Skilled Worker Free Assessment Form

A. PERSONAL DETAILS

Full Name*

Gender

Male

Female

Date of Birth

Place of Birth

Citizenship*

Country of Residence*

Marital Status

Number of Children

Age of Children

Contacts

Full International Postal Address

Postal code

Email*

Phone*

SPOUSE’S (HUSBAND, WIFE, OR COMMON-LAW PARTNER) PERSONAL DETAILS (IF APPLICABLE)

Full Name*

Gender

Male

Female

Date of Birth

Place of Birth

Citizenship*

Country of Residence*

B. EDUCATION

Your total number of years of full-time education

Country of Residence*

Highest level of education achieved

Details of education: (provide type of degrees/diplomas, where obtained, full or part-time, area of study, and whether program was completed)

SPOUSE’S EDUCATION (IF APPLICABLE)

Highest level of education achieved

Details of education: (provide type of degrees/diplomas, where obtained, full or part-time, area of study, and whether program was completed)

C. LANGUAGE SKILLS

ENGLISH

Speak

none

basic

well

fluently

Listen (oral comprehension)

none

basic

well

fluently

Read

none

basic

well

fluently

Write

none

basic

well

fluently

FRENCH

Speak

none

basic

well

fluently

Listen (oral comprehension)

none

basic

well

fluently

Read

none

basic

well

fluently

Write

none

basic

well

fluently

If you have ever been tested for language ability under the IELTS, CELPIC or the TEF test, please record your scores here

SPOUSE’S LANGUAGE SKILLS (IF APPLICABLE)

ENGLISH

Speak

none

basic

well

fluently

Listen (oral comprehension)

none

basic

well

fluently

Read

none

basic

well

fluently

Write

none

basic

well

fluently

FRENCH

Speak

none

basic

well

fluently

Listen (oral comprehension)

none

basic

well

fluently

Read

none

basic

well

fluently

Write

Job title

Company

Company Location

Part-time/Full-time

Are you currently working in Canada with a work permit for which a Labour Market Opinion has been obtained, and is your employer willing to offer you a permanent position?

Yes

Do you have a job offer from a Canadian company that is willing to employ you permanently once you obtain permanent residence?

Yes

Is your spouse or partner (if applicable) currently working in Canada with a work permit for which a Labour Market Opinion has been obtained, and is their employer willing to offer them a permanent position?

Yes

Does your spouse or partner have a job offer from a Canadian company that is willing to employ them permanently once they obtain permanent residence?

Yes

F. ADAPTABILITY

Have you or your spouse or common-law partner studied full-time in Canada for at least a two-year period?

Yes

Have you worked full-time in Canada in a skilled occupation for at least a one-year period?

Yes

Has your spouse or common-law partner worked full-time in Canada for at least a one-year period?

Yes

Do you or your spouse have any family members in Canada who are citizens or permanent resident?

Yes

What is the nature of the family relationship?

G. NET WORTH

What is your monetary net worth, including your assets and the assets of your spouse, in Canadian dollars?

I. ADMISSIBILITY

Have you, your spouse, or any of your children:

Had any serious disease or physical or psychological disorder?

Yes

Been convicted of or are currently charged with a criminal offence in any country?

Yes

Applied previously for a temporary visa to Canada?

Yes

Applied previously for permanent residence in Canada?

Yes

Been refused a visa to Canada or any other country?

Yes

Been refused admission to or order removed from Canada or any other country?

Yes

Been involved in the commission of human rights violations, acts of subversion, espionage, terrorism, or organized criminality?

Yes

If you have replied “yes” to any of the above questions, please provide details

K. FINAL DETAILS

If there is anything else that you believe is important in relation to your qualifications please note it here.

DECLARATION

I certify that the above information provided by me in the Free Assessment is true.*

Yes, True

I consent to the law office of Matthew Jeffery, Barrister & Solicitor, contacting me in relation to the above Free Assessment.*

Yes

This field should be left blank

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Skilled Worker Free Assessment Form

A. PERSONAL DETAILS

Contacts

SPOUSE’S (HUSBAND, WIFE, OR COMMON-LAW PARTNER) PERSONAL DETAILS (IF APPLICABLE)

B. EDUCATION

SPOUSE’S EDUCATION (IF APPLICABLE)

C. LANGUAGE SKILLS

ENGLISH

FRENCH

SPOUSE’S LANGUAGE SKILLS (IF APPLICABLE)

ENGLISH

FRENCH

D. WORK EXPERIENCE

Present job

Previous job 1

Previous job 2

Previous job 3

Previous job 4

SPOUSE’S WORK EXPERIENCE (IF APPLICABLE)

Present job

Previous job 1

Previous job 2

Previous job 3

Previous job 4

E. ARRANGED EMPLOYMENT

F. ADAPTABILITY

G. NET WORTH

I. ADMISSIBILITY

K. FINAL DETAILS

DECLARATION

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