Immigration & Visa Assessment Form

Fields marked with an * are required
Your Personal Profile

Your Name* :

Age* :

Marital Status* :

Is your spouse travelling with you?

Do you have any children under 19 going with you?

Nationality* :

Which nation is your primary citizenship?*

Which country are you currently living in?*

Have you ever been charged with a criminal offence?*

Please briefly describe the nature of the offense and when it occurred :

What is the purpose of your inquiry?

Please summarize your work history, including job title, main duties and date within the last 10 years:

Education* :

How many years of formal education? (This includes: Elementary/primary school - Secondary/high school - University/college - Trade school or other post secondary school)*

Language Ability :

If your English/French reaches intermediate or advanced level, have you ever taken language exam(s) such as IELTS. If yes, please list the date(s) and result of the exam(s):

Do you (or your partner) have a job offer from a Canadian employer?

Occupation Title:

Name of School or Institution:

Current Enrollment Status* :

Please enter any other relevant details about your program:

Do you have any relatives in Canada?

What is your relationship to your relative(s)?

Have you ever applied for a visa before?

Please explain about your previous visa application and travel history:

Please indicate the total value of your assets in US Dollars (including, cash, real estate, investments, business, etc.) under you and/or your spouse's name * :

Questions or Comments

Please add any questions, comments, or extra info that is relevant to your inquiry :

First Name* :

Last Name* :

Email* :

Confirm Email* :

Phone Number* :

Alternative Phone Number:

What is the best way to contact you?

Other Alternative:

When would you like our assistance?

What is the ideal time to contact you?

All times are in EST (Eastern Standard Time), or UTC-05:00 :

What help do you want?

Reference

How did you hear about us?