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 dollarPersonal net worth means the total value of your assets (bank accounts, stocks, bonds, real estate, etc) MINUS the total of your liabilities (mortgages, loans, credit card balances, etc). * Please Include assets and debts/liabilities of spouse/common-law partner (if applicable) * Also Include value of share ownership in companies you own (if applicable)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