Assessment Form This information is provided under the terms of strict confidentiality agreements and your information will not be shared, sold or rented by other parties without your permission. Full Name*AgeDate Of Birth Date Format: MM slash DD slash YYYY Email* Phone With Country Code*Skype AccountCountry of BirthResidential AddressType of Immigration Services Requested*Select ServicesWorkVisaStudent VisaSponsorshipMarital Status*Select StatusMarriedSingleCommon-lawSeparatedNumber of Children Under 22 Years OldNumber of Children Over 22 Years OldHighest Level of EducationTotal number of Years of EducationCurrent EmploymentNumber of Years In Current EmploymentEnglish language skills: Y/N?YesNoFrench language skills: Y/N?YesNoHave you taken language ability test?Yes?No?If yes; what were your scores? English?Writing:Speaking:French?Listening:Reading:Do you have relatives living in Canada?YesNoIf yes where do they live?*Available Funds To Settle In Canada in $CAN dollars.What Is Your Net Worth in $CAN dollars.Preferred Province of SettlementHave you ever been charged or convicted of a criminal offence in any country?YesNoIf yes please explain:*How did you hear about us?