Formulaire d'évaluationInformation:Please enable JavaScript in your browser to complete this form.Salutation *Please select an optionMr.Mrs.Ms.Dr.Name *FirstLastName and last nameEmail *Phone numberNationality *Country of Current ResidencePreferred Destination in CanadaPlease selectNo preferred destinationAlbertaBritish ColombiaManitobaNew BrunswickNewfoundland and LabradorNorthwest Territories (NWT)Nova ScotiaOntarioQuebecPrince Edward Island (PEI)SaskatchewanYukonAge *Marital Status *Please selectNever marriedMarriedCommon-Law RelationshipDivorcedWidowCombien d'enfants avez-vous?Children's ageAvez-vous des enfants de plus de 18 ans souffrant d'un handicap physique ou mental?YesNoÉducation: Avez-vous terminé l'école secondaire?YesNoAvez-vous suivi un enseignement/une formation après l'école secondaire?YesNoHave you had paid employment during the last 10 years?YesNoLanguage skills: EnglishSpeakingSpeaking-AdvanceSpeaking-High intermediateSpeaking-IntermediateSpeaking-Low intermediateSpeaking-BasicSpeaking-NoneEnglishListeningListening-AdvanceListening-High intermediateListening-IntermediateListening-Low intermediateListening-BasicListening-NoneEnglishReadingReading-AdvanceReading-High intermediateReading-IntermediateReading-Low intermediateReading-BasicReading-NoneEnglishWritingWriting-AdvanceWriting-High intermediateWriting-IntermediateWriting-Low intermediateWriting-BasicWriting-NoneLanguage skills: FrenchSpeakingSpeaking-AdvanceSpeaking-High intermediateSpeaking-IntermediateSpeaking-Low intermediateSpeaking-BasicSpeaking-NoneFrenchListeningListening-AdvanceListening-High intermediateListening-IntermediateListening-Low intermediateListening-BasicListening-NoneFrenchReadingReading-AdvanceReading-High intermediateReading-IntermediateReading-Low intermediateReading-BasicReading-NoneFrenchWritingWriting-AdvanceWriting-High intermediateWriting-IntermediateWriting-Low intermediateWriting-BasicWriting-NoneHave you been employed in Canada as a temporary foreign worker?YesNoOffre d'emploi au Canada: Avez-vous une offre d'emploi officielle/écrite d'un employeur canadien?YesNoStay in Canada: Have you visited Canada before?YesNoFamily and friends in Canada: Do you have family or close friends living in Canada?YesNoPersonal net worth:Please selectCAD - Canadian dollarEUR - EuroUSD - American dollarLa valeur nette personnelle est la valeur totale de vos actifs (comptes bancaires, actions, obligations, biens immobiliers, etc.) MOINS le total de vos passifs (hypothèques, prêts, soldes de cartes de crédit, etc.) * Veuillez inclure les actifs et les dettes/passifs de votre époux/conjoint de fait (le cas échéant) * Inclure également la valeur des actions des sociétés que vous possédez (le cas échéant)What is your networth?Please selectLess than 10,00010,000 - 100,000100,000 - 500,000500,000 - 1,000,0001,000,000 - 1,600,0001,600,000+Avez-vous de l'expérience dans la gestion d'une entreprise?YesNoHave you ever owned and operated your own business?YesNoSafety and medicine: Have you ever been convicted of a criminal offense?YesNoEst-ce que vous ou l'un des membres de votre famille immédiate avez un problème de santé?YesNoQuestion/Message:Please let us know any additional comments you haveSubmit