N. JAHAN LPC
Home – Free online assessment
Last Name , Given Name(s)*
Gender —Please choose an option—MaleFemaleOthers
Date Of Birth
Marital Status —Please choose an option—SingleMarriedDivorcedIn a common-law relation
Number Of Children
Email
Phone
Citizenship
Residential Address
Your legal status in the country of residence (please provide the date of your initial arrival, types of visas, dates of documented and undocumented periods of stay, if applicable)
Your highest education achieved (High School Certificate, Collage Diploma, Bachelor’s or Master’s degree, PhD)
From Month/Year
To Month/Year
Name of the institution (start with the recent eduction)
City,Country
Certificate, Diploma or degree issued, field of study and major (as it is indicated in your diploma)
Please describe your work experience only during the last 10 years (title, duties and responsibilities you have been discharging at every jobs). An applicant is accountable for every day of his or her life since 18 years of age (if you were unemployed or travelling, please indicate so, as no time gaps are permitted).
From M/D/Y
To M/D/Y Present
Title, duties and responsibilities (number of hours worked per week)
Name of the employer
Knowledge of English (Please mark “X” or indicate your IELTS-General or CELPIP-G score)
Skill
English
Speak
HighModerateBasicNoneIELTSCELPIP
Listen
Read
Write
If you indicated the score, please provide the date you took the test and copy of the test.
Test Name
Date
Knowledge of French (Please mark “X” or indicate your IELTS-General or CELPIP-G score)
French
Question
YES/NO
Have you ever remained beyond the validity of your status, attended school or worked without authorization in Canada or any other country? If “yes”, please provide details.
YESNO
Have you ever been refused any kind of visa, admission, or been ordered to leave Canada or any other country? If “yes”, please provide details.
Have you legally worked in Canada for one year or longer? If so, how long?
class="text-left">Have you ever committed an offence or been charged with an offence in any country?
What is your verifiable personal net worth in Canadian Dollar?
Have you ever submitted an application for immigration to Canada in the past? If yes, please provide details.
How much money you are able to bring for settling in Canada (Canadian Currency)?
Do you have a relative or relatives in Canada, such as a parent, grandparent, child, grandchild, child of a parent (Sibling), chi ld of a grandparent (aunt or uncle), or grandchild of parents (niece or nephew), who is 18 years or older and living in Canada, and who is a Canadian citizen or permanent resident)?If so, what is their status in Canada and where do they reside?
Do you have friends in Canada? If so, please indicate their city of residence.
Any other information that you think might be of assistance?
How did you hear about us?
Facebook:
Facebook
Friends:
Friends
Printed flyers:
Printed flyers
Other: (pls specify)
