Please complete the
following immigration assessment form. This will enable us
to assess your scope for Canadian immigration. There is no cost
and no-obligation to fill this form and get your Canadian immigration
assessment done by us. All information collected through this form is
used for your immigration application assessment only.
Click here to read our Privacy
statement.
If you wish to send
this information by fax , you can print this page and fax the
completed form to 00-1-905-799-9575. For any questions
relating to completing the assessment form you can reach us at
00-1-905-799-0900. If you are calling from United States or
Canada, the toll free numbers are 1-800-587-6659 and 1-877-KAM-VISA.
If you are unable to
complete this form and would prefer to email us your resume in text
format, you can send it here .
Please include your daytime contact number, date of birth, your
citizenship and your marital status in your email.
Please note:
The more detailed your submission, the easier it is for us to assess
your information. Fields marked with a * are
required fields.
Personal
Information
Salutation:
Mr.
Ms.
Mrs.
Dr.
First
Name: *
Last
Name: *
Date of
birth
( MM/YY ):
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
*
Address:
City:
State:
Country:
Choose
country
United States Of America
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire
Bosnia and
Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Canary Islands, The
Cape Verde
Caroline Islands
Cayman Islands
Centrafrique
Central African
Republic
Chad
Channel islands
Chile
China, People's Republic
Christmas Island
Chuuk Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo,
The Democratic Republic of
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic, The
Denmark
Djibouti
Dominica
Dominican Republic...
Ebeye Island
Ecuador
Egypt
Eire
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Federated
States of Micronesia
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea Republic
Guinea-Bissau
Guyana (British)
Haiti
Holland
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland, Northern
Ireland, Republic Of
Islas Malvinas
Israel
Italy
Ivory Coast
Jamaica
Japan
Jersey
Jordan
Kampuchea
Kazakhstan
Kenya
Kingdom of Cambodia
Kiribati
Korea, D.P.R Of
Korea, Republic Of
Koror Island
Kosrae Island
Kuwait
Kyrgyzstan
Lao
People's Democratic Republic
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Libya Arab
Jamahiriya
Liechtenstein
Lithuania
Lord Howe Island
Luxembourg
Macau
Macedonia,
Republic of (FYROM)
Madagascar
Majuro Island
Malawi
Malaysia
Maldives
Mali
Malta
Manua Island
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova, Republic Of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru, Republic Of
Nepal
Netherlands, The
Nevis
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Ireland
Northern Marianas
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines, The
Pohnpei Island
Poland
Portugal
Puerto Rico
Qatar
Reunion, Island Of
Romania
Rota Island
Russian
Federation, The
Rwanda
Saipan
Samoa
Sao Tome and
Principe
Saudi Arabia
Scotland
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland,
Rep of (North Somalia)
South Africa
South Korea
Spain
Sri Lanka
St Croix
St John
St Thomas
St. Barthelemy
St. Eustatius
St. Kitts
St. Lucia
St. Maarten
St. Vincent
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Tahiti
Taiwan
Tajikistan
Tanzania
Thailand
Tinian Island
Togo
Tonga
Trinidad and Tobago
Turkey
Turkmenistan
Turks and Caicos
Islands
Tutuila Island
Tuvalu
Uganda
Ukraine
Ulster
United Arab Emirates
United States of America
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands
(British)
Virgin Islands (US)
Wales
Wallis and
Futuna Islands
West Indies
Western Samoa
Yap Island
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
*
Citizen
of:
- - SELECT - -
United States Of America
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire
Bosnia and
Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Canary Islands, The
Cape Verde
Caroline Islands
Cayman Islands
Centrafrique
Central African
Republic
Chad
Channel islands
Chile
China, People's Republic
Christmas Island
Chuuk Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo,
The Democratic Republic of
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic, The
Denmark
Djibouti
Dominica
Dominican Republic...
Ebeye Island
Ecuador
Egypt
Eire
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Federated
States of Micronesia
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea Republic
Guinea-Bissau
Guyana (British)
Haiti
Holland
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland, Northern
Ireland, Republic Of
Islas Malvinas
Israel
Italy
Ivory Coast
Jamaica
Japan
Jersey
Jordan
Kampuchea
Kazakhstan
Kenya
Kingdom of Cambodia
Kiribati
Korea, D.P.R Of
Korea, Republic Of
Koror Island
Kosrae Island
Kuwait
Kyrgyzstan
Lao
People's Democratic Republic
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Libya Arab
Jamahiriya
Liechtenstein
Lithuania
Lord Howe Island
Luxembourg
Macau
Macedonia,
Republic of (FYROM)
Madagascar
Majuro Island
Malawi
Malaysia
Maldives
Mali
Malta
Manua Island
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova, Republic Of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru, Republic Of
Nepal
Netherlands, The
Nevis
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Ireland
Northern Marianas
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines, The
Pohnpei Island
Poland
Portugal
Puerto Rico
Qatar
Reunion, Island Of
Romania
Rota Island
Russian
Federation, The
Rwanda
Saipan
Samoa
Sao Tome and
Principe
Saudi Arabia
Scotland
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland,
Rep of (North Somalia)
South Africa
South Korea
Spain
Sri Lanka
St Croix
St John
St Thomas
St. Barthelemy
St. Eustatius
St. Kitts
St. Lucia
St. Maarten
St. Vincent
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Tahiti
Taiwan
Tajikistan
Tanzania
Thailand
Tinian Island
Togo
Tonga
Trinidad and Tobago
Turkey
Turkmenistan
Turks and Caicos
Islands
Tutuila Island
Tuvalu
Uganda
Ukraine
Ulster
United Arab Emirates
United States of America
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands
(British)
Virgin Islands (US)
Wales
Wallis and
Futuna Islands
West Indies
Western Samoa
Yap Island
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Phone
(Work): *
Phone
(Home):
Email:
*
Fluency
in English:
Fluent
Well
With Difficulty
Not at all
Fluency
in French:
Fluent
Well
With Difficulty
Not at all