Federal Skilled Worker Assessment

To assist you, it is important that we understand a bit about your background and family composition. Citizenship and Immigration Canada (CIC) looks at a variety of factors which we need to take into consideration.

Assessment Questionnaire

First Name:

First Name: :: First Name

Last Name:

Last Name: :: Last Name

Email Address:

Email Address: :: Email Address

Your current country of residence:

Your current country of residence: :: Your current country of residence

Your country of citizenship:

Your country of citizenship: :: Your country of citizenship

Your status in that Country:

Your status in that Country: :: Your status in that Country:

Personal Information

Date of Birth:

Date of Birth: :: Date of Birth

Marital Status:

Number of Children over 18:

Number of Children over 18: :: Number of Children over 18

Number of Children under 18:

Number of Children under 18: :: Number of Children under 18

Eligibility Information

English - Speak

Fluent
Well
Functional
None

English - Speak :: English - Speak

English - Read

Fluent
Well
Functional
None

English - Write

Fluent
Well
Functional
None

English - Listen

Fluent
Well
Functional
None

French - Speak

Fluent
Well
Functional
None

French - Read

Fluent
Well
Functional
None

French - Write

Fluent
Well
Functional
None

French - Listen

Fluent
Well
Functional
None

Educational Information

Total Years of Study:

Total Years of Study: :: Total Years of Study:

Field of Study:

Field of Study: :: Field of Study

Highest Degree:

Highest Degree: :: Highest Degree

Your Spouse's/common law partner's Education (if applicable)

Total Years of Study:

Total Years of Study: :: Total Years of Study

Field of Study:

Field of Study: :: Field of Study

Highest Degree:

Highest Degree: :: Highest Degree

Work Experience

Starting with the most recent, please list your last three jobs:

Full Job Title:

Full Job Title: :: Full Job Title:

Years Worked:

Years Worked: :: Years Worked:

Full Job Title:

Full Job Title: :: Full Job Title

Years Worked:

Years Worked: :: Years Worked

Full Job Title:

Full Job Title: :: Full Job Title

Years Worked:

Years Worked: :: Years Worked

Adaptability Information

Have you ever been to Canada?

Yes
No

Do you have a 2-year (or longer) post secondary degree from Canada?

Yes
No

Have you worked in Canada for one year or longer?

Yes
No

Do you have any relatives living in Canada?

Yes
No

If yes, what is their relation to you (Mother or father, Daughter or son, Sister or brother, Grandmother or grandfather, Granddaughter or grandson, Niece or nephew, Aunt or uncle Spouse or, common-law partner)?

Do you have any concerns about the immigration process?

Resume Submission:

Resume Submission Box: :: Resume Submission Box

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