Client Assessment Form
(use separate Citizenship assessment for Citizenship enquiries)
CONTACT INFORMATION
Your Full Legal Name (As shown on your passport)
Address
In which country do you live now?
Contact
PERSONAL INFORMATION
Date of Birth
Place of Birth
In which country were you born?
Citizenship
Marital Status
Select Your Current Status
Never Married
Married
Engaged
Living with your Same Sex Partner [FOR MORE THAN 1 YEAR]
Living with your Common Law Partner [FOR MORE THAN 1 YEAR]
Separated
Divorced
Widowed
YOUR EDUCATION DETAILS
Provide the Highest Level of Education that You Have Graduated or Passed
Select Your Highest Level Qualification
None
Graduated from Secondary School
1 year College Diploma or Certificate
2 year College Diploma or Certificate
3 year College Diploma or Certificate
4 year College Diploma or Certificate
Trade or Apprenticeship Certificate
1 year University credential
2 year University credential
3 year University credential
4 year University credential
Masters Degree
PhD
Provide the Second Highest Level of Education that You Have Graduated or Passed
Select Your Second Highest Level Qualification
None
Graduated from Secondary School
1 year College Diploma or Certificate
2 year College Diploma or Certificate
3 year College Diploma or Certificate
4 year College Diploma or Certificate
Trade or Apprenticeship Certificate
1 year University credential
2 year University credential
3 year University credential
4 year University credential
Masters Degree
PhD
Please Describe Your COMPLETED Accreditations (in example format shown below; Date: Course: Institution:)
YOUR ENGLISH LANGUAGE ABILITY
English - Speaking
Select Your English Speaking Ability
Fluent - (can converse without limitation)
Well - (have limited vocabulary but people understand)
With Difficulty
None
English - Reading
Select Your English Reading Ability
Fluent - (can read without limitation)
Well - (have limited vocabulary but can look up new words)
With Difficulty
None
English - Writing
Select Your English Writing Ability
Fluent - (can write without limitation)
Well - (have limited vocabulary but can look up new words)
With Difficulty
None
English - Listening/Understanding
Select Your English Listening Ability
Fluent - (can understand without limitation)
Well - (have limited vocabulary but understand most words)
With Difficulty
None
YOUR FRENCH LANGUAGE ABILITY
French - Speaking
Select Your French Speaking Ability
Fluent - (can converse without limitation)
Well - (have limited vocabulary but people understand)
With Difficulty
None
French - Reading
Select Your French Reading Ability
Fluent - (can read without limitation)
Well - (have limited vocabulary but can look up new words)
With Difficulty
None
French - Writing
Select Your French Writing Ability
Fluent - (can write without limitation)
Well - (have limited vocabulary but can look up new words)
With Difficulty
None
French - Listening/Understanding
Select Your French Listening Ability
Fluent - (can understand without limitation)
Well - (have limited vocabulary but understand most words)
With Difficulty
None
If you have taken a language test in the last 3 years, please provide results in each of the 4 categories below
YOUR WORK HISTORY
Your Employment Details for the Past 10 Years
YOUR SPOUSE OR PARTNER'S DETAILS (if any)
Your Spouse or Partner's Legal Name (As shown on their passport)
Spouse or Partner's Personal Information
Date of Birth
Spouse or Partner's Place of Birth
What country was your spouse or partner born in?
Spouse or Partner's Citizenship
SPOUSE OR PARTNER'S EDUCATION DETAILS
Provide the Highest Level of Education that Your Spouse or Partner Has Graduated or Passed
None
Graduated from Secondary School
1 year College Diploma or Certificate
2 year College Diploma or Certificate
3 year College Diploma or Certificate
4 year College Diploma or Certificate
Trade or Apprenticeship Certificate
1 year University credential
2 year University credential
3 year University credential
4 year University credential
Masters Degree
PhD
Provide the Second Highest Level of Education that Your Spouse or Partner Has Graduated or Passed
Select Spouse or Partner's Second Highest Level Qualification
None
Graduated from Secondary School
1 year College Diploma or Certificate
2 year College Diploma or Certificate
3 year College Diploma or Certificate
4 year College Diploma or Certificate
Trade or Apprenticeship Certificate
1 year University credential
2 year University credential
3 year University credential
4 year University credential
Masters Degree
PhD
Please Describe Your Spouse or Partner's Accreditations; Subject - Institution - Year of Graduation
YOUR SPOUSE OR PARTNER'S ENGLISH LANGUAGE ABILITY
English - Speaking
Select Your Spouse or Partner's English Speaking Ability
Fluent - (can converse without limitation)
Well - (have limited vocabulary but people understand)
With Difficulty
None
English - Reading
Select Your Spouse or Partner's English Reading Ability
Fluent - (can read without limitation)
Well - (have limited vocabulary but can look up new words)
With Difficulty
None
English - Writing
Select Your Spouse or Partner's English Writing Ability
Fluent - (can write without limitation)
Well - (have limited vocabulary but can look up new words)
With Difficulty
None
English - Listening/Understanding
Select Your Spouse or Partner's English Listening Ability
Fluent - (can understand without limitation)
Well - (have limited vocabulary but understand most words)
With Difficulty
None
YOUR FRENCH LANGUAGE ABILITY
French - Speaking
Select Your Spouse or Partner's French Speaking Ability
Fluent - (can converse without limitation)
Well - (have limited vocabulary but people understand)
With Difficulty
None
French - Reading
Select Your Spouse or Partner's French Reading Ability
Fluent - (can read without limitation)
Well - (have limited vocabulary but can look up new words)
With Difficulty
None
French - Writing
Select Your Spouse or Partner's French Writing Ability
Fluent - (can write without limitation)
Well - (have limited vocabulary but can look up new words)
With Difficulty
None
French - Listening/Understanding
Select Your Spouse or Partner's French Listening Ability
Fluent - (can understand without limitation)
Well - (have limited vocabulary but understand most words)
With Difficulty
None
If your spouse or partner has taken a language test in the last 3 years, please provide results in each of the 4 categories below
YOUR SPOUSE OR PARTNER'S WORK HISTORY
Your Spouse or Partner's Employment Details for the Past 10 Years
YOUR CHILDREN (if any)
Number of Children You and Your Spouse/Partner Have
Select the Number of Children
none
1
2
3
4
5
6
Child #1
Child #2
Child #3
Child #4
Child #5
Child #6
MISCELLANEOUS
If you or your spouse/partner have any relatives already living in Canada, please provide details
Have you ever visited Canada before?
Select your type of visit
Never
As a visitor
Business trip
Worked legally in Canada
Studied at a Canadian school, college, or university
If you or your spouse/partner have been charged with, or convicted of any offense in the last 10 years please provide details, if there are none enter "None".
Thank you for providing your details. We shall respond to you within 5 business days, however if you require more urgent attention (e.g. impending visa deadline, etc.), please also send us an email at info@candimm.ca for a quicker written response.
The information provided within this assessment is confidential and shall only be shared as necessary, by Candi Immigration staff with Canadian Immigration personnel (IRCC - Immigration, Refugee & Citizenship Canada) for the purposes of an immigration application or appeal on behalf of the main applicant, spouse, partner, or any dependant child.
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