Free Assessment Form • Canada Immigration

The information gathered in this form will be used to assess your Canadian immigration options and is protected by the College of Immigration and Citizenship Consultants (CICC) Code of Professional Ethics and Canadian privacy laws. Your information will be held in the strictest of confidence and will not be shared with anyone without your explicit written consent. Based on the information you have provided, we will contact you regarding your eligibility for immigration to Canada.

Name *First or Full Name

Last Name

Email Address *example@example.com

Phone *E.g. +1 300 400 5000

Country of Nationality

Country of Residence

Gender *

City *E.g. Sydney

Date of Birth *

Marital Status *

Level of education *

Provide information about your spouse's age, education level, work experience and English/French proficiency. *

The application type you are interested in *Permanent residence - Economic programs e.g. Express Entry, PNPsFamily sponsorship - Please choose this option only if you are a PR or Canadian citizen who would like to sponsor a family member, or a foreign national who would like to be sponsored by a PR or Canadian citizen family memberStudy PermitVisitor Visa/Super Visa for parentsOther

Occupation *

Skilled Work Experience(in the last 10 years)

English Proficiency *

French Proficiency *

If you have taken any international language proficiency tests (e.g. IELTS, TEF Canada), please write your score in each skill area.

Do you or your spouse/partner have a relative(s) in Canada? *YesNo

Do you have a letter of acceptance from a school in Canada? *YesNoOther

You have chosen 'Family sponsorship'. Please provide detailed information. e.g. Information about the family member, and the sponsor, and sponsor's status in Canada. *

Please provide information regarding the available funds for your education in Canada, your career plan, and current employment status. *

Please provide more information about your selection: Visitor visa - e.g. Your purpose of visit, dates, etc. *

Please provide details (your relationship/status in Canada/city and province of residence in Canada): *

Any additional information that you can provide?

How did you hear about us? *Google searchInstagramFacebookOther/Friend

VIBK Immigration Consulting Inc. is committed to protecting and respecting your privacy, and we’ll only use your personal information to provide the service you requested from us. From time to time, we may contact you about our services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please tick below.