Online Assessment (Quick) Please follow the instructions carefully in order for us to provide you with an accurate assessment. Fields marked with * are required. Personal Details Please provide us with your name and address information. Salutation Mr.Ms.Mrs.Dr. *First Name Middle Name *Last Name *Date of Birth JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember *Country of Citizenship ArubaAfghanistanAngolaAnguillaÅland IslandsAlbaniaAndorraUnited Arab EmiratesArgentinaArmeniaAmerican SamoaAntarcticaFrench Southern TerritoriesAntigua and BarbudaAustraliaAustriaAzerbaijanBurundiBelgiumBeninBonaire, Sint Eustatius and SabaBurkina FasoBangladeshBulgariaBahrainBahamasBosnia and HerzegovinaSaint BarthélemyBelarusBelizeBermudaBolivia, Plurinational State ofBrazilBarbadosBrunei DarussalamBhutanBouvet IslandBotswanaCentral African RepublicCanadaCocos (Keeling) IslandsSwitzerlandChileChinaCôte d'IvoireCameroonCongo, the Democratic Republic of theCongoCook IslandsColombiaComorosCape VerdeCosta RicaCubaCuraçaoChristmas IslandCayman IslandsCyprusCzech RepublicGermanyDjiboutiDominicaDenmarkDominican RepublicAlgeriaEcuadorEgyptEritreaWestern SaharaSpainEstoniaEthiopiaFinlandFijiFalkland Islands (Malvinas)FranceFaroe IslandsMicronesia, Federated States ofGabonUnited KingdomGeorgiaGuernseyGhanaGibraltarGuineaGuadeloupeGambiaGuinea-BissauEquatorial GuineaGreeceGrenadaGreenlandGuatemalaFrench GuianaGuamGuyanaHong KongHeard Island and McDonald IslandsHondurasCroatiaHaitiHungaryIndonesiaIsle of ManIndiaBritish Indian Ocean TerritoryIrelandIran, Islamic Republic ofIraqIcelandIsraelItalyJamaicaJerseyJordanJapanKazakhstanKenyaKyrgyzstanCambodiaKiribatiSaint Kitts and NevisKorea, Republic ofKuwaitLao People's Democratic RepublicLebanonLiberiaLibyaSaint LuciaLiechtensteinSri LankaLesothoLithuaniaLuxembourgLatviaMacaoSaint Martin (French part)MoroccoMonacoMoldova, Republic ofMadagascarMaldivesMexicoMarshall IslandsMacedonia, the former Yugoslav Republic ofMaliMaltaMyanmarMontenegroMongoliaNorthern Mariana IslandsMozambiqueMauritaniaMontserratMartiniqueMauritiusMalawiMalaysiaMayotteNamibiaNew CaledoniaNigerNorfolk IslandNigeriaNicaraguaNiueNetherlandsNorwayNepalNauruNew ZealandOmanPakistanPanamaPitcairnPeruPhilippinesPalauPapua New GuineaPolandPuerto RicoKorea, Democratic People's Republic ofPortugalParaguayPalestine, State ofFrench PolynesiaQatarRéunionRomaniaRussian FederationRwandaSaudi ArabiaSudanSenegalSingaporeSouth Georgia and the South Sandwich IslandsSaint Helena, Ascension and Tristan da CunhaSvalbard and Jan MayenSolomon IslandsSierra LeoneEl SalvadorSan MarinoSomaliaSaint Pierre and MiquelonSerbiaSouth SudanSao Tome and PrincipeSurinameSlovakiaSloveniaSwedenSwazilandSint Maarten (Dutch part)SeychellesSyrian Arab RepublicTurks and Caicos IslandsChadTogoThailandTajikistanTokelauTurkmenistanTimor-LesteTongaTrinidad and TobagoTunisiaTurkeyTuvaluTaiwan, Province of ChinaTanzania, United Republic ofUgandaUkraineUnited States Minor Outlying IslandsUruguayUnited StatesUzbekistanHoly See (Vatican City State)Saint Vincent and the GrenadinesVenezuela, Bolivarian Republic ofVirgin Islands, BritishVirgin Islands, U.S.Viet NamVanuatuWallis and FutunaSamoaYemenSouth AfricaZambiaZimbabwe Home Phone - - Mobile Phone - Email Please ensure this email is active and valid as your assessment result will be sent on this address. Education & Occupation * Years of Formal Education From Primary Education * Highest Level of Completed Education Master's or Ph.D.2 or more Bachelor's degreesBachelor's - 4 YearsBachelor's - 3 YearsBachelor's - 2 YearsBachelor's - 1 YearDiploma/Trade Cert./Apprenticeship - 3 YrDiploma/Trade Cert./Apprenticeship - 2 YrDiploma/Trade Cert./Apprenticeship - 1 YrCompleted secondary school (high school)Did not complete secondary school (high school) *Current Occupation *No. of Years in Current Occupation *Previous Occupation *No. of Years in Previous Occupation Language Proficiency English Read NoneBasicModerateHigh Write NoneBasicModerateHigh Speak NoneBasicModerateHigh Listen NoneBasicModerateHigh French Read NoneBasicModerateHigh Write NoneBasicModerateHigh Speak NoneBasicModerateHigh Listen NoneBasicModerateHigh Spouse/Common-Law Partner Details (If Applicable) In some cases it may be possible that you may not qualify whereas your spouse/common-law-partner will. Salutation Mr.Ms.Mrs.Dr. First Name Middle Name Last Name Years of Formal Education From Primary Education Highest Level of Completed Education Master's or Ph.D.2 or more Bachelor's degreesBachelor's - 4 YearsBachelor's - 3 YearsBachelor's - 2 YearsBachelor's - 1 YearDiploma/Trade Cert./Apprenticeship - 3 YrDiploma/Trade Cert./Apprenticeship - 2 YrDiploma/Trade Cert./Apprenticeship - 1 YrCompleted secondary school (high school)Did not complete secondary school (high school) Current Occupation No. of Years in Current Occupation Final Information * Do you or your spouse has blood relative in Canada? NoneParentBrotherSisterGrandparentChildUncleAuntNieceNephew How did you come to know about us? Online AdvertisementReferred By A ClientSearch Engine (Google) Provide any additional information here that you think may be important to access your eligibility. Or paste your text resume: Declaration I hereby declare that the information given in this assessment form is true to the best of my knowledge and belief. I understand that your firm can use this information to contact me via all modes of communication and send information as required.
