Assessment Form

Personal

Name *

First

Last

Date of Birth *

Citizenship *

Email *

Phone Number *

Current Country of Residence *

Marital Status *

Number of Children

Selected Value: 0

Ages *

Separated by a comma, or 0 for none.

Professional

Current Occupation / Position Title *

Years:

Selected Value: 0

How long have you been in this occupation?

Months:

Selected Value: 0

How long have you been in this occupation?

Hours per week *

How many hours per week do you work?

Education *

English Proficiency *

French Proficiency *

Job offer *

Do you have a job offer from a Canadian employer?

Upload your CV

Click or drag a file to this area to upload.

Maximum size 6MB. Allowed file extensions: .pdf, .doc, .txt.

To do

What would you like to do in Canada? *

Province *

Which province do you plan to settle in?

Amount of money *

What is the approximate amount of money you have available for your objective of immigrating, studying, or traveling to Canada?

Have you ever visited Canada in the past? *

Do you have any family in Canada (Citizens or Permanent Residents)? *

Comment or Message

Add any additional information that you would like to share with us. (Up to 500 characters are allowed).

The personal information you provide to Integra Canadian Immigration Services is secure and is collected with the sole purpose of assessing your potential to immigrate/study in Canada under the current Canadian immigration/academic selection criteria. We will respond to you only in regard to your immigration/academic evaluation. You may consult our Privacy Policy for complete details.