Initial AssessmentPlease complete the following questionnaire in order for us to better serve your needs and assess the chances for successful immigration to Canada Canadian Pre-Immigration Questionnaire Title Legal First Name Legal Last Name/Surname Phone (###) ### #### Email Birth Date (MM/DD/YY) Age City of Birth Country of Birth Citizenship (Please indicate all citizenships held) Marital Status Which official language test have you taken? No Waiting for results IELTS CELPIP - G TEF Canada TCF Canada Do you or any family members included in this application have any medical condition or chronic illness? Yes No Do you have any family in Canada? Yes No Have you ever resided outside your country of citizenship for 12 months or more? Yes No Do you have a child/children? This includes all children whether living with you or not, and, legally in your guardianship or not? Yes No Please indicate your HIGHEST level of education? (Please include completed qualifications only). Unfinished qualifications are not considered under Canadian Immigration Regulations) Highest Qualification Start Date (MM/DD/YY) Highest Qualification End Date (MM/DD/YY) Please indicate your level of assets (minus debts) (Note: In order to qualify for permanent residence to Canada applicants must have a minimum level of funds available) The following questions apply to both you and accompanying family members. Please select, I understand, to continue. I understand Have you ever studied or worked in Canada? Yes No How did you hear about us? Referral Facebook Google Other Thank you!