Client Intake Form – Provincial Entrepreneurship Program
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
example@example.com
Marital status
*
Country of residence
*
City of residence
*
Program Preferences and Background
Which province(s) are you interested in?
*
Please Select
Nova Scotia
British Columbia
Both
Have you visited the province before?
*
Please Select
Yes
No
If yes: please specify the time of visit
If No: Are you able to visit the province?
*
Please Select
Yes
No
Net Worth & Investment
Your net worth amount (The minimum amount is 600,000 CAD)
*
Your cash liquidity
*
Are funds unencumbered (not pledged or committed elsewhere)?
*
Please Select
Yes
No
How much are you willing to invest in the province: (The minimum amount for Nova Scotia is 150,000 CAD, and for BC is 200,000 CAD)
*
Language Proficiency
Have you taken the IELTS (general) or CELPIP (general) exam in the past two years? If yes, insert your score for each skill:
*
Have you taken the TEF or TCF exam in the past two years? If yes, insert your score for each skill:
Has your spouse taken the IELTS (general) or CELPIP (general) exam in the past two years? If yes, insert your score for each skill:
*
Has your spouse taken the TEF or TEF exam in the past two years? If yes, insert your score for each skill:
Education
Highest Education Level
*
Please Select
High School
Bachelor’s
Master’s
PhD
Other
Business Experience
How many years of experience do you have as a full-time business owner/ manager in the past 10 years?
*
The percentage of Ownership in above-mentioned Business
*
How many years of experience do you have as a full-time Senior manager in the past 10 years?
*
Provide a detailed description of your type and field of business, along with your relevant professional experience.
*
Other Details
Explain a detailed description of the business you plan to operate in the province
*
Do you plan to start a new business or buy an existing business in the province?
*
The percentage of Ownership in Planned Business in the province (Minimum 33%)
*
Estimated Jobs to Create (Minimum 1)
*
Are you or any of your immediate family members residing, studying, or working in Canada, or have you or your immediate family resided, studied, or worked in Canada before?
*
Are you or your spouse currently involved in any other Canadian immigration applications?
*
Other Note:
Summary
Submit
Should be Empty: