Please Complete This Form and Send It To

For a quicker assessment, please complete our easy online version economic assessment form by clicking HERE or
Please complete this form and send it to: assessments@immigrationpros.ca or to our fax number:
1-416-352-7412/ 1-888-897-9235
ECONOMIC ASSESSMENT
ELIGIBILITY INFORMATION FORM
PRINCIPAL APPLICANT
Mr. or Mrs. or Ms.
First name
Last name
Citizenship (s)
Current country of Residence

Legal status in the current country of residence
Legal Status in Canada, if applicable, please indicate
your visa’s expiry date, type of permit
Main telephone number
E-mail
Date of birth JJ______ / MM____________ / AA________
EDUCATION
Educational degree(s): Please give full details of all the studies you have had. Please only list studies that were completed
and a degree, diploma, or completion certificate was awarded.
Secondary and post-secondary

Studies Exact names of your degrees Study periods Country where you
(college/university/apprentices, (month / year) studied
trainings, etc.)
Do you hold a Canadian diploma? If yes, please provide details on the diploma and length of the program.
Secondary and post-secondary
Studies Exact names of your degrees Study periods Country where you
trainings, etc.)
WORK EXPERIENCE
Please provide a detailed list of the work experience you had during the last 10 years:
Position Start and end dates Location Full-time / Part-time

(month/year) (city and
country)
If you are working in Canada, do you have a permanent, full-time job offer from a Canadian employer supported by
an LMIA? If yes, provide details:
Do you hold a valid work permit for Canada? If so, please provide:
- Expiry date ___________________________________
- NOC code, if applicable ___________________________________

KNOWLEDGE OF ENGLISH AND FRENCH
Have you taken an English test (IELTS or CELPIP)? If so, please indicate which test and how long ago.
Test name : ________________________________________________ Date : ___________________
Please list your language abilities on all four bands:
Listening Speaking Reading Writing
If you haven’t taken any language test what do you rate your level to be from 1 to 9? ___________
Have you taken a French test? If so, please indicate which test and how long ago.
Test name : ________________________________________________ Date : ___________________
OTHER INFORMATION
Do you have family members in Canada who are
Canadian citizens or permanent residents? Relation: __________________________
(Please specify if: spouse or common-law partner, Province: __________________________

child/grandchild, parents/grandparents, sister/brother,
uncle/aunt, niece/nephew. Do not include other Relatives Legal Status: __________________________
relatives.)
Have you travelled, worked or studied in Canada?
If so, please provide details
Do you have any health issues? Please provide details
Have you had any criminal convictions? Provide

details
CHILDREN
Number of children under 12: ____________
Number of children between 12 and 19 years old: ____________
SPOUSE / COMMON-LAW PARTNER, IF APPLICABLE

Mr. or Mrs. or Ms.
First name
Last name
Will they accompany you to Canada?
Spouse’s Nationality (ies)
Current country of Residence
Legal status in the current country of residence

If temporary resident, please indicate the visa’s expiry date
Legal Status in Canada, if applicable
If temporary resident, please indicate your visa’s expiry date,
type of permit
Date of birth JJ______ / MM____________ / AA________
SPOUSE’S EDUCATION
Educational degree(s): Please be as detailed as possible in all the studies you have done. Please only list studies that
were completed and a degree, diploma, or completion certificate was awarded.
Secondary and post-

secondary Studies Exact names of your Study periods Country where you
(college/university/apprentic degrees (month / year) studied
es, trainings, etc.)
Do you hold a Canadian diploma? If yes, please provide details on the diploma and length of the program.
Secondary and post-

secondary Studies Exact names of your degrees Study periods Country where you
trainings, etc.)
SPOUSE’S KNOWLEDGE OF ENGLISH AND FRENCH

Have you taken an English test (IELTS or CELPIP)? If so, please indicate which test and how long ago.
Test name : ________________________________________________ Date : ___________________

SPOUSE’S WORK EXPERIENCE
Please provide a detailed list of the work experience you had during the last 10 years:
Position
Have you taken a French Startwhich
test? If so, please indicate and end
testdates Location
and how long ago. Full-time / Part-time
(month/year) (city / country)
Test name : ________________________________________________ Date : ___________________
If your spouse is working in Canada, does he/she have a permanent, full-time job offer from a Canadian employer
supported by an LMIA? If yes, provide details:
Do you hold a valid work permit for Canada? If so, please provide:
- Expiry date ___________________________________
- NOC code, if applicable ___________________________________
OTHER INFORMATION
Do you have family members in Canada who are
Canadian citizens or permanent residents? Relation: __________________________
(Please specify if: spouse or common-law partner, Province: __________________________
child/grandchild, parents/grandparents, sister/brother,
uncle/aunt, niece/nephew. Do not include other relatives.) Relatives Legal Status: __________________________
Do you have any health issues? Please provide details
Have you had any criminal convictions? Provide details
Observations:

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Current country of Residence

Date of birth JJ______ / MM____________ / AA________

Secondary and post-secondary

Position Start and end dates Location Full-time / Part-time

- Expiry date ___________________________________

- NOC code, if applicable ___________________________________

Test name : ________________________________________________ Date : ___________________

Please list your language abilities on all four bands:

Listening Speaking Reading Writing

Test name : ________________________________________________ Date : ___________________

Please list your language abilities on all four bands:

Listening Speaking Reading Writing

(Please specify if: spouse or common-law partner, Province: __________________________

Do you have any health issues? Please provide details

Have you had any criminal convictions? Provide

Number of children between 12 and 19 years old: ____________

SPOUSE / COMMON-LAW PARTNER, IF APPLICABLE

Legal status in the current country of residence

Date of birth JJ______ / MM____________ / AA________

Secondary and post-

Secondary and post-

SPOUSE’S KNOWLEDGE OF ENGLISH AND FRENCH

Test name : ________________________________________________ Date : ___________________

Please list your language abilities on all four bands:

Please list your language abilities on all four bands:

Listening Speaking Reading Writing

- Expiry date ___________________________________

- NOC code, if applicable ___________________________________

Do you have any health issues? Please provide details

Have you had any criminal convictions? Provide details

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