Assessment | Parallel49 Immigration Canada

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Name

First

Last

Email address*

Phone Number*

Ex +1 (814) 123-2234

Profile

Nationality*

Country of Residence*

Age*

Marital Status*

Number of children under age 22 *

Destination Province or Territory in Canada*

Language skills:

Do you speak English?*

Yes

No

English level*

Basic

Intermediate

Advanced

Do you speak French?*

Yes

No

French level*

Basic

Intermediate

Advanced

Have you done the English and/or French proficiency test before?*

Yes

No

IELTS (English)

Please provide scores

IELTS Exam Date

Speaking

Listening

Reading

Writing

B. TEF (French)

Please provide scores

B. TEF Exam Date

Speaking

Listening

Reading

Writing

Education:

How many degrees completed*

High school

1 year Diploma

2 year Diploma

3+ years Diploma or Bachelor's Degree

Master's Degree

PhD

check ALL that apply

Work Experience:

Have you had paid employment during the last 10 years?*

Yes

No

Field*

Number of years?*

Did you use English or French as the main language at the work place?*

Yes

No

Canadian Connections

Do you have a written job offer from a Canadian employer?*

Yes

No

Explain

Have you ever obtained any education or work experience in Canada?*

Yes

No

Explain

Do you have any family members or friends living in Canada?*

Yes

No

If yes, what is the relationship and in what province/ territory do they live

Personal Net Worth Net worth is considered for some immigration programs (please think of cash, saving, assets...etc)

What is your personal net worth in CAD?*

Do you have experience managing a business?*

Yes

No

Have you ever owned and operated your own business? *

Yes

No

Security and Medical Admissibility:

Have you ever been convicted of a criminal offense?*

Yes

No

Please Explain

Do you or any of your immediate family members have a medical condition?*

Yes

No

Please Explain

Have you already submitted an Express Entry profile to the government of Canada within the past 12 months?*

Yes

No

Please Explain

Additional Information if married, please provide the spouse's age, English or French language proficiency, highest education, current work experience, Canadian education and work experience if applicable...etc.

: *

This field should be left blank

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