FREE ASSESSMENT FORM

  1. Personal Information

Full Name:_______________________________________________Date of Birth:_____________________

Place of Birth:________________________________ Nationality:_____________________ Sex:_________

Country of residence:_____________ Your Legal Status in the Country you are living:_______________

How long time are you living in the current country:____________________________________________

Email:__________________________________________________Telephone:________________________

 

2. Education

Degree                             How many years               Course Title                             Country

Elementary:                      _________________             ______________                      ________________

Secondary:                      _________________             ______________                      ________________

College                            _________________             ______________                      ________________

University:                        _________________             ______________                      ________________

Master:                            _________________             ______________                      ________________

Doctorate:                       _________________             ______________                      ________________

3. Professional
  Occupation                                City, Country                   From(Month/Year)       To(Month/Year)   

  1. _______________                 _____________________        _______________          ______________
  2. _______________                 _____________________        _______________          ______________
  3. _______________                 _____________________        _______________          ______________
  4. _______________                 _____________________        _______________          ______________

 

4. Language Level

English:_______________ Basic:___________________ Intermediate Advanced:____________________

French:_______________ Basic:____________________ Intermediate Advanced:___________________

5. Family Information

Marital Status: Single, Married or Common-Law Relationship:___________________________________

Do you have children:___________ How many children:___________ Age of the children:___________

Spouse’s name:________________________________________________Date of Birth:________________

Spouse’s occupation:

 Occupation                                                      From(Month/Year)       To(Month/Year)  

  1. _______________                                       _______________          ______________
  2. _______________                                       _______________          ______________
  3. _______________                                       _______________          ______________
  4. _______________                                       _______________          ______________
  5. _______________                                       _______________          ______________

Spouse’s Education Level:

Elementary:____ Secondary:____ College:_____ University:_____ Master Doctorate:_______________

Spouse’s language level:

English:_______________ Basic:_____________ Intermediate:_____________ Advanced:_____________

French :_______________ Basic:_____________ Intermediate:_____________Advanced:_____________

 

6. Financial
What is the total value in Canadian Dollars of all properties you own CAD$ :______________________
How much money do you have to invest in Canada CAD$:_____________________________________

7. Managerial Experience

How many years of experience managing a business?_________________________________________

 

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