Immigration Desk
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Canada Immigration Evaluation Form
Personal Infromation
Title: Gender M F  
First Name:   Last Name:  
Address 1:  
Address 2:
Country  
Telephone Number ()-()-
State: Zip:
Nationality   Age:  
E-mail Addr.   Marital status  
     This e-mail address will be used for further communications
Work Experience 
Number of Years:       1      2      3      4+     
Education 
You have completed secondary school(also called high school)
You have completed secondary school (or an educational credential of atleast one year) and at least 12 years of full-time or full-time equivalent studies.
You have completed a one-year post-secondary program and at least 13 years of full-time equivalent studies.
You have completed a two-year post-secondary program and atleast 14 years of full-time or full-time equivalent studies.
You have completed a three-year post-secondary program and atleast 15 years of full-time or full-time equivalent studies.
You have completed a three-year university program and at least 15 years of full-time or full-time equivalent studies.
You have completed a Master's or Ph.D. and atleast 17 years of full-time or full-time equivalent studies.
English and French language ability
Skill Level Criteria
High Proficiency You can communicate effectively in most community and workplace situations.You speak,listen, read and write the language very well.
Moderate Proficiency You can make yourself understood and you understamd what others are saying in most workplace and community situations.You speak,listen,read and write the language well.
Basic or no Profeciency You do not meet the above criteria for moderate proficiency
English Language  High-Proficiency Moderate Proficiency Basic or no Proficiency
Read
Write
Listen
Speak
French Language 
Read
Write
Listen
Speak
Important Additional Information 
1 Your Accompanying spouse or common-law partner's level of education
Not Applicable
Secondary school (high school) diploma or less
Completed a one or two-year post-secondary program and at least 13 years of education
Completed a three-year post secondary program and has at least 15 years of education
Completed a three-year university degree and has atleast 15 years of education
Completed a Master's or Ph.D. and has at least 17 years of education
2 You or your accompanying spouse or common-law partner has studied in Canada
Not Applicable
No, or less than two years post-secondary education in canada
Completed a post-secondary program of at least two years in Canada since the age of 17
3 You or your accompanying spouse or common-law partner has worked in Canada
Not Applicable
No, or less than one year full-time work in Canada
Worked full-time in Canada for at least one year
4 You or your accompanying spouse or common-law partner has family in Canada
No
Have a parent,grandparent, aunt, uncle, sister, brother, nephew, niece, child or grandchild who is Canadian citizen or permanent resident living in Canada
5 You have a job offer in Canada
No
Have a genuine job offer valid upon entering Canada (if not mentioned/stated under factor 5)
Terms and Conditions
Accept Decline
The fields marked are mandatory
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Fremont, CA 94539, USA
Tel: 1 800 688 7892