Age ---Age--- 0-17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 plus
Marital Status ---Marital Status--- Married Common-Law Single Separated Divorced Widowed
Number of childer under 21 ---Number of childer under 21--- 0 1 2 3 4 5 6 7 8 9
Country of Citizenship ---Country of Citizenship--- Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahrain Bahamas Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia, Plurinational State of Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam 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 Congo, the Democratic Republic of the Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia, the Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
How well can you communicate (read, write, comprehend, speak) English? ---How well can you communicate (read, write, comprehend, speak) English?--- Beginner Average Advanced Native None
How well can you communicate (read, write, comprehend, speak) French? ---How well can you communicate (read, write, comprehend, speak) French?--- Beginner Average Advanced Native None
Highest level of education successfully completed ---Highest level of education successfully completed--- Less than secondary school (high school) Secondary diploma (high school graduation) One-year degree, diploma or certificate from a university, college, trade or technical school, or other institute Two-year program at a university, college, trade or technical school, or other institute Bachelor's degree OR a three or more year program at a university, college, trade or technical school, or other institute Two or more certificates, diplomas, or degrees. One must be for a program of three or more years Master's degree, OR professional degree needed to practice in a licensed profession Professional degree must have been in: medicine, veterinary medicine, dentistry, optometry, law, chiropractic medicine, or pharmacy Doctoral level university degree (Ph.D.)
How many years of full-time work experience do you have in this occupation? ---How many years of full-time work experience do you have in this occupation?--- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Do you have a government-approved job offer from a Canadian employer? ---Do you have a government-approved job offer from a Canadian employer?--- No Yes
Do you have a preferred province of destination in Canada? ---Do you have a preferred province of destination in Canada?--- No Preference British Columbia Alberta Saskatchewan Manitoba Ontario Quebec New Brunswick Nova Scotia Prince Edward Island Newfoundland and Labrador Nunavut North West Territory Yukon
Do you have close family members in Canada who are permanent residents or citizens? ---Do you have close family members in Canada who are permanent residents or citizens?--- No Yes
If yes, what is your relationship? ---If yes, what is your relationship?--- Spouse Daughter Son Sister Brother Mother Father Aunt Uncle Niece Nephew Grandfather Grandmother Other
Where do they live (province)? ---Where do they live (province)?--- No Preference British Columbia Alberta Saskatchewan Manitoba Ontario Quebec New Brunswick Nova Scotia Prince Edward Island Newfoundland and Labrador Nunavut North West Territory Yukon
Have you ever worked in Canada? ---Have you ever worked in Canada?--- No Yes
If yes, how many years did you work in Canada? ---If yes, how many years did you work in Canada?--- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Have you ever studied in Canada? ---Have you ever studied in Canada?--- No Yes
If yes, what was your highest level of education completed in Canada? ---If yes, what was your highest level of education completed in Canada?--- Less than secondary school (high school) Secondary diploma (high school graduation) One-year degree, diploma or certificate from a university, college, trade or technical school, or other institute Two-year program at a university, college, trade or technical school, or other institute Bachelor's degree OR a three or more year program at a university, college, trade or technical school, or other institute Two or more certificates, diplomas, or degrees. One must be for a program of three or more years Master's degree, OR professional degree needed to practice in a licensed profession Professional degree must have been in: medicine, veterinary medicine, dentistry, optometry, law, chiropractic medicine, or pharmacy Doctoral level university degree (Ph.D.)
If yes, for how many years did you study in Canada? ---If yes, for how many years did you study in Canada?--- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
If you are married or in a common-law relationship, please complete the following questions about your spouse: What is your spouse's highest level of education successfully completed? ---What is your spouse's highest level of education successfully completed?--- Less than secondary school (high school) Secondary diploma (high school graduation) One-year degree, diploma or certificate from a university, college, trade or technical school, or other institute Two-year program at a university, college, trade or technical school, or other institute Bachelor's degree OR a three or more year program at a university, college, trade or technical school, or other institute Two or more certificates, diplomas, or degrees. One must be for a program of three or more years Master's degree, OR professional degree needed to practice in a licensed profession Professional degree must have been in: medicine, veterinary medicine, dentistry, optometry, law, chiropractic medicine, or pharmacy Doctoral level university degree (Ph.D.)
How well can your spouse communicate in English (read, write, comprehend, speak)? ---How well can your spouse communicate in English (read, write, comprehend, speak)?--- Beginner Average Advanced Native None
How well can your spouse communicate in French (read, write, comprehend, speak)? ---How well can your spouse communicate in French (read, write, comprehend, speak)?--- Beginner Average Advanced Native None
Does your spouse have close family members in Canada who are permanent residents or citizens? ---Does your spouse have close family members in Canada who are permanent residents or citizens?--- No Yes
Has your spouse ever worked in Canada? ---Has your spouse ever worked in Canada?--- No Yes
If yes, how many years did your spouse work in Canada? ---If yes, how many years did your spouse work in Canada?--- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Has your spouse ever studied in Canada? ---Has your spouse ever studied in Canada?--- No Yes
If yes, what was your spouse's highest level of education completed in Canada? ---If yes, what was your spouse's highest level of education completed in Canada?--- Less than secondary school (high school) Secondary diploma (high school graduation) One-year degree, diploma or certificate from a university, college, trade or technical school, or other institute Two-year program at a university, college, trade or technical school, or other institute Bachelor's degree OR a three or more year program at a university, college, trade or technical school, or other institute Two or more certificates, diplomas, or degrees. One must be for a program of three or more years Master's degree, OR professional degree needed to practice in a licensed profession Professional degree must have been in: medicine, veterinary medicine, dentistry, optometry, law, chiropractic medicine, or pharmacy Doctoral level university degree (Ph.D.)
If yes, for how many years did your spouse study in Canada? ---If yes, for how many years did your spouse study in Canada?--- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
What are the main motivating factors behind your interest in immigrating to Canada?
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Lead Source Immigration Success Immigration Success
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Lead Type Beneficiary
