Preliminary Assessment Form — Canadian Immigration Centre

Save your progress

Enter the email and date of birth you'd like this application tied to. Use "Save draft" any time, and "Resume saved draft" to load it again on this or a future visit.

Email address

Date of birth

Please fix the following before submitting

Personal and contact information

Legal name and current contact details, exactly as they appear on your passport.

First name*

Middle name

Last name*

Street number*

Street name*

City*

Province / state*

Postal code*

Email address*

Telephone*

Date of birth*

Country of citizenship*

Marital status*

Date of marriage / cohabitation start

Will your spouse / partner immigrate with you?

Immigration history

Your current residence and status, plus every country you've held status in.

Current country of residence*

Current immigration status*

Immigration status by country

Status	From	To	Country

Previous visa refusals (Canada or any other country)

Country	Date of refusal (estimate ok)	Application type

Work experience and education

Your last ten years of employment, beginning with your current role, and your education history.

Net liquid assets, CAD*

Do not include property valuation, gold, or other non-liquid assets.

Work experience

From	To	Position title	City & country	Employer	Full/part time

Education

From	To	Institution	City & country	Certificate / diploma	Field of study

Language

Your most recent English test result, plus TEF results if you've taken the French test.

Language test*

Date of test*

Speaking score*

Listening score*

Reading score*

Writing score*

TEF — French language test (optional)

Date of test

Speaking score

Listening score

Reading score

Writing score

Family

Whether you or your accompanying spouse/partner have a sibling in Canada.

Do you or your spouse/partner have a brother or sister who is a Canadian citizen or permanent resident?*

To answer yes, the sibling must be 18 or older, related to you or your partner by blood, marriage, common-law partnership, or adoption, and share a parent with you or your partner.

Work experience and education of spouse

Only needed if your spouse or common-law partner is immigrating with you.

Spouse net liquid assets, CAD

Spouse work experience

From	To	Position title	City & country	Employer	Full/part time

Spouse education

From	To	Institution	City & country	Certificate / diploma	Field of study

Fields marked * are required.

Preliminary assessment form for evaluating eligibility to immigrate to Canada

Save your progress

Please fix the following before submitting

Application received

Personal and contact information

Immigration history

Work experience and education

Language

Family

Work experience and education of spouse