Inquiry Form

First Name

Middle Name

Last Name

Date of Birth

Gender

Country of Birth

Country of Residence

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Mobile Number

Home Number

Relationship and Marital Status

If you are in common-law relationship what was the date you started living full-time together?

If you are married, what is the date you were married?

If you are in a married/common-law relation, is your partner immigrating with you to Canada?

Yes

Do you have children?

Yes

How many children do you have? Are they coming with you to Canada?

Please include their age(s) below.

Status in Canada

Other:

Have you ever had a Canadian work or study permit? If yes, what year(s)?

If you have a study permit, are you still a student? What is the length of your program? What is the degree/certification?

Have you worked in Canada? If yes, for how long? What occupation? What date does the work permit expire? Has your employer offered you a long-term job offer (one or more years)?

Has your partner worked in Canada? If yes, for how long? What occupation? What date does the work permit expire? Has his/hers employer offered him/her a long-term job offer (one or more years)?

If you lived in Canada before, what were the dates? Please, list all (from day/month/year to day/month/year)

List the total amount of funds (in Canadian Dollars) you have that are legal & transferable. Do NOT include equity in Real Estate.

Do you or your partner have a close family members who are permanent residents or citizens of Canada, and live in Canada now?

Yes

If you answered YES to the question above, please state the relationship of the family member to you/your partner and the name of the city in Canada in which he/she resides.

English Language Test

If you have taken IELTS or CELPIP English Language Test, please complete the following.

Have you taken IELTS or CELPIP English Language Test?

Yes

Please provide results: Reading, Writing, Speaking, Listening.

Date of Test

General or Academic?

Do you have French (TEF)?

Yes

If yes, please provide results: Reading, Writing, Speaking, Listening.

Date of Test

General or Academic?

Education

Provide the following information for your high school and ALL schools attended thereafter, whether completed or not.

From - To (Year/Month) / Name of School / City and Country / Type of Certificate or Diploma / Area of Study

Do you have any of this education already validated through an Education Assessment Organization that is approved by Government of Canada?

Yes

Education Assessed

By what approved organization

Day/Month/Year of approval

Employment History

Provide the following employment history for the past ten (10) Years, beginning with current, and include part-time positions.

From - To / Job Title / City and Country / Name of Company - Employer

Travel

Please list all international travel in the last ten (10) years or since 18 years old.

City and Country / Purpose of trip (work, study, tourism) / From - to (Year/Month) / Visa Issued (Y/N)

Spousal Information

(if applicable)

First Name

Middle Name

Last Name

Date of Birth

Gender

Country of Residence

Country of Birth

Have they taken the IELTS or CELPIP English Language Test?

Yes

If yes, please provide results: Reading, Writing, Speaking, Listening.

Date of Test

General or Academic?

Spousal - Employment History

Provide the following employment history for the past ten (10) Years, beginning with current, and include part-time positions.

From - To / Job Title / City and Country/ Name of Company - Employer

Spousal Education

Provide the following information for your high school and ALL schools attended thereafter, whether completed or not.

From - To (Year/Month) / Name of School / City and Country / Type of Certificate or Diploma / Area of Study

100th Meridian Immigration

Relationship and Marital Status

Status in Canada

English Language Test

Education

Employment History

Travel

Additional Points

Spousal Information

Spousal - Employment History

Spousal Education

Additional Questions - Have you or your spouse/partner or dependent ever: