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{ Regina Time: Thursday 24th August 2017 }
ONLINE ASSESSMENT FORM

CHOOSE YOUR CATEGORY
What is your Marital Status?
 
Any Relatives in Canada?
What is your Age?
 
What is your First Name?
 
What is your Family Name?
 
What is your Email Address?

[Our consultant will contact you through this email address]
YOUR LANGUAGE PROFICIENCY
 
Speak
Read
Write
Listen
English
French
YOUR EDUCATION
Highest Degree Completed
 
Your Field of Study
 
Total Years of Full-Time Study
years from Grade 1 (childhood) to Present
YOUR SPOUSE'S EDUCATION
Highest Degree Completed
 
Total Years of Full-Time Study
years from Grade 1 (childhood) to Present
YOUR WORK EXPERIENCE 
Full Job Title
Number of Years
   
   
   
You may wish to paste your CV (optional) or add further employment details below:
ADAPTABILITY
Since the age of 17, have you or your spouse studied in Canada for at least 2 years?
Yes
No
Have you or your spouse worked in Canada for at least one year?
Yes
No
ARRANGED EMPLOYMENT
Do you have arranged employment in Canada or are your currently working in Canada?
Yes
No
CONTACT INFORMATION  
Phone Number(s)
Full Address
 


 
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