Grachev Canadian Immigration Lawyer office Toronto and Canada Immigration Law

Assessment form

A. Personal Details
Family Name:	**Required
Given Name:	**Required
Gender:	Male Female
Address:
Street
City
State
Country
Postal Code
Home phone number:
Business phone number:
Mobile phone number:
Fax number:
E-mail address:	**Required
Confirm e-mail address:
Alternate e-mail address:
Date of Birth:
Place of birth:
Country:
City:
Citizenship:
Country of residence:
Marital status:
Number of children:
Age of children:

B. Spouse's personal details (husband, wife, or common-law partner – if applicable)
Family Name:
Given Name:
Gender:	Male Female
Date of Birth:
Place of birth:
City
Country
Citizenship:
Country of residence:

C. Education
Your total years of education:
Level of education achieved:
Details of education: (provide type of degrees/diplomas, where obtained, full or part-time, and whether program was completed)

D. Spouse’s Education (if applicable)
Your spouse’s total years of education:
Level of education achieved:
Details of education: (provide type of degrees/diplomas, where obtained, full or part-time, and whether program was completed)

E. Language Skills
1. English
Speak:
Listen (oral comprehension):
Read:
Write:
2. French
Speak:
Listen (oral comprehension):
Read:
Write:

F. Spouse’s Language Skills (if applicable)
1. English
Speak:
Listen (oral comprehension):
Read:
Write:
2. French
Speak:
Listen (oral comprehension):
Read:
Write:

G. Work Experience
Present job:
job title
job type	Full-time Part-time
from month/year
to month/year
Previous job 1:
job title
job type	Full-time Part-time
from month/year
to month/year
Previous job 2:
job title
job type	Full-time Part-time
from month/year
to month/year
Previous job 3:
job title
job type	Full-time Part-time
from month/year
to month/year
Previous job 4:
job title
job type	Full-time Part-time
from month/year
to month/year
Are there any details you wish to add about your work experience?
Do you have a job offer in Canada? Yes No
Do you know anyone in Canada who could help you to obtain a job offer? Yes No

H. Spouse’s Work Experience (if applicable)
Present job:
job title
job type	Full-time Part-time
from month/year
to month/year
Previous job 1:
job title
job type	Full-time Part-time
from month/year
to month/year
Previous job 2:
job title
job type	Full-time Part-time
from month/year
to month/year

Previous job 3:
job title
job type	Full-time Part-time
from month/year
to month/year

Previous job 4:
job title
job type	Full-time Part-time
from month/year
to month/year
Are there any details you wish to add about your work experience?
Do you have a job offer in Canada? Yes No
Do you know anyone in Canada who could help you to obtain a job offer? Yes No

I. Adaptability
Have you or your spouse or common-law partner studied full-time in Canada for at least a two-year period? Yes No details
Have you or your spouse or common-law partner worked full-time in Canada for at least a one-year period? Yes No details
Do you or your spouse have any family members in Canada who are citizens or permanent residents? Yes No If yes:

J. Net Worth
What is your monetary net worth, including your assets and the assets of your spouse, in Canadian dollars? (Currency converter)

K. Admissibility
Have you, your spouse, or any of your children:
Had any serious disease or physical or psychological disorder? Yes No
Been convicted of or are currently charged with a criminal offence in any country? Yes No
Applied previously for a temporary visa to Canada ? Yes No
Applied previously for permanent residence in Canada ? Yes No
Been refused a visa to Canada or any other country? Yes No
Been refused admission to or order removed from Canada or any other country? Yes No
Been involved in the commission of a war crime or a crime against humanity? Yes No
If you have replied “yes” to any of the above questions, please provide details:

L. Final Details
If there is anything else that you believe is important in relation to your qualifications please note it here. If you are interested in the self-employed category of immigration, please use this space to explain what type of business you intend to operate in Canada.

M. Declaration
I certify that the above information provided by me in the Free Assessment is true. Yes

Furthermore, I consent to the law office of Aleksei Grachev, Barrister & Solicitor, contacting me in relation to the above Free Assessment. Yes No

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	Disclaimer: Information provided in this website should not be relied upon. We recommend you consult with our lawyers directly to receive the most up-to-date information and advice. Information in this website may not always be updated and it is often a summary of the rules, regulations, policies and procedures, which are considerably more detailed.