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MY INFORMATION
Email address
*
Re-type email
*
Last Name
*
First Name
*
Age
*
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17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
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35
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50
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56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
Gender
*
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Male
Female
Marital Status
*
<-- Select -->
Never married
Married
Widowed
Legally separated
Annulled marriage
Divorced
Common-law
Phone
*
Address
Nationality
*
<-- Select -->
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia-Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde Islands
Cayman Islands
Central African Republic
Chad
Chile
China PR
Colombia
Comoros
Congo
Congo DR
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea DPR
Korea Republic
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia FYR
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Mauritania
Mauritius
Mexico
Micronesia (Fed. States)
Moldova
Monaco
Mongolia
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Samoa
San Marino
Sao Tomé e Príncipe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
St. Kitts & Nevis
St. Lucia
St. Vincent and Grenadines
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan (Chinese Taipei)
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
USA
Uzbekistan
Vanuatu
Venezuela
Vietnam SR
Virgin Islands (British)
Virgin Islands (US)
Yemen
Zambia
Zimbabwe
Residence
*
<-- Select -->
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia-Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde Islands
Cayman Islands
Central African Republic
Chad
Chile
China PR
Colombia
Comoros
Congo
Congo DR
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea DPR
Korea Republic
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia FYR
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Mauritania
Mauritius
Mexico
Micronesia (Fed. States)
Moldova
Monaco
Mongolia
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Samoa
San Marino
Sao Tomé e Príncipe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
St. Kitts & Nevis
St. Lucia
St. Vincent and Grenadines
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan (Chinese Taipei)
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
USA
Uzbekistan
Vanuatu
Venezuela
Vietnam SR
Virgin Islands (British)
Virgin Islands (US)
Yemen
Zambia
Zimbabwe
MY RELATIVE'S DETAILS
My relatives are my:
*
<-- Select -->
Brother
Sister
Uncle
Aunt
Niece
Nephew
Parent
Child
Grandparent
Please tell us about your relatives in detail, such as thier nationality, present location:
Would you like an assessment of the chances of immigrating as a skilled worker?
*
Yes
No
Please finish all the following sections:
HIGHEST EDUCATION
<-- Select -->
Master's Degree or Ph.D. and at least 17 years of full-time or full-time equivalent study
One Bachelor's degree of two years or more and at least 14 years of full-time study
Two or more Bachelor's degrees and at least 15 years of full-time study
Three-year diploma, trade certificate or apprenticeship and at least 15 years of full-time study
Two year diploma, trade certificate or apprenticeship and at least 14 years of full-time study
One year bachelor's degree and at least 13 years of full-time study
One year diploma, trade certificate or apprenticeship and at least 13 years of full-time study
One year diploma, trade certificate or apprenticeship and at least 12 years of full-time study
Completed high school
*
<-- Select -->
Completed
In-Complete
*
Program/Specialty
LANGUAGE SKILLS
Reading
Writing
Speaking
Listening
English
*
<-- Select -->
High proficiency
Moderate proficiency
Basic proficiency
No proficiency
<-- Select -->
High proficiency
Moderate proficiency
Basic proficiency
No proficiency
<-- Select -->
High proficiency
Moderate proficiency
Basic proficiency
No proficiency
<-- Select -->
High proficiency
Moderate proficiency
Basic proficiency
No proficiency
French
*
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High proficiency
Moderate proficiency
Basic proficiency
No proficiency
<-- Select -->
High proficiency
Moderate proficiency
Basic proficiency
No proficiency
<-- Select -->
High proficiency
Moderate proficiency
Basic proficiency
No proficiency
<-- Select -->
High proficiency
Moderate proficiency
Basic proficiency
No proficiency
WORK EXPERIENCE
*
<-- Select -->
1-11 months
1 year
2 years
3 years
4 years and more
*
<-- Select -->
1-11 months
1 year
2 years
3 years
4 years and more
<-- Select -->
1-11 months
1 year
2 years
3 years
4 years and more
ADDITIONAL INFORMATION REQUIRED
Have a job offer in Canada?
*
<-- Select -->
Have arranged employment in Canada
No arranged employment in Canada
Have worked in Canada?
*
<-- Select -->
Worked full-time in Canada for at least one year
No, or has worked full-time in Canada for less than one year
Have studied in Canada?
*
<-- Select -->
Completed at least 2 years of post-secondary education in Canada
No, or has less than 2 years post-secondary education in Canada
Children number:
0
1
2
3
4
5
6
7
Age
(example: 8,12)
Your Spouse / Common-law Partner's info
Education
<-- Select -->
Master's Degree or Ph.D. and at least 17 years of full-time or full-time equivalent study
One Bachelor's degree of two years or more and at least 14 years of full-time study
Two or more Bachelor's degrees and at least 15 years of full-time study
Three-year diploma, trade certificate or apprenticeship and at least 15 years of full-time study
Two year diploma, trade certificate or apprenticeship and at least 14 years of full-time study
One year bachelor's degree and at least 13 years of full-time study
One year diploma, trade certificate or apprenticeship and at least 13 years of full-time study
One year diploma, trade certificate or apprenticeship and at least 12 years of full-time study
Completed high school
Occupation
Experience
<-- Select -->
1-11 months
1 year
2 years
3 years
4 years and more
*