Preliminary Assessmment Form
IF you choose married or, common-law relationship above:
IF you choose married or, common-law relationship above are they moving to Canada with you?
Do you have any children?
Have you ever possessed a work or study permit in Canada?
If you have ever lived in Canada before what days did you arrive and depate?
List the total amount of funds which are transferable as well as legal. Not including Real Estate equity
Do you or your partner have close family members who are permanent residences/have citizenship/live in Canada?
English Language Test
If you have taken IELTS or CELPIP please complete the following.
Date test was taken
Please supply the following records of all high school or above level schooling.
Please provide work records from the last 10 years. This is to include part-time employment.
Please provide major travel records from the last 10 years.
Please answer the following questions honestly. Have you, your spouse or your dependents ever: (Yes/No answers are acceptable).
Been convicted of, are currently subject to any criminal proceeding in any country?
Previously sought refugee status in Canada or applied for Canadian immigration or permanent resident visa OR any other type of visa (e.g. temporary resident or visa).
Been denied refugee status. Or any type of Visa (e.g. immigrant, permanent resident, visitor) in Canada or in any other country?
Been refused admission or ordered to leave Canada or any other country?
Been involved in an act of genocide, a war crime, a crime against humanity, or the desecration of religious property?
Used, use or plan to use violence as an end to a political, social or religious objective?
Been a member of a group that is or was involved with organized crime?
Had any serious diseases or physical or mental illness?
Is there any other information that you feel is important to share as part of your preliminary assessment?