Check Eligibility – Immigration Canada Company Please provide your Full Name: First Name Last Name * Please provide your email address Please provide a valid phone number to contact you at. * Please provide your current address. * Please provide a reason why you wish to move to Canada? Education Job/Business Health Safety Retirement Travel Other Please provide an approximate date for your move to Canada? What is your age? Under 18 18-24 25-34 35-44 45-54 55-64 65+ Please provide your current country of citizenship and your current country of residence. What is the level of your education? High School Undergraduate/Bachelors Graduate/Masters Doctorate Other What are the languages you are proficient in? English French Punjabi/Hindi Mandarin/Cantonesse Spanish Portuguese Other What is your total household income currently? Less than $20,000 $20,000 to $34,999 $35,000 to $49,999 $35,000 to $49,999 $75,000 to $99,999 $100,000 to $149,999 $150,000 or More How many years of experience do you have in your relevant field of work? What is the number of dependents you would like to move to Canada with? What is your current marital status? Single Married Common Law Partnership Separated Other Do you have any immediate family in Canada? Yes No
