Immigration Assessment
Please provide the following information and we will assisst your information and send you the result by email. Thank you.
First Name
Last Name
My mailing address is:
City
State
Zip
Country
Phone Number (Home):
Phone Number (Work):
Fax:
Phone (cell)
Email Address :
Sex
M
F
Date of birth
Place of birth
Country of birth:
I am a citizen of
Country of residence (if other than citizenship):
Immigration status in country of residence:
Period of time in country of residence:
Marital status
Married
Commn-law Partner
Unmarried
Divorced
Ligally Separated
Widowed
No. of Dependent Children
Specify their ages
Name of spouse / partner:
Date of Birth:
Spouse Education Details:
High School
Vocational Degree
Associates Degree
1 year diploma
2 years diploma
3 years diploma
4 years diploma
Bachelors Degree 2 Years
Bachelors Degree 3 Years
Bachelors Degree 4 Years
Bachelors Degree 5 Years
Masters Degree
Doctoral Degree or PHD
Post-Doctoral Studies
Professional Certification
English (spouse/Partner)
Speak:
High Proficiency
Moderate Proficiency
Basic Proficiency
No Proficiency
Write
High Proficiency
Moderate Proficiency
Basic Proficiency
No Proficiency
Read :
High Proficiency
Moderate Proficiency
Basic Proficiency
No Proficiency
Listen
High Proficiency
Moderate Proficiency
Basic Proficiency
No Proficiency
IELTS Test Result
Less than 4.0
4.0 - 4.9
5.0 - 6.9
7.0 - 9.0
French (spouse/Partner)
Speak:
High Proficiency
Moderate Proficiency
Basic Proficiency
No Proficiency
Write
High Proficiency
Moderate Proficiency
Basic Proficiency
No Proficiency
Read :
High Proficiency
Moderate Proficiency
Basic Proficiency
No Proficiency
Listen
High Proficiency
Moderate Proficiency
Basic Proficiency
No Proficiency
TEF: Test d’Evaluation de Français
yes
No
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