FREE Canada Immigration Assessment Form

Federal Skilled Worker Eligibility Form

Age Points

1. What is your age?

Prefered Province

2. What is the province you are most interested in?

Language Skills Points

3. Which language did you take for your first language?

Writing	Reading	Speaking	Listening

Writing	Reading	Speaking	Listening

4. When did you take your test?

5. Do you have any other language results? Which language did you take for your second official language?

Writing	Reading	Speaking	Listening

Writing	Reading	Speaking	Listening

6. What date did you take this test?

Education Points

7. What is the highest level of education for which you have earned a Canadian degree, diploma or certificate, or have had an Educational Credential Assessment?

Work Experience Points

8. In the last 10 years, how many years of skilled work experience do you have? It must have been continious, paid, full-time (or an equal amount in part-time), and in only one occupation

Arranged Employement in Canada Points

9. Do you have an arranged employment of at least 1 year from a Canadian employee?

Yes No

Marital Status Information

10. What is your marital status?

11. Is your spouse a Citizen or Permanent Resident of Canada?

Yes No

12. Does your spouse or partner plan to come with you to Canada?

Yes No

Adaptability Points

13. Has your spouse or partner taken a French or English Language Test?

Writing	Reading	Speaking	Listening

Writing	Reading	Speaking	Listening

14. What date did they take the test?

15. Has your wife or partner studied in Canada, full-time for a period of 2 years or more?

Yes No

16. In the last three years, how many years of skilled work experience do you have in Canada?

17. During this period in Canada, which NOC level is most of the experience in?

18. Do you have a valid work permit or authorised to work in Canada?

Yes No

19. Has your wife or partner worked in Canada, full-time for a period of 1 year or more on a valid work permit or otherwise authorised to work?

Yes No

20. Do you or your spouse have a relative who is living in Canada, is 18 years old or older and is a canadian citizen or permanent resident? (Relative must be your parent, grandparent, child, grandchild, spouse sibling, spouse's aunt or uncle, spouse's niece or nephew)

Yes No

Financial Information

21. How many people are accompanying you, including yourself?

22. How much money (Canadian dollars) will you bring to Canada?