iPanac Consulting LLC - Your Gateway To Successful Canadian Immigration

Express Entry Evaluation Form

Express Entry is a simplified, fast, and efficient immigration selection system offering permanent residence in 6-months to qualified skilled workers.

This form includes the Province of Quebec which admits 50,000 immigrants to Canada each year.

Personal Information

Name *

Email *

Phone (example: 555-555-5555) *

Country of Citizenship *

Country of Residence *

Age *

Gender *

Do you have any children under the age of 22? *

Marital Status: *

Ability in English and French

English

Read:

Write:

Speak:

Listen:

French

Read:

Write:

Speak:

Listen:

Educational Profile

Have you graduated high school? *

Have you received any post-secondary education or training: *

Total Years of education (Including Primary, Secondary, and Post Secondary): *

Employment History

Have you had paid work experience in the last 10 years: *

Other

Have you submitted a profile in the Federal Express Entry pool:

Yes

Did you take an English and/or French test:

Yes

Do you (or your spouse, if applicable) have family members or relatives who are over 18 and residing in Canada?

Yes

Please list all your and/or your Spouse’s relatives in Canada:

Relationship

Residency status in Canada:

Province of residence:

Since

Do you have friends residing in Canada?

Yes

Personal Net worth: * the net worth is considered for some immigration programs

Currency:

Amount:

Do you currently have an offer of employment from a Canadian employer?

Yes

Have you (or your spouse or common-law partner or any of your dependent children) ever had a serious medical condition? *

Yes

Have you (or your spouse or common-law partner or any of your dependent children) ever had a criminal record (arrested, charged or convicted)? *

Yes

Have you or your spouse previously applied for a visa to Canada?

Yes

How did you find out about us:

Upload CV *

Allowed file formats: PDF, DOC, DOCX

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