Assessment Form Initial Assessment Form for Immigrants Name* First Name Last Name Age*Country of residence* Country of Citizenship* Phone Number*Email* Marital Status* Single Married Degrees with major*DegreeMajor Current Job* Employee Business Owner University Student Unemployed Position Field of Activity Length of Current Position Type of Business Percentage of Ownership Spouse information (if required)Name First Name Last Name Degrees with majorDegreeMajor Current Job Employee Business Owner University Student Unemployed Position Field of Activity Length of Current Position Type of Business Percentage of Ownership Further informationDo you have a family in Canada?* Yes No Relationship of family member* City* Have you ever had a visa / residency in Canada, US, UK, Schengen, Australia or New Zealand?* Yes No Have you ever applied for a visa, which has had a negative result?* Yes No Please explain*English language level* Poor Average Good Fluent IELTS score (if applicable) French language level (if applicable) Total amount of cash in bank (you and spouse)Write in Canadian Dollars ( CAD ) Total Market Value of Properties (you and spouse)Write in Canadian Dollars ( CAD ) Further Description (if required)EmailThis field is for validation purposes and should be left unchanged.