ONLINE ASSESSMENT FORM
IMPORTANT
ALL FIELDS ARE MANDATORY
TO RECEIVE YOUR ASSESSMENT PLEASE GIVE CORRECT E-MAIL ADDRESS

PART I
PRINCIPAL APPLICANT
ASSESSMENT FORM
[Please do not delete]
TITLE
 Mr.                                Mrs.                        Ms.
First Name

Date of Birth


Marital Status

Number of Children
[if married / common-law partner]


Country of Birth


Citizen of
LANGUAGE PROFICIENCY
Speak                                Read                              Write                          Understand
English

French
EDUCATION [PLEASE GIVE AS MUCH DETAILS AS YOU CAN ABOUT YOUR EDUCATION BACKGROUND]
Indicate Level of Education
Total Years of Formal Education [starting from Primary Class]
If Yes, Give Details
CLOSE RELATIVE IN CANADA
 [Parent, grandparent, child, grandchild, child of a parent, sibling, child of a grandparent, father’s or mother’s sister (aunt) or
father’s or mother’s brother (uncle), or grandchild of a parent, daughter of brother or sister (niece) or son of brother or sister
(nephew)]
If Yes, Give Relationship
Your Email Address
No Rediffmail ID please
Confirm Your Email Address
Yes                                                No
Would You Like to subscribe FREE NEWSLETTERS SOS News?
PART II
SPOUSE / COMMON-LAW PARTNER
EDUCATION [PLEASE GIVE AS MUCH DETAILS AS YOU CAN ABOUT YOUR EDUCATION BACKGROUND]
Indicate Level of Education
                                      Period                                               Degree/Diploma/Trade Certificate                    Subjects                     Full-time/            Number of Hours per           
         From                                              To                                              Apprenticeship                                                                          Part-time         week of class room study
EMPLOYMENT EXPERIENCE (During last 10 Years)
                                         Period                                                                    Occupation                                         Duties/                          Full-time/         Number of Hours per         
             From                                              To                                                                                                      Responsibilities                 Part-time               week of working
CLOSE RELATIVE IN CANADA
If Yes, Give Relationship
Confirm Your Email Address
No Rediffmail ID please
INCOMPLETE ASSESSMENT FORMS WOULD NOT BE CONSIDERED.
PLEASE ALLOW 48 HOURS TO RECEIVE YOUR ASSESSMENT.
ONLY THE QUALIFYING APPLICANTS WOULD BE REPLIED.
Please submit only once
Education Details [Start from Higher Secondary School Level. Please do not use abbreviations]
                                         Period                                                Degree/Diploma/Trade Certificate/                   Subjects                         Full-time/           Number of Hours per      
              From                                              To                                            Apprenticeship                                                                               Part-time      week of class room study
EMPLOYMENT EXPERIENCE (During last 10 Years) PLEASE GIVE COMPLETE DETAILS OF YOUR DUTIES AND RESPONSIBILITIES AT EACH
OCCUPATION TO ENABLE US ASSESS YOU ACCURATELY. PLEASE GIVE AS MUCH DETAILS AS YOU CAN ABOUT YOUR WORK EXPERIENCE.
                                          Period                                                                     Occupation                                          Duties/                          Full-time/         Number of Hours per      
                 From                                              To                                                                                                      Responsibilities                 Part-time              week of working
ARRANGED EMPLOYMENT [Employment Offer Approved By Human Resources Development Canada]
Yes                                                No
Yes                                                No
First Name

Date of Birth


Country of Birth

Citizen of
Total Years of Formal Education [starting from Primary Class]
Education Details [Start from Higher Secondary School Level. Please do not use abbreviations]
[parent, grandparent, child, grandchild, child of a parent, sibling, child of a grandparent, father’s or mother’s sister (aunt) or father’s
or mother’s brother (uncle), or grandchild of a parent, daughter of brother or sister (niece) or son of brother or sister (nephew)]
Yes                                                No