Your Immigration Category
(
YOU MUST SELECT ONE OF THE CATEGORIES BELOW TO SUBMIT THIS QUESTIONNAIRE )
This category
is for professionals and skilled people with at least one year of
continuous work experience. Literacy in English or French is required.
This category
is for those who are married or living in common-law relationship with a
Canadian citizen or permanent resident or have children or parents in
Canada.
This category
is for international students who wish to enter a study program in
Canada.
Your C ontact Information
(
YOU MUST COMPLETE THOSE FIELDS HIGHLIGHTED IN ORANGE TO SUBMIT THIS
QUESTIONNAIRE )
Email address:
Full name:
(First and Last Name)
Telephone
(include
country code & city code)
How old are you ?
Gender:
Male
Female
City:
Country
of Residence:
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and
Barbuda
Arctic Ocean
Argentina
Armenia
Aruba
Ashmore
and Cartier Islands
Atlantic Ocean
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Baker Island
Bangladesh
Barbados
Bassas da India
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and
Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British
Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central
African Republic
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos
(Keeling) Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo,
Republic of the
Cook Islands
Coral Sea Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican
Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Europa Island
Falkland Islands (Islas Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia, The
Georgia
Germany
Ghana
Gibraltar
Glorioso Islands
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
(Vatican City)
Honduras
Hong Kong
Howland Island
Hungary
Iceland
India
Indian Ocean
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Jan Mayen
Japan
Jarvis Island
Jersey
Johnston Atoll
Jordan
Juan de Nova
Island
Kazakhstan
Kenya
Kingman Reef
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia, Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Man, Isle of
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Midway Islands
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Namibia
Nauru
Navassa Island
Nepal
Netherlands
Netherlands
Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern
Mariana Islands
Norway
Oman
Pacific Ocean
Pakistan
Palau
Palmyra Atoll
Panama
Papua New Guinea
Paracel Islands
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Helena
Saint Kitts
and Nevis
Saint Lucia
Saint
Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and
Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia & South Sandwich Islands
Southern Ocean
Spain
Spratly Islands
Sri Lanka
Sudan
Suriname
Svalbard
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and
Tobago
Tromelin Island
Tunisia
Turkey
Turkmenistan
Turks and
Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab
Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands
Wake Island
Wallis and Futuna
Western Sahara
World
Yemen
Yugoslavia
Zambia
Zimbabwe
Matrimonial status
Unmarried
Married
Living with common-law partner for more than
one year
Your Spouse's Information
(If you are married or have been living with your
common-law partner for at least 12 consecutive months, please indicate
your partner's education history below)
Spouse's Education:
Please Select
Primary (Elementary)
Secondary (High School)
Diploma - 1 Year
Diploma - 2 Years
Diploma - 3 Years
Bachelors - 2 Years
Bachelors - 3 Years
Bachelors - 4 Years
Masters
Doctorate or Ph.D.
Not Completed
Children ?
No
Yes
If so, how many ?
Relative residing within Canada
(you or your spouse/partner)
Relationship:
No Relatives in Canada
Mother or Father
Grandmother or grandfather
Brother or Sister
Aunt or Uncle (Sister / Brother of Parent)
Niece or Nephew (child of brother or
sister)
Spouse
Daughter or Son
Location:
No Relatives in Canada
Alberta
British Columbia
Manitoba
New-Brunswick
Newfoundland
Nova-Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Northwest Territories
Nunavut
Yukon
Language Proficiency
(Please
indicate your proficiency in both the English and French languages using
the definitions below which are provided as your
guide)
High:
You can communicate effectively in most social and
work situations.
Moderate:
You can communicate comfortably in familiar social
and work situations.
Basic:
You can communicate in predictable contexts and on
familiar topics, but with some difficulty.
English
Speak
High
Moderate
Basic
Not at All
|
Read
High
Moderate
Basic
Not at All
|
Write
High
Moderate
Basic
Not at All
|
Listen
High
Moderate
Basic
Not at All
F rench
Speak
Not at All
High
Moderate
Basic
|
Read
Not at All
High
Moderate
Basic
|
Write
Not at All
High
Moderate
Basic
|
Listen
Not at All
High
Moderate
Basic
Funds to settle in Canada
Your Funds/Savings:
( state in Canadian dollars )
Click
here for currency conversion.
Details of education history
Please
indicate the number of years you completed for:
Elementary/school:
Secondary/school:
University/college:
Training:
Total
years of full time education
Total years:
Curriculum vitae (Please indicate the details
of your education and work history below)
Cut and paste:
Comments
Where did you find us?
Optional:
Please Select
Yahoo
Google
MSN
Other search engine
Word of mouth