Assessment Form

    Client information:


    Client's Full Name (required)

    Client's age (required)

    Phone Number (required)

    Email Address (required)

    Client’s legal status in the current country of residence, If temporary resident, please indicate your visa’s expiry date
    CitizenPermanent ResidentTemporary Resident

    Client’s visa expiry date

    Client’s legal Status in Canada, if applicable If temporary resident, please indicate your visa’s expiry date, type of permit
    NoneCitizenPermanent ResidentTemporary Resident

    Client’s Canadian Visa expiry date

    Client’s education degree
    StudentHigh-School DiplomaCertificate DiplomaBachelorsMastersDoctoral

    Client’s field of study

    Client’s years of work experience

    Client’s job descriptions

    Client’s level of English
    NoneBasicIntermediateProficient

    Client’s level of French
    NoneBasicIntermediateProficient

    IELTS module
    NoneGeneralAcademic

    Date of taken IELTS

    Client’s IELTS score, each skill

    • Speaking:
    • Reading:
    • Writing:
    • Listening:

    Relatives in Canada which are Canadian citizens or Permanent Residents, if applicable (Please specify if: spouse or common-law partner, child/grandchild, parents/grandparents, sister/brother, uncle/aunt, niece/nephew. Do not include other relatives.) - Province - Relatives legal status

    Have you travelled, worked or studied in Quebec? If so, please provide details

    Client’s travel history in the last five years. (Name of the countries)




    Spouse or Common Law information:


    Spouse’s Full Name (required)

    Spouse’s age (required)

    Spouse’s legal status in the current country of residence, If temporary resident, please indicate your visa’s expiry date (required)
    CitizenPermanent ResidentTemporary Resident

    Spouse’s visa expiry date

    Spouse’s legal Status in Canada, if applicable If temporary resident, please indicate your visa’s expiry date, type of permit
    NoneCitizenPermanent ResidentTemporary Resident

    Spouse’s Canadian Visa expiry date

    Spouse’s education degree
    StudentHigh-School DiplomaCertificate DiplomaBachelorsMastersDoctoral

    Spouse’s field of study

    Spouse’s years of work experience (required)

    Spouse’s job descriptions

    Spouse’s level of English
    NoneBasicIntermediateProficient

    IELTS module
    NoneGeneralAcademic

    Date of taken IELTS

    Spouse’s IELTS score, each skill

    • Speaking:
    • Reading:
    • Writing:
    • Listening:

    Spouse’s level of French
    NoneBasicIntermediateProficient

    Spouse’s relatives in Canada which are Canadian citizens or Permanent Residents, if applicable (Please specify if: spouse or common-law partner, child/grandchild, parents/grandparents, sister/brother, uncle/aunt, niece/nephew. Do not include other relatives.) - Province - Relatives legal status

    Have you travelled, worked or studied in Quebec? If so, please provide details

    Spouse’s travel history in the last five years. (Name of the countries)