Fillable Form 1. PERSONAL INFORMATION Title Please Select TitleMr.Ms.Mrs. Last Name Given Name(s) GenderPlease SelectMaleFemale StatusSelect Civil StatusStatusSingleMarriedDivorcedSeparatedCommon-LawWidow Citizenship Birthdate (mm/dd/yyyy) E-mail Address Phone Number Home Address 2. EDUCATION Educational QualificationPlease SelectPh.D.Masters DegreeBachelors (2 separate degrees)Bachelors (a single degree)College/Trade Diploma-3 yearsCollege/Trade Diploma-2 yearsCollege/Trade Diploma- 1 yearHigher National DiplomaHigh School DiplomaNone of the Above Years of Further Studies after High School Years of Full-Time Study 3. WORK EXPERIENCE / BUSINESS EXPERIENCE Profession / Nature of the Business Job Position Total number of years in the Profession / Business: If you are an owner of a business OR working in a managerial level in a business ( This section is for business applicants only ) Total number of full time staff currently working directly under you If corporation, percentage of your shareholding in the company Percentage of your spouse’s shareholding in the company Estimated annual sales of the company or business in Canadian Dollars Estimated annual Net Income of the company or business in Canadian Dollars Your personal total (without your spouse) net worth in Canadian Dollars(Net-worth means, everything you own, such as properties, business, cash in the bank, stock and shares etc) 4. ARRANGED EMPLOYMENT AND ADAPTABILITY Do you have arranged employment in Canada? Do you or your spouse have any blood relatives in Canada?Please SelectNo Relatives in CanadaMy Parent(s)My Grandparent(s)My Sister or BrotherMy Aunt or UncleMy Niece or NephewMy Daughter or SonMy Spouse or Common-Law PartnerA Parent of my Spouse or Common-Law PartnerA Grandparent of my Spouse or Common-Law PartnerA Sister or Brother of my Spouse or Common-Law PartnerAn Aunt or Uncle my Spouse or Common-Law PartnerA Niece or Nephew of my Spouse or Common-Law PartnerA Daughter or Son of my Spouse or Common-Law Partner 5. LANGUAGE PROFICIENCY Proficiency in EnglishSpeakingFluentWellWith DifficultyNot at allWritingFluentWellWith DifficultyNot at allReadingFluentWellWith DifficultyNot at allUnderstandingFluentWellWith DifficultyNot at all Proficiency in FrenchSpeakingFluentWellWith DifficultyNot at allWritingFluentWellWith DifficultyNot at allReadingFluentWellWith DifficultyNot at allUnderstandingFluentWellWith DifficultyNot at all Kindly advise if you have written any of the following acceptable English Language Tests: a. CELPIP: Canadian English Language Proficiency Index Program b. IELTS: International English Language Testing System c. TEF: Test d’évaluation de français (available in French only) Kindly advise about the individual score you obtained in each category for any of the tests mentioned abvoe. 6. SPOUSE DETAILS (If married) Last Name First Name Birthdate (mm/dd/yyyy) Educational QualificationPlease SelectPh.D.Masters DegreeBachelors (2 separate degrees)Bachelors (a single degree)College/Trade Diploma-3 yearsCollege/Trade Diploma-2 yearsCollege/Trade Diploma- 1 yearHigher National DiplomaHigh School DiplomaNone of the Above Years of Full-Time Study Profession Years of Experience Proficiency in EnglishSpeakingFluentWellWith DifficultyNot at allWritingFluentWellWith DifficultyNot at allReadingFluentWellWith DifficultyNot at allUnderstandingFluentWellWith DifficultyNot at all Proficiency in FrenchSpeakingFluentWellWith DifficultyNot at allWritingFluentWellWith DifficultyNot at allReadingFluentWellWith DifficultyNot at allUnderstandingFluentWellWith DifficultyNot at all 7. DEPENDANTS (If applicable) Dependent children under the age of 18 Name of Dependants Indicate Age Indicate if Son or Daughter 1. 2. 3. 4. 5. 6.