Marital Status

Select an option Never married Married Widowed Legally separated Annulled marriage Divorced Common-law

Area of Interest

Immigrate To CanadaWork in CanadaStudy in CanadaInvest in CanadaNot sure

CHILDREN

Number of children

Select an option 0 1 2 3 4 5 6+

What is your highest level of education?

Select an option Ph.D Master's degree Bachelor's degree (4 years) Bachelor's degree (3 years) Bachelor's degree (2 years) Bachelor's degree (1 year) Diploma, Trade Certificate, or Apprenticeship (3 years) Diploma, Trade Certificate, or Apprenticeship (2 years) Diploma, Trade Certificate, or Apprenticeship (1 year) High school diploma Below high school diploma

Name of certificate for highest level of education?

Area of Studies

Country of Studies

Type of Educational Institute

Select an option Public Private

Have you completed any post-secondary studies in Canada?

Yes

No

Name of bachelor's degree

LANGUAGE

Have you done any English language test?

Select an option IELTS CELPIP PTE Core No

If you have done an English language test, what was your score in Speaking?

If you have done an English language test, what was your score in Reading?

If you have done an English language test, what was your score in Writing?

If you have done an English language test, what was your score in Listening?

Have you done any French language test?

Select an option TEF Canada TCF Canada No

If you have done a French language test, what was your score in Speaking?

If you have done a French language test, what was your score in Reading?

If you have done a French language test, what was your score in Writing?

If you have done a French language test, what was your score in Listening?

WORK IN CANADA

Have you been in Canada as a temporary foreign worker?

Yes

No

Arranged employment

Yes

No

Do you have a certificate of qualification in a trade occupation issued by a Canadian province or territory?

Yes

No

Do you have a a nomination certificate from a Canadian province or territory (except Quebec)?

Yes

No

FAMILY RELATIONS IN CANADA

Do you or, if applicable your accompanying spouse, or common-law partner have a blood relative living in Canada who is a citizen or a permanent resident of Canada?

Yes

No

If you answered yes to Question 30, what is the nature of this blood relative's relationship with you?

Select an option None Mother of father Daughter or son Sister or brother Niece or nephew Grandmother or grandfather Granddaughter or grandson Aunt or uncle Spouse or common-law partner

PREVIOUS AND FUTURE VISIT(S)

Have you or your spouse previously visited Canada for work, travel, or study?

Yes

No

Have you or your spouse previously applied for immigration or visa to Canada?

Yes

No

Where is your preferred destination in Canada?

Select an option Any Alberta (AB) British Columbia (BC) Manitoba (MB) New Brunswick (NB) Newfoundland and Labrador (NL) Northwest Territories (NT) Nova Scotia (NS) Nunavut (NU) Ontario (ON) Prince Edward Island (PE) Quebec (QC) Saskatchewan (SK) Yukon (YT)

Have you previously submitted an Express Entry application?

Select an option Yes No Not sure

WHAT IS YOUR OCCUPATION?

Attach your most recent CV/résumé

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What is your job title?

Duration

Select an option 6 years or more 5 years or more, but less than 6 years 4 years or more, but less than 5 years 3 years or more, but less than 4 years 2 years or more, but less than 3 years 1 year or more, but less than 2 years 9 months or more, but less than 1 year 6 months or more, but less than 9 months 3 months or more, but less than 6 months Less than 3 months

Location

Select an option In Canada In United States Outside Canada

Are you PRESENTLY WORKING in this job?

Yes

No

Were you legally entitled to work in the country where you gained this work experience?

Yes

No

Type of Employment

BUSINESS/FINANCES

How much is your net worth in Canadian dollars?

Select an option 0 to 9 999 10 000 to 24 999 25 000 to 49 999 50 000 to 99 999 100 000 to 299 999 300 000 to 499 999 500 000 to 799 999 800 000 to 999 999 1 000 000 to 1 599 999 1 600 000+ Prefer not to disclose