Free Assessment

Free Express Entry / Immigration Evaluation Form

Express Entry is a simplified, fast and efficient immigration selection system offering permanent residence in 6-months to qualified skilled workers.
Complete the following questionnaire and receive in 2-5 days a free assessment of your qualifications for Canadian permanent residence.

Personal Information

Name:

Email Address:
For Hotmail, Google and Yahoo users, our reply may be filtered as "Junk or Spam Mail".

*
Nationality:
Current Place of Residency (City, Country):
Contact Number:
Date of Birth:
Sex:
Male
Female
Marital Status:
Single
Married
Divorced/Seperated

If Married, please provide Spouse's Characteristics in the fields below

Spouse's Date of Birth:
Spouse's Level of Education and duration:
(if others, 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 Dependent Children:

Ability in English and French

English

Read:
Write:
Speak:
Listen:

French

Read:
Write:
Speak:
Listen:

Education Profile

Total Years of Education:
(Including Primary, Secondary and Post Secondary)

 

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

 

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

 

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

Employment History

1. Name of Company or Organization:
Job Title:
From (Month, Year)
To (Month, Year):
Employement Status:
Part Time
Full Time
Number of Hours Work per Week:
Per Week
Do You Presently Still Working at this Company:
Yes No
Employment Duties:
(Please provide details)
City:
Country:

 

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

 

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

If you have additional experience, please include in the Additional Comments below.

Others

Relationship to Closest Blood Relative in Canada:
(Canadian Citizen or Landed Immigrant):
Blood Parent
Blood Aunt/Uncle
Blood Brother/Sister
Blood Son/Daughter
Blood Niece/Nephew (22 years or older)
Blood Grand Parent
Blood Cousin
Relative Province of Residence:
Personal Net Worth (CAD$):
Do you have an offer of employment from a Canadian Employer?:
Yes No
If your answer to the above question is "Yes", please provide details
Have you or Spouse/Common Law partner or dependent children ever:
Had any serious disease:
Yes No
Been convicted of or currently charged with any crime or offense in any country:
Yes No
Applied previously for an immigrant visa in Canada:
Yes No
Visited Canada (visit, study, work)
Yes No
Are you able to obtain a visitor visa to Canada
Yes No
If answer to any of the above is "Yes", provide details here:

Please inform us how you were introduced to this site

Search Engine (please specify name & keywords used for the search):
Newspaper or Magazine (please specify):
Newsgroup (please specify):
Recommendation from website, friends or relative (please specify):

Additional Comments if Any

Please specify below: