Free Assessment

Personal Information

Tell us a bit about yourself - provide you information, including information about your spouse/partner and any dependent children, if applicable.
Full Name*
Address*
City*
State/Province*
Phone Number*

Area CodePhone Number
Email*
example@example.com
Date of birth (yyyy/mm/dd)*

MonthDayYear
Date
Country of birth*
If currently inside Canada, what is your status?
If you hold a permit/visa, when does it expire?
Marital Status*
Do you have any children under the age of 22? If yes, how many?
Spouse/Partner Information

Provide details about your spouse or partner
Spouse/Partner's Full Name
Spouse/Partner's Date of birth (yyyy/mm/dd)

MonthDayYear
Date
Spouse/Partner's Country of birth
Spouse/Partner's Country of residence (if different than birth)
Would your spouse/partner/children accompany you to Canada?

Yes, if possibleNoNot sure
Immigration Information

Provide details on the type of immigration assistance you're looking for
Type of immigration you're interested in*
Other
Do you have a job offer, or a Canadian employer willing to provide one? (Please note: We do not provide or sell job offers)

YesNo
Province or territory of interest*
Education & Language

Provide details about your education and language
Your highest level of education completed*
Do you have a valid ECA?*

YesNoNot sure
Have you taken an English or French language test? (IELTS, CELPIP, TEF)*
If yes, please provide scores for each section - Speaking, Listening, Reading, Writing
Employment

Provide details about your work history/experience
What occupation do you currently work in or have experience in?*
What is your current job title?*
How many years of work experience do you have OUTSIDE Canada?*
How many years of work experience do you have INSIDE Canada?*
Any additional employment information you wish to provide
Relatives in Canada

Relative - Parent, Grandparent, Child, Grandchild, Sibling, Aunt, Uncle, Niece or Nephew who is a Citizen or Permanent Resident of Canada
Do you have a relative in Canada?*

YesNo
Does your spouse/partner have a relative in Canada?*

YesNo
Admissibility

Please answer as accurately as possible in order to help us determine if there may be any admissibility concerns. All information is kept strictly confidential.

Have you ever been CHARGED or CONVICTED of any offence in ANY country?*

	Yes	No	Unsure
You
Spouse/Partner
Child (18yrs-22yrs)

Have you ever been ARRESTED or DETAINED in ANY country?*

	Yes	No	Unsure
You
Spouse/Partner
Child (18yrs-22yrs)

Do you have a serious medical condition that may require government services OTHER than medication?*

	Yes	No	Unsure
You
Spouse/Partner
Child (18yrs-22yrs)

Do you have any serious medical, physical or mental diseases or disorders? *

	Yes	No	Unsure
You
Spouse/Partner
Child (18yrs-22yrs)

Do you have, or have you been in close contact with someone who has tuberculosis? *

	Yes	No	Unsure
You
Spouse/Partner
Child (18yr-22yrs)

Have you ever APPLIED for any type of visa or permit for Canada (approved or refused)?*

	Yes	No	Unsure
You
Spouse/Partner
Child (18yrs-22yrs)

Have you ever APPLIED for any type of visa or permit for Canada (approved or refused)? *

	Yes	No	Unsure
You
Spouse/Partner
Child (18yrs-22yrs)

Have you ever been REFUSED any type of visa or permit for Canada or ANY country? *

	Yes	No	Unsure
You
Spouse/Partner
Child (18yrs-22yrs)

Have you witnessed or participated in the ill treatment of prisoners or civilians, the looting or desecration of religious buildings?*

	Yes	No	Unsure
You
Spouse/Partner
Child (18yrs-22yrs)

Have you planned or advocated for the use of armed struggle or violence to reach political, religious or social objectives?*

	Yes	No	Unsure
You
Spouse/Partner
Child (18yrs-22yrs)

Have you ever been associated with a group that uses/used or advocates(d) for the use of, armed struggle or violence to reach political, religious or social objectives?*

	Yes	No	Unsure
You
Spouse/Partner
Child (18yrs-22yrs)

Are you a permanent resident of the USA and hold a valid green card?*

	Yes	No
You
Spouse/Partner
Child (18yrs-22yrs)

I understand that by completing this form I am consenting to providing the requested information for the purposes of a free immigration assessment with Greystone Immigration Inc.*

I consent
Should be Empty:

Personal Information

Spouse/Partner Information

Immigration Information

Education & Language

Employment

Relatives in Canada

Admissibility