Family Sponsorship Assessment

SPONSORS 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

SPONSORS PERSONAL PROFILE

Your Age:*

Marital Status*

Please note: Conjugal partners are partners who have maintained a conjugal relationship with each other for at least one year, but have been unable to live together continuously for at least one year and therefore do not meet the definition of common-law partners.

Age of Spouse / Partner*

Do you or your spouse/partner have any dependent children?*

Yes
No

Number of Children

List*

Child#	Age+

List*

Child#	Age+

List*

Child#	Age+

List*

Child#	Age+

List*

Child#	Age+

List*

Child#	Age+

List*

Child#	Age+

List*

Child#	Age+

List*

Child#	Age+

List*

Child#	Age+

ELIGIBILITY QUESTIONS FOR SPONSOR

Please indicate your immigration status in Canada:*

Do you currently reside in Canada?*

Yes
No

Prior to your current relationship, were you (the sponsor) ever previously married or in a common-law relationship?*

Yes
No

Were you (the sponsor) previously sponsored to Canada by a previous spouse / partner?*

Yes
No

Are you (the sponsor) currently in receipt of social assistance for a reason other than disability?*

Yes
No

Have you (the sponsor) ever declared bankruptcy in Canada?*

Yes
No

Have you (the sponsor) been discharged from your bankruptcy in Canada?*

Yes
No

Have you (the sponsor) ever sponsored anyone else to Canada?*

Yes
No

Have you (the sponsor) ever been convicted of a criminal offence?*

Yes
No

What was your (the sponsor) net income for the past 12 months?

Income	Currency (i.e. CAN $; US $; €; ¥; £)

FAMILY MEMBER TO BE SPONSORED

Please provide information on your family member that you are looking to sponsor to Canada.

Name of Family Member to be Sponsored*

Prefix First Last

Relationship to Sponsor*

Please note: Conjugal partners are partners who have maintained a conjugal relationship with each other for at least one year, but have been unable to live together continuously for at least one year and therefore do not meet the definition of common-law partners.

Relatives Country of Nationality*

The country of your relatives citizenship

Relatives Country of Residence*

The country where your relative current lives

Has your spouse / partner ever previously been married or in a common-law relationship?*

Yes
No

Has your family member ever been convicted of a crime in any country?*

Yes
No

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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-FAMILY SPONSORSHIP ONLINE ASSESSMENT QUESTIONNAIRE-

SPONSORS CONTACT INFORMATION

SPONSORS PERSONAL PROFILE

ELIGIBILITY QUESTIONS FOR SPONSOR

FAMILY MEMBER TO BE SPONSORED

HOW DID YOU HEAR ABOUT US?