If you prefer a PDF version of the Preliminary Assessment form, you can download it here, complete and return it together with a copy of your most recent resume, as attachment by email to info@ergoimmigration.ca.

Preliminary Assessment Form
Personal Information

This form has two sections to be completed by yourself and your spouse. If you do not have a spouse, select next and submit.

First Name

Last Name (Surname)

Phone

Address

Date of Birth (MM/DD/YYYY)

Country of Birth

Country of Nationality

Country of Residence

Field or Program of study

Name of institution where you completed your highest level of education

Years of work experience outside Canada in the last ten years

Occupation outside Canada

If you have at least 1 year of work experience in Canada, kindly provide details below

First language

Other languages spoken

Provide your language test result

Language Test Date (MM/DD/YYYY)

Funds available to settle in Canada

Number of children

Which country issued your document?

Travel document date of issue (MM/DD/YYYY)

Travel document date of expiry (MM/DD/YYYY)

Where in Canada does your relative live?

Have you previously applied to enter or remain in Canada? Have you ever been refused a visa or permit, denied entry or ordered to leave Canada or any other country or territory? Have you ever remained beyond the validity of your status, attended school without authorization or worked without authorization in Canada?

Where do you intend to live in Canada?

Upload your resume

Upload File

Preliminary
Assessment

This Preliminary Assessment form guides you through some questions about your personal and work history. Your answers and your situation will help us determine your options to apply to enter Canada. We will respond to you within three business days if you are be eligible as an immigrant, a visitor, worker, or student.

We are committed to protecting your privacy. We keep all information confidential. We do not share your information with any outside parties. We collect personal information in order to assist us in assessing your possible visa requirements for Canada.

Preliminary Assessment Form Personal Information

Preliminary Assessment

Preliminary Assessment Form
Personal Information

Preliminary
Assessment