please complete the following questionnaire in order for us to better serve your needs and chances for successful immigration to Canada. If we require further information to complete evaluation of your case, we will ask you accordingly. The information you provide will be kept in strictest of confidence and not released to third parties for any reason.

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

Personal

Male        Female

Yes        No
Please include details about all of your children (if any). This includes all children whether living with you or not, and, legally in your guardianship or not.
Name of Child Sex Date of Birth (MM/DD/YY) Living With You? Y/N Immigrating With You? Y/N

Language Ability

Please describe your proficiency in English and/or French under each of the four skills listed below

English

French

If you have been tested for language ability under the IELTS, CELPIC or TEF, please record your scores and provide the date you took the test.

Education

Yes        No

(i.e. B.Sc. Major Computer Programming)
Yes        No

Work experience

 
Dates worked Type of Work (describe) Occupation Title

Relatives in Canada

Are any of your relatives citizens or permanent residents of Canada?

Family or Friends in Canada

Yes        No
Yes        No

Canadian Job Offer

Yes        No

Family

Spouse's Language Ability:

Please describe your proficiency in English and/or French under each of the four skills listed below.

English

French

If you have been tested for language ability under the IELTS, CELPIC or TEF, please record your scores and provide the date you took the test.

Spouse's Education:

Spouse's Occupation:

Number of Children:

Their Ages:

Criminal Offence

Financial Resources

Express Entry Profile

Yes        No
Yes        No

Admissibility

Have you, your spouse or any of your children

Yes        No
Yes        No

Yes        No
Yes        No

Yes        No


Address

Additional Comments or Questions:

    You may provide additional information that you think would be relevant to your immigration assessment or ask any questions you may have about immigration to Canada.

Declaration

I, hereby certify that the information on this form is true and correct and can provide proof upon request. I understand that the assessment will be provided based on the information I have provided in this form. I also accept that the information given in this declaration will be used as the basis for an application for Temporary/Permanent Residence visa for Canada (in case I elect to use the services of GIMVS(Global Immigration And Visa Services)) and that the decision to issue such a visa is the sole decision of Canadian Immigration authorities.