Explore World Corporation specializes in Canadian immigration law for businesses, individuals and families.
We provide services in all areas of immigration law.

ABOUT COMPANY

ASSESSMENT FORM

OUR SERVICES

Head Office:

4950 Yonge Street,
suite 2200, Toronto,
Ontario M2N 6K1

Assessment form

Application type

Immigration Work Study Visit Live-in caregiver

Contact information

Address:

Phone:
E-mail:

How did you found out about us?

Personal Information

Gender:	Male Female
Date of Birth	(dd/mm/yyyy)
Citizenship of which country do you have? (please mention all countries you are citizen of)
Your legal status in a country where you are present now ( citizen, student visa, work permit, visitor, illegal, others)
If you status is a temporary one, when it is expiring ( date)
	(dd/mm/yyyy)
Marital status:
Do you have any kids?	Yes No
Specify an age:
Do they live with you?	Yes No
Do they immigrate with you to Canada?	Yes No
If kids don’t live with you explain the circumstances:

Education:

Did you complete the high/secondary school?	Yes No
What other education or training did you have?
Educational institution:
When completed	(dd/mm/yyyy)
What sources specialization is taking
What diploma certificate is obtained

Educational institution:
When completed	(dd/mm/yyyy)
What sources specialization is taking
What diploma certificate is obtained

Educational institution:
When completed	(dd/mm/yyyy)
What sources specialization is taking
What diploma certificate is obtained

If you need more space use the commentary box bellow.

Immigration applicants only - Necessary settlement funds:

Do you have necessary settlement funds?

Yes No

Number of Family Members	Funds Required (in Canadian dollars)
1	$10,168
2	$12,659
3	$15,563
4	$18,895
5	$21,431
6	$24,170
7 or more	$26,910

Do you have a job offer from a Canadian Firm?	Yes No
If yes give the detail ( name of the company, position offered, salary…)

Employment:

Please state where you have worked for the last 10 years:
Place of employment
Occupation/ duties performed
Time when started working	(dd/mm/yyyy)
Time when finished working	(dd/mm/yyyy)
Was the position full-time/ part time	Full-Time Part-Time
If part-time how many hours a week?

Place of employment
Occupation/ duties performed
Time when started working	(dd/mm/yyyy)
Time when finished working	(dd/mm/yyyy)
Was the position full-time/ part time	Full-Time Part-Time
If part-time how many hours a week?

Place of employment
Occupation/ duties performed
Time when started working	(dd/mm/yyyy)
Time when finished working	(dd/mm/yyyy)
Was the position full-time/ part time	Full-Time Part-Time
If part-time how many hours a week?

If you need more space use the commentary box bellow.

Knowledge of language:

Do you speak/ write/read/ understand	English French
Where did you learn English/ French?
Did you write any language test?	Yes No
If yes which one, when and what where the results?
Did you work or and study using French or English?	Yes No
If yes, give the details
Do you want to add anything else about your knowledge of the language?
Do you have any relatives in Canada?	Yes No
If yes , explain their relation to you and their status in Canada
Have you ever visited Canada?	Yes No
If yes when and on which visa?
Have you ever applied for any visa or immigration status to Canadian Immigration?	Yes No
If yes give details
Have you ever been convicted of a crime in your country or in Canada, if yes give the detail and the date
Have you or any of your family member ever been deported from Canada, if yes give details and the date
Do you or your family members have any communicable decease or illness that could be a danger to society?	Yes No
If yes give the details

Family Information
please state the names and dates of birth of you wife/ common-law partner and the kids

Family name:
Middle name:
First name:
Relation to you (main applicant)
Citizenship of which country (please mention all countries )
Gender	Male Female
Date of birth	(dd/mm/yyyy)
Marital Status

Family name:
Middle name:
First name:
Relation to you (main applicant)
Citizenship of which country (please mention all countries )
Gender	Male Female
Date of birth	(dd/mm/yyyy)
Marital Status

Family name:
Middle name:
First name:
Relation to you (main applicant)
Citizenship of which country (please mention all countries )
Gender	Male Female
Date of birth	(dd/mm/yyyy)
Marital Status

If you need more space use the commentary box bellow.

Commentaries: Please use this space to add or clarify your information

By submitting this form the applicant verifies that all information above is true.

Recommend us to friend:

Explore World Corp. specializes in Canadian immigration law for businesses, individuals and families. We provide services in all areas of immigration law.

We understand that the needs and objectives of each client are unique and therefore the approach towards immigrating or applying for a visa should be chosen to reflect those needs. We will spend time with you to find out what will fit your particular needs and what will work the best for you. You make the final decision but our goal is to provide you with the right information and advice to enable you to make the right choice.