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]
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
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)]
Yes                                                No
If Yes, Give Relationship
Your Email Address
Confirm Your Email Address
Would You Like to subscribe FREE NEWSLETTERS SOS News?
 Yes                                                No
PART II
SPOUSE / COMMON-LAW PARTNER
First Name
Date of Birth
Country of Birth
Citizen of
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]
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)
                                             Period                                                                    Occupation                                         Duties/                          Full-time/         Number of Hours per     
                 From                                              To                                                                                                      Responsibilities                 Part-time               week of working
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)]
Yes                                                No
If Yes, Give Relationship
Confirm Your Email Address
INCOMPLETE ASSESSMENT FORMS WILL NOT BE CONSIDERED.
PLEASE ALLOW 48 HOURS TO RECEIVE YOUR ASSESSMENT.
ONLY THE QUALIFYING APPLICANTS WILL BE REPLIED.
Please submit once only