Initial Assessment

Are You Eligible to Immigrate to Canada?

If you experience any issues while filling out this form, please contact our team directly: +1 (780)-251-2700, Info@goldenpaceimmigration.com

Name *

Email Address *

Country of residence *

State *

City *

Country of citizenship *

Age *

Phone *

Dependent children *YesNo

Marital status *—Please choose an option—UnmarriedMarried/Common-Law Partnership

Age of children *

Add more children *YesNo

Age of children *

Spouse age *

Spouse’s level of education and duration *—Please choose an option—Diploma - 1 yearDiploma - 2 yearDiploma - 3 yearBachelor’s- 2 yearsBachelor’s - 3 yearsBachelor’s - 4 yearsMaster’s DegreeDoctorate or PhDOther

Spouse’s language ability in English

Reading *BeginnerIntermediateAdvancedNone

Writing *BeginnerIntermediateAdvancedNone

Speaking *BeginnerIntermediateAdvancedNone

Listening *BeginnerIntermediateAdvancedNone

Spouse’s language ability in French

Reading *BeginnerIntermediateAdvancedNone

Writing *BeginnerIntermediateAdvancedNone

Speaking *BeginnerIntermediateAdvancedNone

Listening *BeginnerIntermediateAdvancedNone

Spouse’s total years of education (starting from primary school) *

Spouse’s field of study *

Spouse’s number of years and months of working experience* *

Spouse’s Job Title/Field of Work Experience *

Language Proficiency

Language ability in English

Reading *BeginnerIntermediateAdvancedNone

Writing *BeginnerIntermediateAdvancedNone

Speaking *BeginnerIntermediateAdvancedNone

Listening *BeginnerIntermediateAdvancedNone

Do you have any diploma/certificate which attest your abilities *

Language ability in French

Reading *BeginnerIntermediateAdvancedNone

Writing *BeginnerIntermediateAdvancedNone

Speaking *BeginnerIntermediateAdvancedNone

Listening *BeginnerIntermediateAdvancedNone

Do you have any diploma/certificate which attest your abilities *

Educational Profile

Have you received any post-secondary education or training? *YesNo

Type of certificate *—Please choose an option—Diploma - 1 yearDiploma - 2 yearDiploma - 3 yearBachelor’s- 2 yearsBachelor’s - 3 yearsBachelor’s - 4 yearsMaster’s DegreeDoctorate or PhDOther

Field of study *

Date of graduation *

Name of institution *

City *

Country *

Employment History

Current

Job title *

From (year/month) *

To (year/month) *

Employment status *—Please choose an option—Full Time – more than 30 hours per weekPart Time – less than 30 hours per week

Employment duties *

City *

Country *

Add another job? *—Please choose an option—YesNo

Job title *

From (year/month) *

To (year/month) *

Employment status *—Please choose an option—Full Time – more than 30 hours per weekPart Time – less than 30 hours per week

Employment duties *

City *

Country *

Other Info

Do you or your spouse/common-law partner have any close family members above 18 years old who are permanent residents or Canadian citizens and live in Canada now? *YesNo

If you answered Yes to the above:

Relationship to Closest Blood Relative in Canada (Parent, grandparent, child, grandchild, brother or sister, aunt or uncle, niece or nephew) *

Do you currently have an offer of employment from a Canadian employer? *YesNo

Provide details

Have you or your spouse/common-law partner or dependent children ever:

Had any serious disease or physical or mental disorders *YesNo

Been convicted or currently charged with any crime or offence in any country *YesNo

Previously applied for refugee status or visa to Canada *YesNo

Been refused refugee status or visa to Canada *YesNo

Visited Canada (visit, study, work) *YesNo

If your answer to any of above is “Yes” please provide details

Additional questions and comments

Submit