Economic Class Evaluation Form

Personal Information

Name *

First

Last

Email *

Phone *

Country of citizenship *

Are you currently living in your country of citizenship? *

Yes
No

Country of residence *

Date of birth *

Sex *

Male
Female
Other Gender

Marital status *

Single
Married
Common Law
Divorced or Separated

Spouse or partner's date of birth

Spouse or partner's highest level of education *

Has your spouse or partner completed at least 2 academic years of full-time study in Canada? *

Yes
No

Spouse or partner's language proficiency in English/French *

Has your spouse or partner worked outside Canada within the past 10 years? *

Yes
No

How many weeks of full-time (minimum 3o hours per week) skilled work experience does your spouse or partner have? *

Has your spouse or partner worked inside Canada within the past 10 years? *

Yes
No

How many weeks of full-time (minimum 3o hours per week) skilled work experience does your spouse or partner have? *

Spouse or partner's CV/Resume (optional)

Click or drag a file to this area to upload.

Do you have any dependent children? *

Yes
No

How many dependent children do you have that are 22 years of age and younger? *

How many dependent children do you have that are older than 22 years of age? *

Language Skills

Can you communicate in English? *

Yes
No

English

Can you communicate in French? *

Yes
No

French

Education

Did you graduate high school? *

Yes
No

Did you have post-secondary education or training? *

Yes
No

Total number of years of education

Including primary, secondary and post-secondary education.

Upload Diploma or Certificates

Click or drag a file to this area to upload.

Employment

Have you had paid work experience in the past 10 years? *

Yes
No

Starting with your current (or most recent) job, please list all the paid work you have done during the past 10 years:

Company name

Job title *

Start date *

End date *

How many hours worked per week? *

Employment duties

Location

City/Territory, Country

Have you had any other paid work experience in the past 10 years? *

Yes
No

Company name (2)

Job title (2) *

Start date (2) *

End date (2) *

How many hours worked per week? (2) *

Employment duties (2)

Location (2)

City/Territory, Country

Have you had any other paid work experience in the past 10 years? *

Yes
No

Company name (3)

Job title (3) *

Start date (3) *

End date (3) *

How many hours worked per week? (3) *

Employment duties (3)

Location (3)

City/Territory, Country

Have you had any other paid work experience in the past 10 years? *

Yes
No

Company name (4)

Job title (4) *

Start date (4) *

End date (4) *

How many hours worked per week? (4) *

Employment duties (4)

Location (4)

City/Territory, Country

Have you had any other paid work experience in the past 10 years? (4) *

Yes
No

Provide details of remaining paid work experience

Include company name, job title, start date, end date, how many hours worked per week, employment duties and location.

Upload CV/Resume (optional)

Click or drag a file to this area to upload.

Background Information

Have you submitted a profile in the Federal Express Entry pool? *

Yes
No

When was your profile submitted?

What was your CRS score?

Did you sit an English and/or French test? *

Yes
No

Which test did you sit?

What was your score in reading, speaking, listening and writing?

Do you have friends or family residing in Canada? *

Yes
No

How long have they been residing in Canada?

Province of residence

Personal net worth (CAD$) *

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

Yes
No

Please provide details

Do you or a family member have a serious medical condition? *

Yes
No

Please provide details

Have you or a family member ever been arrested or convicted with a criminal offence? *

Yes
No

Please provide details

Have you or your spouse previously applied for a visa to Canada? *

Yes
No

Please provide details

Working in Canada | Evaluation Form

Personal Information

Language Skills

Education

Employment

Starting with your current (or most recent) job, please list all the paid work you have done during the past 10 years:

Background Information

Services

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