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We are pleased to assess whether we can help you with your immigration to Canada. If you apply together with a spouse or common-law spouse, please fill in separate forms for each person.

Note that more education, more work experience, and better financial situation are of critical importance to increase your chances for immigration - make sure you don't forget to list anything.

Below, you can fill in your information online. You can either submit this information to us directly by pressing 'submit' at the end of the questionnaire, or alternatively, you can also print this page and send it to us by fax or regular mail (see Contact us).

If you have a Resume or CV, you can also send it to us by email.

We process all queries, and we will try to respond to you soon. There may be considerable delays when we are busy. For a faster response we recommend our Professional Priority Assessment.

Please note that wrongful information may reduce your chances to immigrate, and that you could be stripped of your Canadian citizenship at any time if discrepancies are later found in your initial application. For best success it is essential to recognize potential obstacles early on. Your information is used for our free assessment only, is not an application to immigrate to Canada, and is with no obligation from your part.

We are committed to protect your personal data and your privacy. We treat all information as absolutely confidential, and use it for no other purpose than a free assessment (see Privacy Policy).


PERSONAL INFORMATION:

Family Name:
Given Name(s):
Street:
City, Province/State
Postal Code
Country:
Telephone:
Fax:
Email:
   
Birth Date:
Citizen of:
Current Occupation:
Intended Occupation in Canada:

Sex:

   Male   Female
     
Marital Status:
    		     

   
How many children?
   		accompanying you AND depending on you economically
  
How many other family members? accompanying you AND depending on you economically

 

EDUCATION:

Highest Level of Completed Education:


  
    
Elementary/Primary School:

years
Secondary/High School: years
University/College: years

Apprenticeship, Trade School, other post-secondary school:

 years


Details of my education after Elementary School:
From (Year), To (Year), Institution, City/Country, Type of certificate
Please write in full or explain abbreviations



Other relevant training programs or studies without degree:


    

WORK EXPERIENCE:

Work history since 18th birthday: 
From (Year), To (Year), Employer, City/Country, Occupation, Full/Part Time, Gross Monthly Income. Please write in full or explain abbreviations.



Intended Occupation, Business/Investment Plans, or other Personal Objectives in Canada:



RELOCATION DETAILS:

Intended Year of Immigration:   


Destination in Canada (City or Province):


Do you have relatives in Canada?    Yes No

If yes, what relationship?

 

Do you have friends or connections in Canada?    Yes No

If yes, where?



 

LANGUAGE ABILITY:
Native Language:


English:
Read
Write
Listen
Speak

French:
Read
Write
Listen
Speak

 

ADDITIONAL QUESTIONS:

Please select if the your answer to any of these questions is 'yes' for yourself or any of your dependent family members.  Have you ever:

Been convicted of or currently charged with a crime or offence in any country, or been detained or incarcerated? Have you ever had your driver's license suspended?

Previously sought refugee status in Canada or applied for an immigrant or visitor visa?

Been refused refugee status in, or an immigrant or visitor visa to, Canada or any other country, or have been refused a CSQ to Quebec?

Been refused admission to, or ordered to leave, Canada or any other country?

Whether in peace or war, have you ever been involved in the deportation of civilians or in the commission of a war crime or crime against humanity, such as: wilful killing, torture, attacks upon, enslavement, starvation or other inhumane acts against civilians or prisoners of war?

Used, planned or advocated or been associated with a group that uses or advocated the use of armed struggle or violence to reach political, religious or social objectives?

Had any serious disease or mental illness?

If you selected any of these questions, please explain the situation in more detail:



FINANCIAL SITUATION:

How much money will you bring with you to Canada? An estimate is sufficient for now, for the application you will need to document your statements.

Amount: Currency:
Transferable:
Investments:
Property value, Real Estate:
Monthly transferable Pension:
   
Debts:

Do you have any legal payment obligations (for example, child support payments)? If yes, please describe details:


OTHER:

Further Explanations, Questions, or Comments:

How did you hear of MapleLeafcard.info / ProCanada Consulting?




  

 

(Please wait a moment until you see our confirmation that we received your information)

 

 

© mapleLeafcard.info 2001

 How we proceed:

Please contact us with your questions.

We are happy to give references from former clients and authorities that have seen our work.

For a free assessment if we can suggest a way to make you qualify for immigration to Canada, please fill in the form on this page.

We will contact you with our response and a cost estimate for you.

All personal information is kept absolutely confidential.