What is your Age? * Under 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 Over 60
Country of Residence Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Barbados Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegowina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia, the former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
Marital Status Single Married Common law-Partner
Preferred Destination in Canada Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon
Your Language Skills Please describe your proficiency in English and/or French under each of the four skills listed below.
English/Which language test did you take for ---- Ielts
Enter your test scores - Speaking ---- 8.0-9.0 8.0 7.5 7.0 6.5 6.0 5.5 5.0 4.5 0-4.0
Listening --- 7.5-9.0 7.0 6.5 6.0 5.5 5.0 4.0-4.5 0-3.5
Reading --- 8.0-9.0 7.0-7.5 6.5 6.0 5.0-5.5 4.0-4.5 0-0.3
Writing --- 7.5-9.0 7.0 6.5 6.0 5.5 5.0 4.0-4.5 0-3.5
Reading copy First Choice Second Choice Third Choice
French / Writing copy Expert Very Good Good Competent Modest None of All
Speaking copy Expert Very Good Good Competent Modest None of All
Listening copy Expert Very Good Good Competent Modest None of All
Enter the highest level of education for which you: None, or less than secondary (high school) Secondary diploma (high school graduation) One-year program at a university, college, trade or technical school, or other institute Two-year program at a university, college, trade or technical school, or other institute Bachelor's degree (three or more year program at a university, college, trade or technical school, or other institute) Two or more certificates, diplomas or degrees. One must be for a program of three or more years Master's degree, or professional degree needed to practice in a licensed professional Doctoral level university degree (PhD)
How many years of outside Canada work experience you have? Less Than One Year 1 Year But Less Than 2 Year 2 Year But Less Than 3 Year 3 Year and more
How many years of inside Canada work experience you have? Less Than One Year 1 Year But Less Than 2 Year 2 Year But Less Than 3 Year 3 Year But Less Than 4 Year 4 Year But Less Than 5 Year 5 Year and more
Your Personal Net Worth :-This question is optional. Net worth is considered for some immigration programs. --- less than $10,000 between $10,000 and $25,000 between $25,000 and $100,000 between $100,000 and $500,000 between $500,000 and $1,000,000 between $1,000,000 and $2,000,000 more than $2,000,000 Not known at this stage
Email *
Phone *
