Skilled Worker / Family Class Assessment

 

This application for permanent resident status is for individuals possessing education and/or training in one of the occupations presently appearing on the General Occupations List, pre-arranged employment in Canada, or for those with close family members who are citizens or permanent residents of Canada.

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Personal Info  
Name
Sex Male Female
Nationality
Date of Birth mm/dd/yy Age
Marital Status:
Spouse's Name (if applicable):
Contact Info  
E-mail (Do not leave it blank!)
Work Phone
Home Phone
Fax

Address

City
State/Province (If applicable)
Zip/Postal Code
Country
Employment & Education Information
Level of Education
If Education not listed, please specify
Occupation, Title and Duties
Number of years of experience
Spouse's Level of Education (If applicable)
Spouse's Occupation, Title and Duties (If applicable)
If Spouse's Education not listed, please specify (If applicable)
Spouse's Number of years of experience (If applicable)
Relatives in Canada
Do you (or your accompanying spouse) have a relative residing in Canada, who is a citizen or holds permanent resident status in Canada?  If so, please provide us with the relationship of the closest relative and the Province or Territory in which your relative resides.
Relatives in Canada?
Location
Language Abilities
Please indicate your abilities in both the English and French languages, as follows:
Fluent:  Very good command of the language in a range of social and work situations, and no difficulty communicating in a professional capacity.
Well:  Can communicate reasonably well about personal and familiar things.
Fair:  Command of just a few basic words.
English Language Fluent  Well  Fair  None
French Language Fluent  Well  Fair  None

Comments
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