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Intake Form
Full Name*

First NameLast Name
Email*
Phone*
Format: (000) 000-0000.
Street Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Gender*
Date of Birth*

MonthDayYear
Date
Highest level of education received*
Have you taken a language test in the past 2 years?*

IELTSCELPIPTEFNone
Occupation*
Employer's Name*
Nationality*
List all country(ies) where you have citizenship
Country of residence*
The country you lived currently.
Status in Canada*
Expiry Date in Canada (if applicable)

MonthDayYear
Date
Do you have a Spouse/Common-Law Partner?

NoSpouseCommon-law partner
Spouse/Partner's Name (if applicable)
Spouse/Partner's Nationality*
List all country(ies) where you have citizenship
Spouse/Partner's City and Country of Residence
How long have you been married or in a common-law relationship?
Have you or your spouse ever been convicted of a criminal offence?*

NoYes
Which type of immigration matter best describe what you wish to discuss?*

Visitor VisaStudy PermitWork Permit and/or LMIAFamily SponsorshipPR through Express EntryCanadian CitizenshipOther
Please briefly describe your immigration matter so we can assist you.
Are you able to communicate in English/French?*

EnglishFrenchBothNeither
Do you speak other languages? If so, please list them below.*
Upload your up-to-date resume (should include employment history for the last 10 years, if applicable).

Cancelof
Do you prefer to be contacted via:*

EmailPhone
How did you hear about us?

Referred by a friend or family memberGoogle searchFacebookInstagramOther
By typing my name, I hereby certify that this document is legally executed by the person named herein as the Client, and that I understand and acknowledge all of the above information to be true, correct and complete.*
Once your inquiry has been examined, we will reach out to you using one of the preferred communication methods you have selected.
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Intake Form