CANADIAN MANAGEMENT CONSULTANTS


ASSESSMENT FORM

Note: This form should used by skilled workers, self employed, entrepreneurs, or investors. If you are a student, please use the Student Form

This information will be confidential and will not disclose to any one.It will be used for your assessment.Complete the following questionnaire to the best of your knowledge. When you finish, click the SUBMIT button.


Part 1 - PERSONAL INFORMATION

Family Name

Given Name

Phone (work)

Phone (home)
Fax
Mobile
Email

Nationality
Sex
Date of Birth
Martial Status
Total No. of Dependents
Age Of Each

Part 2 - EDUCATION

Your Highest Education Level

Your Highest Level Of Education is

Spouse Highest Education Level

Spouse Highest Level Of Education is

Part 3 - LANGUAGE ABILITY

Your English Proficiency

Speak

Read

Write

Your French Proficiency

Speak

Read

Write

Your Spouse's English Proficiency

Speak

Read

Write

Your Spouse's French Proficiency

Speak

Read

Write

Part 4 - WORK EXPERIENCE
( Start from the Present Work Experience )

Your Current Profession

From
To
Employer
Country
Position Held


SPOUSE WORK EXPERIENCE
( Start from the Present Work Experience )

Spouse Current Profession

From
To
Employer
Country
Position Held

Have you or anyone in your immediate family ( select Yes or No)


Ever Had any serious disease or physical or mental disorder
Committed a criminal offense in any country?
Applied Previously for a visitor or immigrant visa to Canada?
Been refused a visitor or immigrant visa to any country, including Canada?
Been refused entrance, or ordered to leave any country including Canada?

If you have answered "Yes" to any of these questions, please explain
s

Part 5 - RELATIVE IN CANADA
( Yourself and Your Spouse )

If you or your spouse have any relatives living in Canada, as
permanent residents or citizens, please select the relationship with you.

Your Relative

Spouse Relative

Please Review your form, after you finish
type your complete name and press submit

Your Complete Name

How did you hear about us
Advertisement
Email Message
Friend
Internet
Other (please specify)  :