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Assessment Forms

Assessment Forms

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Entrepreneur Stream



21-2425-2930-4445-4950-54over 54


YesNo


IELTS – GeneralCELPIP - General


YesNo


High School1 Year Post- Secondary2 Year Post- SecondaryBachelorsBachelors



YesNo


YesNo


10 years in the last 10 years6-9 years in the last 10 years3 years in the last 5 years0 years


10 years in the last 10 years6-9 years in the last 10 years3 years in the last 5 years0 years


$800,000 +$800,00 - $700,000$700,000 - $600,000$600,000- $500,000Below $500,000


Properties in you or your spouse’s nameBondsStocksLiquidity (cash in bank accounts)


0 – 100,000100,000- 250,000250,000- 500,000500,000 +


YesNo


YesNo


YesNo


YesNo


YesNo


YesNo


Start a new businessPurchase an existing oneI have not decided


Student Assessment

GENERAL INFORMATION







YESNO

IELTSTOEFLDELF/DAFLOther


IELTSTOEFLDELF/DAFLOther

EDUCATION HISTORY


High SchoolInternational BaccaluareateBachelor's DegreePost graduate studies

SECONDARY EDUCATION
Start Date of 10th gradeEnd Date of 10th grade10th grade School NameOverall 10th grade marks
Start Date of 12th gradeEnd Date of 12th grade12th grade School NameOverall 12th grade marks
POST SECONDARY EDUCATION- UNDERGRADUATION LEVEL
Name of secondary institutionStart DateEnd DateName of Program(B.A, Diploma)Overall GPAMajor/Minor
POST SECONDARY EDUCATION- GRADUATION LEVEL
Name of Post secondary institutionStart DateEnd DateName of Program (Master, PHD)Overall GPAFocus
WORK EXPERIENCE (most recent to oldest)
Company NameTitleStart DateEnd DateRole
Emergency Contact (Family Member)






Skilled Worker Assessment

APPLICANT’S NAME
UCI # (If previously applied to Canada)
APPLICANT’S DATE OF BIRTH
APPLICANT’S TOWN & COUNTRY OF BIRTH
APPLICANT’S EMAIL
APPLICANT’S CELL PHONE #
CURRENT COUNTRY OF RESIDENCE
APPLICANTS PRIMARY NOC CODE
SPOUSE’S NAME
SPOUSE’S DATE OF BIRTH
SPOUSE PRIMARY NOC CODE
Number of children under 18
Number of children over 18
IDENTIFICATION DOCUMENTS (Principal Applicant)
DOCUMENT TYPECOUNTRY OF ISSUANCEISSUE DATEEXPIRY DATEIDENTIFICATION NUMBER
STUDIES (Principal Applicant)
LEVELMAJOR SUBJECTCOUNTRYSCHOOL NAMESTART DATEEND DATEWES REF ## OF YEARS
High School
Bachelors
Masters
Diploma
STUDIES (Spouse)
LEVELMAJOR SUBJECTCOUNTRYSCHOOL NAMESTART DATEEND DATEWES REF ## OF YEARS
High School
Bachelors
Masters
Diploma
WORK HISTORY (IN CANADA & ABROAD/HOME COUNTRY) FOR PRINCIPAL APPLICANT
NOC CODEJOB TITLESTART DATEEND DATE# OF HRS/WEEKEMPLOYER’S NAMECOUNTRY
WORK HISTORY (IN CANADA & ABROAD/HOME COUNTRY) FOR SPOUSE
FULL- TIME WORK DETAILS ONLY (>30 Hrs/Week)
NOC CODEJOB TITLESTART DATEEND DATE# OF HRS/WEEKEMPLOYER’S NAMECOUNTRY
IELTS – GENERAL SCORE (Principal Applicant):
LISTENINGSPEAKINGWRITINGREADINGRESULT DATE
IELTS – GENERAL SCORE (SPOUSE):
LISTENINGSPEAKINGWRITINGREADINGRESULT DATE



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