WesternWaves Immigration Assessment Form

WesternWaves Immigration Consulting Inc.

Canadian Immigration Assessment Form
Contact Information
Name*
Email*
example@example.com
Phone Number*

Area CodePhone Number
Personal Profile
Date of Birth*

MonthDayYear
Date
Gender*
Marital Status*
Have you previously been married (to someone other than your current spouse)?*
Country of Residence*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Nationality (if different from country of residence)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Preferred province in Canada*
Number of Children under 22 years old*
Number of Children over 22 years old*
Language Skills
Have you written the IELTS or CELPIP exam in the last two years?*
If yes, indicate your scores:
Listening
Reading
Writing
Speaking
Have you written the TCF or TEF exam in the last two years?*
If yes, indicate your scores:
Listening
Reading
Writing
Speaking
Education and Training
Have you completed high/secondary school?*
What is your highest level of education?*
Provide details of your education qualification (type of program, course of study, school, Country, dates attended)*
Have you had your credentials assessed by a credential evaluation organization in the last 5 years (e.g. WES)?*
Work History
Have you had any paid job in the last 10 years?*
If yes, starting with your current (or most recent) job, list all the paid work you have done in the past 10 years. Provide details on occupation, start and end date, employed or self-employed, hours of work, and country.*
Express Entry Profile
Have you submitted an Express Entry profile to the Government of Canada within the past 12 months?*
If yes, have you received invitation to apply?
Canadian Job Offer
Do you have a written job offer from a Canadian employer?*
If yes, provide details of occupation, province or territory, duration of employment, hours of work per week, and whether it is labour market inpact assessment (LMIA) approved. Type N/A if not applicable.*
Family or Friends in Canada
Do you have a close friend living in the province of Manitoba who is 18 years or older?*
If yes, provide the name of your close friend in Manitoba with details of relationship, Canadian residence status, and years of residence. Type N/A if not applicable.*
Do you or your spouse have any family members or relatives living in Canada and who are 18 years or older?*
If yes, list all your and/or your spouse's/partner's relatives in Canada with details of relationship, Canadian residence status, province of residence, and years of residence. Type N/A if not applicable.*
Available Funds (Net-worth)
Amount in CAD*
Exchange rate used*
Amount (local currency)*
How may we assist you?*
Inadmissibility
Do you have any Security/Criminal/Medical Issues?*
If yes to any above, please specify. Type N/A if not applicable.*
Have you ever applied to Canada for any kind of visa?*
If yes, please specify. Type N/A if not applicable.*
Have you ever been denied visa to any country (including Canada)?*
If yes, please specify. Type N/A if not applicable.*
Have you ever travelled to any country other than your country of residence/citizenship? *
If yes, list the countries and the longest duration you have spent in each. Type N/A if not applicable.*
Referral
Were you referred by anyone?*
If yes, provide first and last name. Type N/A if not applicable.*
Upload CV*

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WesternWaves Immigration Consulting Inc.

Contact Information

Personal Profile

Language Skills

Education and Training

Work History

Express Entry Profile

Canadian Job Offer

Family or Friends in Canada

Available Funds (Net-worth)

Inadmissibility

Referral