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EMPLOYEE ASSESSMENT FORM

In order to help us determine your prospects of qualifying for Canadian Immigration programs, please provide the following information. 

You will receive an email with our assessment within 48 hours in most cases. 
 
* Indicates mandatory information
GENERAL INFORMATION
   
First Name: *
Last Name: *
Email Address: *
Citizen of: *
Date of Birth: *
Marital Status: *
Single
Engaged
Married
Legally Separated : No. of years?
Divorced
 
EDUCATIONAL RECORD
 
Please provide the Educational Record since matriculation with dates, names of Institutions attended, field of study and the degree/ diploma / certificate received:
 

Period

Name of Institution City / Country Field of Study Name of Degree / Certificate

From

(mm/yy)

To

(mm/yy)
 
WORK HISTORY
 
Specify Company Name, Period, Responsibilities, Designation
 
Period Name/Address of Employer Occupation / Designation Hours/ Week
From (mm/yy) To (mm/yy)
 
LANGUAGE PROFICIENCY
 
FLUENT:- Very good command of the language in a range of social and work situations, and no difficulty communicating in a professional capacity.
MODERATE:- Can communicate reasonably well about personal and familiar things.
WITH DIFFICULTY:- Command of just a few basic words.
 
FRENCH
Speak: Fluently Moderate With Difficulty Not at all
Listen: Fluently Moderate With Difficulty Not at all
Read: Fluently Moderate With Difficulty Not at all
Write: Fluently Moderate With Difficulty Not at all
 
ENGLISH
Speak: Fluently Moderate With Difficulty Not at all
Listen: Fluently Moderate With Difficulty Not at all
Read: Fluently Moderate With Difficulty Not at all
Write: Fluently Moderate With Difficulty Not at all


Have you appeared for IELTS test? Yes     No

If Yes, Date appeared:

Score:

Speak Listen Read Write
 
SPOUSE'S EDUCATIONAL RECORD
 
Please provide the Educational Record since matriculation with dates, names of Institutions attended, field of study and the degree/ diploma / certificate received:
 

Period

Name of Institution City / Country Field of Study Name of Degree / Certificate

From

(mm/yy)

To

(mm/yy)
 
OTHER INFORMATION
 
Have you or your spouse ever studied in Canada on a valid Study Permit? Yes     No

If Yes, please provide details:

Period

Name of Institution City / Country Field of Study Name of Degree / Certificate

From

(mm/yy)

To

(mm/yy)


Have you or your spouse ever worked in Canada on a valid Work Permit? Yes     No

If Yes, please provide details:

Period Name/Address of Employer Occupation / Designation Hours/ Week
From (mm/yy) To (mm/yy)


Do you or your spouse have blood relatives in Canada? Yes     No

If Yes, please provide details:

Name Relationship Status
Citizen   Permanent Resident
Citizen   Permanent Resident

Transferable funds available: US$

OTHER DEPENDENTS
 
Last Name, First Name Date of Birth (d/m/y) Relationship Activity (Studies, Work) Whether Accompanying
Yes   No
Yes   No
Yes   No
Yes   No
 
MISCELLANEOUS INFORMATION
 
Please enter other miscellaneous information here. e.g. Prior applications for Canadian Immigration/Visas, any refusal/rejection, Medical/criminal issues or any other information that can effect your case.
 
How did you come to know about TRANSCEND CONSULTANTS?
 
I declare that information in this form is truthful, complete and correct.
 
   
 

Transcend can assist in all the immigration categories. For a FREE assessment, please click here or email your resume today
 
     
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