Express Entry Online Assessment

YOUR CONTACT INFORMATION

Name*

Prefix First Last

Email*

Nationality*

The country of your citizenship

Phone (optional)

Address (optional)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

YOUR PERSONAL PROFILE

Age:*

Marital Status*

Age of Spouse or Partner*

Do you have any dependent children?*

Yes
No

Number of Children

Children Details*

Child#	Age+

Children Details*

Child#	Age+

Children Details*

Child#	Age+

Children Details*

Child#	Age+

Children Details*

Child#	Age+

Children Details*

Child#	Age+

Children Details*

Child#	Age+

Children Details*

Child#	Age+

Children Details*

Child#	Age+

Children Details*

Child#	Age+

SETTLEMENT FUNDS

Certain immigration programs require minimum levels of settlement funds. You may include the funds of your accompanying spouse or common-law partner. These funds must be transferable, available and unencumbered by debts or other obligations.

Net Worth:*

Settlement Funds Available:	Currency (i.e. CAN $; US $; €; ¥; £)

YOUR EDUCATION

Please select the highest level of education that you and your spouse / partner (if applicable) have received an educational credential for (i.e. degree, diploma or certificate). Please note that for “professional degree” the degree program must have been in: medicine, veterinary medicine, dentistry, optometry, law, chiropractic medicine, or pharmacy.

Your Education*

Your Spouse / Partner's Education*

YOUR LANGUAGE PROFICIENCY

All applicants are required to submit the results of an official English or French language test. It is strongly recommended that your spouse/partner (if applicable) also take an official English or French test in order to claim additional points.

Have you taken an official English and/or French language test in the past 2 years?*

Yes
No

Which official language tests have you taken in the past 2 years?*

Please enter your IELTS or CELPIP test scores for each band in the following fields:

Listening:*

Reading:*

Writing:*

Speaking:*

Please enter your TEF test scores for each band in the following fields:

Listening:*

Reading:*

Writing:*

Speaking:*

YOUR SPOUSE / PARTER'S LANGUAGE PROFICIENCY

All applicants are required to submit the results of an official English or French language test. It is strongly recommended that your spouse/partner also take an official English or French test in order to claim additional points.

Has your spouse / partner taken an official English and/or French language test in the past 2 years?*

Yes
No

Which official language tests have your spouse / partner taken in the past 2 years?*

Please enter your spouse / partner's IELTS or CELPIP test scores for each band in the following fields:

Listening:*

Reading:*

Writing:*

Speaking:*

Please enter your spouse / partner's TEF test scores for each band in the following fields:

Listening:*

Reading:*

Writing:*

Speaking:*

YOUR WORK HISTORY

Have you ever worked IN CANADA in a skilled occupation for at least one year?*

Yes
No

How many years of CANADIAN work experience do you have?

Do you have any work experience in a skilled occupation for at least one year ANYWHERE IN THE WORLD?*

Yes
No

Please list ALL of your work experience in the past 10 years. Click on the + to add additional entries.*

Occupation	From (m/y)	To (m/y)	Country where work performed

YOUR SPOUSE / PARTNER'S WORK EXPERIENCE

Has your spouse / partner ever worked IN CANADA in a skilled occupation for at least one year?*

Yes
No

How many years of CANADIAN work experience does your spouse / partner have?*

Does your spouse / partner have any work experience in a skilled occupation for at least one year ANYWHERE IN THE WORLD?*

Yes
No

Please list ALL of your spouse / partner's work experience in the past 10 years. Click on the + to add additional entries.*

Occupation	From (m/y)	To (m/y)	Country where work performed

ADDITIONAL POINTS

Have you completed any post-secondary education in Canada for which you eared a degree, diploma or certificate?*

Do you have a written job offer from a Canadian employer in Canada?*

Yes
No

Details of Job Offer in Canada*

Job Title:	City / Province:	Was an LMIA issued (yes, no, or not sure):

Do you or your spouse / partner have a close relative living in Canada who is a Canadian citizen or permanent resident of Canada, and who is at least 18 years of age?*

Yes
No

Which of the following relatives do you or your spouse / partner have living in Canada?*

Previous Study in Canada*

Yes
No

Answer yes ONLY if you have you completed at least two academic years of full-time study (in a program of at least two years in duration) at a secondary or post-secondary institution IN CANADA.

Spouse / Partner's Previous Study in Canada*

Yes
No

Answer yes ONLY if your spouse / partner completed at least two academic years of full-time study (in a program of at least two years in duration) at a secondary or post-secondary institution IN CANADA.

RESUME / CV UPLOAD

You may upload your Resume or CV so that we can provide a more accurate assessment of your eligibility for permanent residence to Canada.

File

Max. file size: 20 MB.

HOW DID YOU HEAR ABOUT US?

How did you hear about us?

Please provide the name of the person that you referred you (so that we can say thanks!)

Questions and Comments

Please let us know about any specific questions or comments you may have.

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