Kash Immigration Immigration Consultants and Settlement Services

ASSESSMENT FORM FOR INDEPENDENT SKILLED WORKER CATEGORY

Please fill & submit the following assessment form to us and we will contact you as soon as possible and let you know about your eligibility. Your Information provided to our firm will be kept strictly private and confidential. We do not share the information with any third party for any purpose whatsoever without your permission. Click Here to read our Privacy Policy. Fields marked with * are essentially required.

GENERAL / BASIC PERSONAL INFORMATION

Full Name (First, Middle & Last)		* Email Address
* Street Address		* City
Province / State		Postal / Zip code
* Country		* Nationality
* Phone (Wth area code)		* Date of Birth
* Marital Status		Sex	Male Female
Children	No Yes	Children Ages (13,11)

LANGUAGES KNOWLEDGE

English		French
* Speaking		* Speaking
* Reading		* Reading
* Writing		* Writing
* Listening & Comprehension		* Listening & Comprehension

EDUCATION / QUALIFICATION *(Start with the most recent first, Dates in day/month/year or dd/mmm/yyyy format please)

Total Formal Education should include primary, middle & high school, college and/or university years up to Masters or PhD
Total Formal Education	years	Highest Degree Earned

From	To	Academic Institution	Field of Study	Degree/Cert/Diploma

EMPLOYMENT HISTORY *

From	To	Employer / Location	Position/Title	Job Description/ Duties

ARRANGED EMPLOYMENT (Adaptability) in CANADA (Please check/tick all that apply)

You have an OFFER for Employment	The Offer is already approved by HRDC in
You are currently working in Canada	You have a Work Permit to work in Canada

ADDITIONAL (You and Your SPOUSE)

Total Formal Education of your spouse :	years
Spouse-Highest Degree earned :		Specific Field of Study of spouse :
Professional Trade Certs or Apprenticeships of spouse :
Current occupation of spouse :
Have you or your Spouse (Wife/ Husband) completed any Canadian post-secondary education of at least 2 years, since the age of 17?	No Yes	Have you or your spouse worked full-time in Canada for at least 1 year?	No Yes
* Do you or your spouse have any relative(s) in Canada who is/ are Citizen(s) or Permanent Resident(s) :

FINANCIAL STATUS (Include your spouse in all calculations)

* Indicate the Liquid Cash that you & your spouse can make available at the time of Immigration :

ALMOST DONE

* Your preferred method of contact :	which is *
Fill out IF your professional achievements are significant :
Any Remarks/ Comments/ Questions :
Referred by (Optional) :

By submitting this information you agree to the terms and conditions of our services and use of this website. If you experience difficulty in submitting this form online, you may print and send it by Fax or Mail. You can also send us your detailed Resume via postal mail, fax or email.

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