Personal Information
Tell us a bit about yourself - provide you information, including information about your spouse/partner and any dependent children, if applicable.
How did you hear about us?
*
Type of immigration you're interested in
*
Please Select
Please Select
Visiting Canada
Work Permit (Please note - we do not look for or provide jobs)
Study Permit
LMIA - Employer Support
Spousal/Family Sponsorship
Express Entry
Provincial Nominee Program
International Adoption
Refugee/Asylum Claim
Permanent Residency
PR Travel Document
International Experience Canada (Working Holiday)
Detention/Appeals
Humanitarian & Compassionate Claim
Extend my status
Other
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)
Yes
No
Province or territory of interest
*
Please Select
Please Select
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland & Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
No preference
Full Name
*
Address
*
City
*
State/Province
*
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Date of birth (yyyy/mm/dd)
*
/
Month
/
Day
Year
Date
Country of birth
*
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Marital Status
*
Please Select
Please Select
Single
Married
Common law
Divorced/Separated
Widowed
Spouse/Partner's Full Name
Spouse/Partner's Date of birth (yyyy/mm/dd)
/
Month
/
Day
Year
Date
Spouse/Partner's Country of birth
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Spouse/Partner's Country of residence (if different than birth)
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Do you have any children under the age of 22? If yes, how many?
Would your spouse/partner/children accompany you to Canada?
Yes, if possible
No
Not sure
Education & Language
Provide details about your education and language
Your highest level of education completed
*
Please Select
Please Select
Secondary Diploma
Bachelor's Degree
Master's Degree
College Certificate/Diploma
Trade Certification
Other
Do you have a valid ECA?
*
Yes
No
Not 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?
*
Please Select
Please Select
Between 1-3yrs
At least 3yrs
At least 5yrs
Between 5-10yrs
None
How many years of work experience do you have INSIDE Canada?
*
Please Select
Please Select
Between 1-3yrs
At least 3yrs
At least 5yrs
Between 5-10yrs
None
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?
*
Yes
No
Does your spouse/partner have a relative in Canada?
*
Yes
No
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
Submit
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