Assessment Form – Jackson Group Canadian Immigration Solutions

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Assessment Form

BOOK CONSULTATION

Red and orange maple leaf with vivid autumn colors, intricate vein patterns, and sharp edges, conveying a sense of seasonal change and natural beauty.

Personal Information

First Name *

Last Name

Email Address *

Phone *

Gender *

Date of Birth *

Day *

Month *

Year *

Country of Birth *

Street Address

Current Country of Residence *

Country of Citizenship *

Funds available to invest in your plan to immigrate to Canada *

Area of Interest (Type of Service) *Study in CanadaWork in CanadaInvest in CanadaVisit in CanadaApply for Permanent Residency via Express Entry or other Economic Class ProgramApply for Permanent Residency via Spousal Visa/Common-Law Partner SponsorshipExtend your stay in CanadaApply CitizenshipOther

How did you know about us?FacebookInstagramGoogleWebsiteFriends/Family

Further Information

Marital/Civil Status *

Do you have any relatives who are Canadian PR/Citizens? *YesNo

If Yes, please explain your relationship to them:

Do you have children? *

Do you have any full time paid work for the past 10 years? *YesNo

If Yes, what is your primary job that you feel describes your best and which you have worked on the last 10 years?

Length of WorkLess than 1 year1-2 years3+ years

What is your status in Canada? *

How long have you been in Canada?6 months or less1 year2-5 years5+ years

Have you worked or are you working in Canada? *YesNo

Do you have a job offer from a Canadian employer? *YesNo

Is the job offer supported by an LMIA?YesNoI don't know

Have you completed any post-secondary education? *YesNo

If Yes, please select one

Was your education in or outside of Canada? *

Did you complete this program? *

Have you ever taken an English or French test? *

If Yes, please tell us more about the test, including the testing organization in which you took the test (CELPIP, IELTS, TEF, etc.)

English Ability *FluentGoodCompetentLimitedNone at allPlease describe your English proficiency. Select which best represents your ability in all areas

French Ability *FluentGoodCompetentLimitedNone at allPlease describe your French proficiency. Select which best represents your ability in all areas

Have you ever had any criminal or medical issues? *YesNoNot sure

Have you ever been out of status, deported, been refused a visa, or have applied for Refugee Status in Canada or any other country? *YesNoI am not sure

If Yes, please tell us more about that immigration issue

Have you ever made any immigration application to Canada before? *YesNoI am not sure

Provide any additional information relevant to the assessment:

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