Apply through Form Please enable JavaScript in your browser to complete this form. 1Step 01 2Step 02 3Step 03 4Step 04 5Step 05 6Step 06 7Step 07 8Step 08 9Step 09 10Step 10 CONTACT INFORMATION Name * First Last Email * Phone Your Nationality *AfghanAlbanianAlgerianAmericanAndorranAngolanAntiguansArgentineanArmenianAustralianAustrianAzerbaijaniBahamianBahrainiBangladeshiBarbadianBarbudansBatswanaBelarusianBelgianBelizeanBenineseBhutaneseBolivianBosnianBrazilianBritishBruneianBulgarianBurkinabeBurmeseBurundianCambodianCameroonianCanadianCape VerdeanCentral AfricanChadianChileanChineseColombianComoranCongoleseCosta RicanCroatianCubanCypriotCzechDanishDjiboutiDominicanDutchEast TimoreseEcuadoreanEgyptianEmirianEquatorial GuineanEritreanEstonianEthiopianFijianFilipinoFinnishFrenchGaboneseGambianGeorgianGermanGhanaianGreekGrenadianGuatemalanGuinea-BissauanGuineanGuyaneseHaitianHerzegovinianHonduranHungarianI-KiribatiIcelanderIndianIndonesianIranianIraqiIrishIsraeliItalianIvorianJamaicanJapaneseJordanianKazakhstaniKenyanKittian and NevisianKuwaitiKyrgyzLaotianLatvianLebaneseLiberianLibyanLiechtensteinerLithuanianLuxembourgerMacedonianMalagasyMalawianMalaysianMaldivianMalianMalteseMarshalleseMauritanianMauritianMexicanMicronesianMoldovanMonacanMongolianMoroccanMosothoMotswanaMozambicanNamibianNauruanNepaleseNew ZealanderNi-VanuatuNicaraguanNigerianNigerienNorth KoreanNorthern IrishNorwegianOmaniPakistaniPalauanPanamanianPapua New GuineanParaguayanPeruvianPolishPortugueseQatariRomanianRussianRwandanSaint LucianSalvadoranSamoanSan MarineseSao TomeanSaudiScottishSenegaleseSerbianSeychelloisSierra LeoneanSingaporeanSlovakianSlovenianSolomon IslanderSomaliSouth AfricanSouth KoreanSpanishSri LankanSudaneseSurinamerSwaziSwedishSwissSyrianTaiwaneseTajikTanzanianThaiTogoleseTonganTrinidadian or TobagonianTunisianTurkishTuvaluanUgandanUkrainianUruguayanUzbekistaniVenezuelanVietnameseWelshYemeniteZambianZimbabwean Next PERSONAL INFORMATION Date of Birth * Marital Status *SingleMarriedWidowedDivorcedCommon-Law RelationshipRelationship with a CanadianHave a finance Your Country of Residence? *AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAustrian Empire*AzerbaijanBaden*Bahamas, TheBahrainBangladeshBarbadosBavaria*BelarusBelgiumBelizeBenin (Dahomey)BoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBrunswick and LüneburgBulgariaBurkina Faso (Upper Volta)BurmaBurundiCabo VerdeCambodiaCameroonCanadaCayman Islands, TheCentral African RepublicCentral American Federation*ChadChileChinaColombiaComorosCongo Free State, TheCosta RicaCote d’Ivoire (Ivory Coast)CroatiaCubaCyprusCzechiaCzechoslovakiaDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicDuchy of Parma, The*East Germany (German Democratic Republic)*EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFederal Government of Germany (1848-49)*FijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGrand Duchy of Tuscany, The*GreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHanover*Hanseatic Republics*Hawaii*Hesse*Holy SeeHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKingdom of Serbia/Yugoslavia*KiribatiKoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLew Chew (Loochoo)*LiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMecklenburg-Schwerin*Mecklenburg-Strelitz*MexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueNamibiaNassau*NauruNepalNetherlands, TheNew ZealandNicaraguaNigerNigeriaNorth German Confederation*North German Union*North MacedoniaNorwayOldenburg*OmanOrange Free State*PakistanPalauPanamaPapal States*Papua New GuineaParaguayPeruPhilippinesPiedmont-Sardinia*PolandPortugalQatarRepublic of Genoa*Republic of Korea (South Korea)Republic of the CongoRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSchaumburg-Lippe*SenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon Islands, TheSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTajikistanTanzaniaTexas*ThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluTwo SiciliesUgandaUkraineUnion of Soviet Socialist Republics*United Arab Emirates, TheUnited Kingdom, TheUruguayUzbekistanVanuatuVenezuelaVietnamWürttemberg*YemenZambiaZimbabwe If you are in Canada, select the province you are residing in:AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavut What is your preferred destination in Canada? *AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavut Do you have any dependent children? * Yes No Dependent Children includes all unmarried children that are financially dependent on you, who are either less than 22 years old OR who have been continuously studying since the age of 22 years. 12 years or younger: *None1 child2 Children3 Children4 Children5 Children or more 13 to 21 years of age: *None1 Child2 Children3 Children4 Children5 Children or more 22 years or older: *None1 Child2 Children3 Children4 Children5 Children or moreChoice 10 PreviousNext NETWORTH Your Personal Net Worth is the current value of all the assets (e.g. properties, investments, stocks, bonds, bank accounts) that you (and your spouse/common-law partner, if applicable) personally own, MINUS the current value of all your combined personal liabilities (e.g. mortgages, loans, credit card balances). Please be sure to include your share of the value of any businesses that you own. Select Currency *GBP- united kingdom poundsHKD – Honk Kong dollarILS – Israel, New ShekelsIRR – Iran, RialsJPY – Japan , YenNPR – Nepal, Nepal RupeesRUB – Russian,RublesSGD – Singapore, dollarsTRY – Turkey, New LiraTWD – Taiwan, New DollarsUAH – Ukraine, HryvniaUSD – United States of America, DollarsEUR – Euro memeber Countries, EuroAED – United Arab Emirates, DirhamsAUD – Australia, DollarsCNY – China, Yuan RenminibiCOP – Colombia, PesosGBP – United Kingdom, Pounds Net Worth * PreviousNext EDUCATION AND TRAINING Have you completed secondary school (High School)? * Yes No Have you done any education or training after finishing high school? * Yes No If yes, then please provide information related to your most recent or highest level of education. Type of program: *university degree – PH.D(Post-Graduate)University Degree – Masters(Post-Graduate)University Degree – Bachelors(Undergraduate)College or Non-university Dgeree, Diploma or CertificateVocational or Trade School Diploma or CertificateApprenticeshipAssociate Degree(USA)Other type of Educational Credential Program Duration: *Less than 3 monthsMore than 3 months,but less than 6 months6 months or more,but less than one academic year1 academic year or more, but less than 2 years .2 academic year or more, but less than 3years.3 academic year or more, but less than 4 years .4 academic years or longer. Field of Study or Program: * Where did you study? *AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAustrian Empire*AzerbaijanBaden*Bahamas, TheBahrainBangladeshBarbadosBavaria*BelarusBelgiumBelizeBenin (Dahomey)BoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBrunswick and LüneburgBulgariaBurkina Faso (Upper Volta)BurmaBurundiCabo VerdeCambodiaCameroonCanadaCayman Islands, TheCentral African RepublicCentral American Federation*ChadChileChinaColombiaComorosCongo Free State, TheCosta RicaCote d’Ivoire (Ivory Coast)CroatiaCubaCyprusCzechiaCzechoslovakiaDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicDuchy of Parma, The*East Germany (German Democratic Republic)*EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFederal Government of Germany (1848-49)*FijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGrand Duchy of Tuscany, The*GreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHanover*Hanseatic Republics*Hawaii*Hesse*Holy SeeHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKingdom of Serbia/Yugoslavia*KiribatiKoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLew Chew (Loochoo)*LiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMecklenburg-Schwerin*Mecklenburg-Strelitz*MexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueNamibiaNassau*NauruNepalNetherlands, TheNew ZealandNicaraguaNigerNigeriaNorth German Confederation*North German Union*North MacedoniaNorwayOldenburg*OmanOrange Free State*PakistanPalauPanamaPapal States*Papua New GuineaParaguayPeruPhilippinesPiedmont-Sardinia*PolandPortugalQatarRRepublic of Korea (South Korea)Republic of the CongoRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSchaumburg-Lippe*SenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon Islands, TheSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTajikistanTanzaniaTexas*ThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluTwo Sicilies*UgandaUkraineUnion of Soviet Socialist Republics*United Arab Emirates, TheUnited Kingdom, TheUruguayUzbekistanVanuatuVenezuelaVietnamWürttemberg*YemenZambiaZimbabwe Did you complete this program and receive a degree, diploma or certificate? * Yes No Currently studying PreviousNext ENGLISG LANGUAGE English – Speaking * High Moderate Basic Not at all English – Writing * High Moderate Basic Not at all English – Reading * High Moderate Basic Not at all English – Listening * High Moderate Basic Not at all PreviousNext FRENCH LANGUAGE French – Speaking * High Moderate Basic Not at all French – Writing * High Moderate Basic Not at all French – Reading * High Moderate Basic Not at all French – Listening * High Moderate Basic Not at all PreviousNext YOUR WORK HISTORY Have you done any paid work during the last 10 years? * Yes No Occupation: * Starting with your most current (or present) job, please list all paid work that you have done within the last 10 years. How long have you been working at this job? *Curently workingFinished less than 1 year agoFinished less than 3 years agoFinished less than 4 years agoFinished less than 5 years agoFinished more than 5 years ago Position Type: * Full-Time Part-Time When? *Currently WorkingFinished Less then 1 Year agoFinished Less then 2 Year agoFinished Less then 3 Year agoFinished Less then 4 Year agoFinished Less then 5 Year ago Type of Job: * On payroll of a commercial corporation On payroll of a governmental organization Self-employed / working for your own company or business Location of Job: *AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAustrian Empire*AzerbaijanBBaden*Bahamas, TheBahrainBangladeshBarbadosBavaria*BelarusBelgiumBelizeBenin (Dahomey)BoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBrunswick and LüneburgBulgariaBurkina Faso (Upper Volta)BurmaBurundiCCabo VerdeCambodiaCameroonCanadaCayman Islands, TheCentral African RepublicCentral American Federation*ChadChileChinaColombiaComorosCongo Free State, TheCosta RicaCote d’Ivoire (Ivory Coast)CroatiaCubaCyprusCzechiaCzechoslovakiaDDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicDuchy of Parma, The*EEast Germany (German Democratic Republic)*EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFFederal Government of Germany (1848-49)*FijiFinlandFranceGGabonGambia, TheGeorgiaGermanyGhanaGrand Duchy of Tuscany, The*GreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHHaitiHanover*Hanseatic Republics*Hawaii*Hesse*Holy SeeHondurasHungaryIIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJJamaicaJapanJordanKKazakhstanKenyaKingdom of Serbia/Yugoslavia*KiribatiKoreaKosovoKuwaitKyrgyzstanLLaosLatviaLebanonLesothoLew Chew (Loochoo)*LiberiaLibyaLiechtensteinLithuaniaLuxembourgMMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMecklenburg-Schwerin*Mecklenburg-Strelitz*MexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueNNamibiaNassau*NauruNepalNetherlands, TheNew ZealandNicaraguaNigerNigeriaNorth German Confederation*North German Union*North MacedoniaNorwayOOldenburg*OmanOrange Free State*PPakistanPalauPanamaPapal States*Papua New GuineaParaguayPeruPhilippinesPiedmont-Sardinia*PolandPortugalQQatarRRepublic of Genoa*Republic of Korea (South Korea)Republic of the CongoRomaniaRussiaRwandaSSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSchaumburg-Lippe*SenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon Islands, TheSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTTajikistanTanzaniaTexas*ThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluTwo Sicilies*UUgandaUkraineUnion of Soviet Socialist Republics*United Arab Emirates, TheUnited Kingdom, TheUruguayUzbekistanVVanuatuVenezuelaVietnamWWürttemberg*YYemenZZambiaZimbabwe Is this job related to the field of study of your post-secondary education? * Yes No Attach your RESUME or CV Click or drag a file to this area to upload. PreviousNext JOB OFFER Do you have an offer of employment from a Canadian employer? * Yes No Occupation: * In which province is the job located? *British Columbia.AlbertaManitoba.New Brunswick.Newfoundland and Labrador.Northwest Territories.Nova Scotia.Nunavut. PreviousNext RELATIVES IN CANADA Do you, or your spouse/common-law partner, have any family members, relatives, or close friends living in Canada? Yes No This person is your or your spouse/common-law partner's: *Spouse or Common-law PartnerMother Or FatherDaughter or SonGrandmother or GrandfatherGranddaughter or GrandsonSister or BrotherNiece or Nephew (child of sister/brother)Aunt or Uncle (sister/brother of parent)Cousin (child of aunt/uncle)Distant RelativeClose Friend What is their status in Canada? *CitizenPermanent ResidentWork PermitStudy PermitOther Living in: *AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavut Since: *Less Then 1 yearMore Then 1 year but Less Then 22 Years or Longer PreviousNext SUBMIT You may use this space to send any specific questions, concerns or comments, or provide any additional information that may be useful to us while we make our assessment. How did you reach our website? *GoogleyahooBing411.caYellow pagesFriends/Relativesother I certify that the information provided by me is accurate and I consent to Can-Am Immigration corresponding with me at the e-mail address I provided. I understand that this inquiry does not create a counsel-client relationship. * Select to confirm Please note that a positive assessment does not guarantee the issuance of a visa. Only Citizenship & Immigration Canada can grant visas or permanent resident status to foreign nationals * Select to acknowledge SUBMIT!
