Assessment Form
Answer all questions that applies to you.
Full Name
*
First Name
Middle Name
Last Name
What Immigration Services are you contacting us for today?
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Study Permit
Work Permit
Vistor Visa (TRV)
Permanent Resident
Citizenship
Sponsorship
Business Investor
What type of sponsorship?
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Spousal/Dependent Child(ren) Sponsorship
Parents/Grandparents Sponsorship
Marital Status
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Married
Common Law
Do you have any dependent children?
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Yes
No
How many dependent children do you have?
*
Marital Status
*
Single/Never Married
Married
Common Law
Sex
*
Male
Female
Date of Birth
*
-
Year
-
Month
Day
Please enter your date of birth
Country of Birth
*
Country of Residence (If different from Country of Birth)
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
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
Curaçao
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
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Phone Number
*
-
Country Code
-
Area Code
Phone Number
Passport Number
Date of Issue
-
Year
-
Month
Day
Date of Expiry
-
Year
-
Month
Day
Marital Status
*
Single/Never Married
Married
Divorced
Separated
Widowed
Common Law
Marital Status
*
Single/Never Married
Married
Divorced
Separated
Widowed
Common Law
Occupation of Spouse or Common Law partner
*
Will your Spouse or Common Law partner be accompanying you to Canada
*
Yes
No
Undecided
Do you have children?
*
Yes
No
How many children do you have?
*
Will any or all of your children be accompanying you to Canada?
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Yes
No
How many of your children will be accompanying you to Canada?
*
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What would you like to study?
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Diploma (1, 2 or 3 years)
Post Graduate Diploma (1 or 2 years)
Bachelor's (4 or 5 years)
Masters
What is your budget for tuition/year only (excluding living expenses)?
*
Hint: You may require an average of $15,000-$20,000 (CAD)/year
What is your budget for living expenses ?
Hint: You may typically need at least $20,635 (CAD) for study permit application
How much do you have to immigrate to Canada (in Canadian Dollars)
*
i.e. Proof of Funds for permanent residency application - Hint: You may typically need at least $15,000 (CAD) for a single person
Do you have a family member that is a Canadian citizen or permanent resident?
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Yes
No
What is the family member's relationship with you and what city do they reside in?
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Do you or your spouse/partner have a family member that is a Canadian citizen or permanent resident?
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Yes
No
What is the family member's relationship with you or your spouse and what city do they reside in?
*
Have you taken any of these English language proficiency tests (Select 1)
CELPIP
IELTS General
PTE Core
N/A
Have you or your spouse/partner taken any of these English language proficiency tests (Select 1)
CELPIP
IELTS General
PTE Core
N/A
What day did you write the test?
-
Month
-
Day
Year
Enter scores for Reading
Enter scores for Writing
Enter scores for Speaking
Enter scores for Listening
Have you taken any of these French language proficiency tests (Select 1)
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TEF
TCF
N/A
Have you or your spouse/partner taken any of these French language proficiency tests (Select 1)
*
TEF
TCF
N/A
What day did you write the test?
-
Month
-
Day
Year
Enter scores for Reading
Enter scores for Writing
Enter scores for Speaking
Enter scores for Listening
Education - Provide the information for your high (secondary) and all schools attended thereafter (post-secondary) institutions
*
From (MM/YY)
To (MM/YY)
Name of School
City/Country
Type of Certificate Issued
Area of Study
High School
School 1
School 2
School 3
School 4
Employment History - Provide your employment history for the past ten (10) years beginning with current employment (include part-time experience)
*
From (MM/YY)
To (MM/YY)
Job Title
City/Country
Full Time (F/T) or Part Time (P/T)
Name of Company
Current Employment
Employment 2
Employment 3
Employment 4
Employment 5
Have you ever travelled outside your home country?
*
Yes
No
Travel - Please list all international travel for the last 10 years.
*
City/Country
Purpose of Trip
From (MM/YY)
To (MM/YY)
Visa Issued (Y/N)
Travel 1
Travel 2
Travel 3
Travel 4
Travel 5
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Read the following carefully and answer truthfully.
Additional Questions - Have you or your spouse/partner or dependent ever :
*
No
Yes (provide a detailed explanation in the space below)
Been convicted of, or currently subject to any criminal
proceeding in any country?
Previously sought refugee status in Canada or applied for Canadian Immigrant or permanent resident visa OR
any other type of visa (e.g., temporary resident or visitor)?
Been denied refugee status, OR any type of visa (e.g., immigrant, permanent resident, visitor, temporary resident) in Canada or any other country
Been refused admission to or ordered to leave Canada OR any other country
Been involved in an act of genocide, a war crime, a crime against humanity, or the desecration of religious property
Used. use or plan to use violence as an end to achieve political, social or religious objectives?
Been a member of group that is or was involved with organized crime?
Had any serious disease or physical or mental disorders?
How did you find out about us?
Friend or Family or Colleague
Website - Askastute.com
Social Media - Instagram, Facebook, Twitter or LinkedIn
Google
Other
Is there any other information that you feel is important to share as part of your assessment?
By providing us with your personal information, you consent to the collection, use & disclosure of that information to enable us to provide the requested services. The information gathered in this document will only be used to assess your Canadian immigration options and is protected by the College of Immigration and Citizenship Consultants (CICC) Code of Professional Conduct and Canadian privacy laws. Your information will be held in the strictest of confidence and will not be shared with anyone without your explicit written consent.
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