General Assessment

TRIUMPH IMMIGRATION CANADA INC.

PRELIMINARY ASSESSMENT FORM

The information gathered in this document will be used to assess your Canadian immigration options and is protected by the College of Immigration and Citizenship Consultants (CICC) Code of Professional Conduct and Canadian privacy laws. Your information will be held in the strictest of confidence and will not be shared with anyone without your explicit written consent.

Personal Information

Last name

First name

Middle name

Gender

Date of birth

Country of birth

Country of residence

Country that is issued your passport

First language

Address

E-mail address

Phone number

Marital Status

If married,date of marriage/If in common-law, date started living together:

Do you have children?

If so, how many and what are their ages?

Education: Please provide your most recent educational information.

From:

To:

Name of School

City/Country

Type of certificate or diploma issued

Area of study - if not specific, write "General"

TRIUMPH IMMIGRATION CANADA INC.

Work Experience - Please provide your most recent work experience in Canada.

From:

To:

Job Title

City/Country

Name of company, Employer

Street address of Canadian employers only

Additional questions

1. Are you outside your country of origin? If yes, when did you last leave your country of origin? Click here to enter text.

2. If you are outside of your country of origin, what is your current immigration status? If you have a status, when is it expiring? Click here to enter text.

3. Do you have family or relatives in any provinces of Canada? If yes, please indicate the name of the province and your relationship with the person(s) Click here to enter text.

4. Have you ever committed, been arrested for, been charged with, or convicted of any criminal offence in Canada or any country? choose an item.

5. Have you ever been refused a visa, permit, or denied entry to Canada or any other country? choose an item.

6. Is there any other information that you feel is important to share as part of your preliminary assessment? Click here to enter text.

ENGLISH LANGUAGE

What is your English level? E.g. None, basic, intermediate, advance

Click or tap here to enter text.

If you have taken an IELTS or CELPIP language test, please complete the following:

Click here to enter text.

TRIUMPH IMMIGRATION CANADA INC.

Test name: IELTS/CELPIP - Choose an item.

Reading: Click or tap here to enter text.

Speaking: Click or tap here to enter text.

Date of test: Click or tap here to enter text.

Writing: Click or tap here to enter text.

Listening: Click or tap here to enter text.

FINANCIAL INFORMATION

What is the approximate amount of your available financial resources? E.g. Less than $10,000 USD, Over $10,000 USD, Over $50,000 USD, Over $100,000 USD.

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Thank you for filling out this questionnaire. The information provided will enable us to determine your eligibility for Canadian immigration programs.

PRELIMINARY ASSESSMENT FORM

Registration Successful!

Personal Information

Education: Please provide your most recent educational information.

TRIUMPH IMMIGRATION CANADA INC.

Additional questions

ENGLISH LANGUAGE

TRIUMPH IMMIGRATION CANADA INC.

FINANCIAL INFORMATION

Links

Services