Formulaire d'évaluation
Information:
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Salutation
*
Please select an option
Mr.
Mrs.
Ms.
Dr.
Name
*
First
Last
Name and last name
Email
*
Phone number
Nationality
*
Country of Current Residence
Preferred Destination in Canada
Please select
No preferred destination
Alberta
British Colombia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories (NWT)
Nova Scotia
Ontario
Quebec
Prince Edward Island (PEI)
Saskatchewan
Yukon
Age
*
Marital Status
*
Please select
Never married
Married
Common-Law Relationship
Divorced
Widow
Combien d'enfants avez-vous?
Children's age
Avez-vous des enfants de plus de 18 ans souffrant d'un handicap physique ou mental?
Yes
No
Éducation: Avez-vous terminé l'école secondaire?
Yes
No
Avez-vous suivi un enseignement/une formation après l'école secondaire?
Yes
No
Have you had paid employment during the last 10 years?
Yes
No
Language skills: English
Speaking
Speaking-Advance
Speaking-High intermediate
Speaking-Intermediate
Speaking-Low intermediate
Speaking-Basic
Speaking-None
English
Listening
Listening-Advance
Listening-High intermediate
Listening-Intermediate
Listening-Low intermediate
Listening-Basic
Listening-None
English
Reading
Reading-Advance
Reading-High intermediate
Reading-Intermediate
Reading-Low intermediate
Reading-Basic
Reading-None
English
Writing
Writing-Advance
Writing-High intermediate
Writing-Intermediate
Writing-Low intermediate
Writing-Basic
Writing-None
Language skills: French
Speaking
Speaking-Advance
Speaking-High intermediate
Speaking-Intermediate
Speaking-Low intermediate
Speaking-Basic
Speaking-None
French
Listening
Listening-Advance
Listening-High intermediate
Listening-Intermediate
Listening-Low intermediate
Listening-Basic
Listening-None
French
Reading
Reading-Advance
Reading-High intermediate
Reading-Intermediate
Reading-Low intermediate
Reading-Basic
Reading-None
French
Writing
Writing-Advance
Writing-High intermediate
Writing-Intermediate
Writing-Low intermediate
Writing-Basic
Writing-None
Have you been employed in Canada as a temporary foreign worker?
Yes
No
Offre d'emploi au Canada: Avez-vous une offre d'emploi officielle/écrite d'un employeur canadien?
Yes
No
Stay in Canada: Have you visited Canada before?
Yes
No
Family and friends in Canada: Do you have family or close friends living in Canada?
Yes
No
Personal net worth:
Please select
CAD - Canadian dollar
EUR - Euro
USD - American dollar
La 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 select
Less than 10,000
10,000 - 100,000
100,000 - 500,000
500,000 - 1,000,000
1,000,000 - 1,600,000
1,600,000+
Avez-vous de l'expérience dans la gestion d'une entreprise?
Yes
No
Have you ever owned and operated your own business?
Yes
No
Safety and medicine: Have you ever been convicted of a criminal offense?
Yes
No
Est-ce que vous ou l'un des membres de votre famille immédiate avez un problème de santé?
Yes
No
Question/Message:
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