Apply through Form Please enable JavaScript in your browser to complete this form.1Step 012Step 023Step 034Step 045Step 056Step 067Step 078Step 089Step 0910Step 10 CONTACT INFORMATION Name *FirstLastEmail *PhoneYour 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 TobagonianTunisianTurkishTuvaluanUgandanUkrainianUruguayanUzbekistaniVenezuelanVietnameseWelshYemeniteZambianZimbabweanNext PERSONAL INFORMATION Date of Birth *Marital Status *SingleMarriedWidowedDivorcedCommon-Law RelationshipRelationship with a CanadianHave a financeYour 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*YemenZambiaZimbabweIf you are in Canada, select the province you are residing in:AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutWhat is your preferred destination in Canada? *AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutDo you have any dependent children? *YesNoDependent 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 more13 to 21 years of age: *None1 Child2 Children3 Children4 Children5 Children or more22 years or older: *None1 Child2 Children3 Children4 Children5 Children or moreChoice 10PreviousNext 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, PoundsNet Worth *PreviousNext EDUCATION AND TRAINING Have you completed secondary school (High School)? *YesNoHave you done any education or training after finishing high school? *YesNo 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 CredentialProgram 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*YemenZambiaZimbabweDid you complete this program and receive a degree, diploma or certificate? *YesNoCurrently studyingPreviousNext ENGLISG LANGUAGE English – Speaking *HighModerateBasicNot at allEnglish – Writing *HighModerateBasicNot at allEnglish – Reading *HighModerateBasicNot at allEnglish – Listening *HighModerateBasicNot at allPreviousNext FRENCH LANGUAGE French – Speaking *HighModerateBasicNot at allFrench – Writing *HighModerateBasicNot at allFrench – Reading *HighModerateBasicNot at allFrench – Listening *HighModerateBasicNot at allPreviousNext YOUR WORK HISTORY Have you done any paid work during the last 10 years? *YesNoOccupation: *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 agoPosition Type: *Full-TimePart-TimeWhen? *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 agoType of Job: *On payroll of a commercial corporationOn payroll of a governmental organizationSelf-employed / working for your own company or businessLocation 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*YYemenZZambiaZimbabweIs this job related to the field of study of your post-secondary education? *YesNoAttach 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? *YesNoOccupation: *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?YesNoThis 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 FriendWhat is their status in Canada? *CitizenPermanent ResidentWork PermitStudy PermitOtherLiving in: *AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutSince: *Less Then 1 yearMore Then 1 year but Less Then 22 Years or LongerPreviousNext SUBMITYou 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/RelativesotherI 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 confirmPlease 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 acknowledgeSUBMIT!
