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Free Skilled-Worker Assesstment Form
  • Areas marked with an * are required fields
  • Remember to click the "Submit" button at the bottom of the screen when you have finished filling out the form
Personal Information
Your Name*
Date of Birth*
Nationality*
Address: Number and Street*
City/Town*
State/Province*
Country*
Post Code/Zip Code*
Telephone Number*
Fax Number
E-Mail Address*
Level of Education
High School Diploma
Trade School/College Diploma
Bachelor Degree
Master Degree
PH. D. Degree
Total years of full-time study in school
Official Languages
ENGLISH High Proficiency Moderate Proficiency Basic Proficiency No ability to speak
Speak
Listen
Read
Write
FRENCH High Proficiency Moderate Proficiency Basic Proficiency No ability to speak
Speak
Listen
Read
Write
Work Experience
I have year(s) of skilled work experience within the last ten years.
Occupation:
Arranged Employment in Canada
Type of Arranged Employment Yes No
I am living outside of Canada and have an offer of employment from a Canadian company that has been approved by HRDC.
I am currently in Canada and have been offered permanent employment. The offer has been validated by HRDC, including sectoral confirmations, or does not need to be validated because it is exempt under NAFTA, GATS, CCAFTA, or there is a significant benefit (e.g. intra-company transferee).
Spouse/Partner's Education
High School Diploma
Trade School/College Diploma
Bachelor Degree
Master Degree
PH. D. Degree
Total years of full-time study in school
Previous Experience in Canada by you or your Spouse/Partner
Type of Experience Yes No
Have you or your spouse / partner worked in Canada?
Have you or your spouse / partner studied in Canada?
Family Relationship in Canada by You or Your Partner
Type Relationship Yes No
If you have a spouse / common-law partner who is a permanent resident or Canadian citizen currently living in Canada.
If you or your spouse / partner have a brother, sister, mother, father, grandparent, aunt, uncle, child, niece or nephew who is a permanent resident or Canadian citizen currently living in Canada.
Any additional comments you would like to make

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