ASSESSMENT FORM

Your Phone

Country You Want to Immigrate to?

Your Date Of Birth

Gender
MaleFemale

Country of Residence

Country of Citizenship

Highest Level of Education

Your Current Occupation

Number of years in this occupation

Position Title

Past occupation and title, if applicable

English Level Proficiency None/Moderate/Fluent

French Level Proficiency None/Moderate/Fluent

Do you have any Work Experience in the country you want to immigrate?:
YESNO

Do you have any Education experience in the country you want to immigrate?
YESNO

Do you have a blood relative in the country you want to immigrate?
YESNO

Are you married?
YESNO

Total Net Worth in Canadian $ (yourself and your Spouse combined, if applicable)

Do you have a CV/Bio Data/Resume?
YESNO

What city you want to live in after immigration?

What do you want to do: work, study, invest, start business?

Where did you hear about us?

Have you contacted CISC before?
YESNO