Dynamic Immigration

Canadian Immigration Assessment Questionare for Skilled Worker

This Questionnaire consists of 12 Steps. At any Step, feel free to click on the
button for helpful hints and tips regarding completion of that section of the Questionnaire.

Step 1: Applicant - Personal Details
Please complete the questionnaire below so that we can return your FREE online assessment. Once completed, please press the submit button found at the bottom of this page.

Family or Surname	First Name	Title Gender

Current Address - Street Name	Apartment Number	Town or City

State/Province/County	Zip/Postal Code	Country

How long resident in this country	Telephone Number	Business Telephone

E-mail Address ( must be correct)	Mobile/Cellular Number	Fax Number

Date of Birth	City or Town of Birth	Country of Birth

Marital Status	No of Children - Ages	List other countries in which you have legally resided for more than 1 year.

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Step 2: Applicant - Education
Enter in the boxes below the number of years and months completed at each educational level. Please enter the total number of years completed at EACH LEVEL (e.g. Primary School - 8, Secondary School - 5, First Bachelor degree - 3, Further Bachelor degree - 3). Enter zero (0) if not applicable.
Full Time Higher Education (i.e. post-secondary study)
PhD:	Years Months
Master Degree:	Years Months
Further Bachelor Degree:	Years Months
First Bachelor Degree:	Years Months
Diploma:	Years Months
Certificate:	Years Months
Apprenticeship:	Years Months
School Education (i.e. secondary school/high school)
Secondary/High School:	Years
Creche/Kindergarten plus Primary School:	Years
Total:	<Press to Calculate
FAILURE TO ACCOUNT FOR ALL YEARS OF STUDIES WILL RESULT IN A LOWER EDUCATION SCORE AND POSSIBLE DISQUALIFICATION. ONLY ACCOUNT FOR EDUCATION COMPLETED AND NOT EDUCATION IN PROCESS.

Confirm Highest Level of Education Completed:

Exact details of Highest Qualification Received:	eg. BSc. Engineering
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Step 3: Applicant - Work Experience
In the space below, please account for all of your PAID FULL-TIME work experience within the past 10 years. Full-Time work is 37.5 hours per week, or the equivalent thereof. NOTE: Do not go back more than 10 years. Show only work experience from the month and year that is exactly 10 years back from today's date. Work experience prior to 10 years ago will not be credited.

	From		To		Job Title/Description
	Month	Year	Month	Year	Please select using buttons below
Present Job
2nd last
3rd last
4th last
Other
Remember: Do not go back more than exactly 10 years from today's date.
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Step 4: Applicant - Language Ability
Is French your first language ?
	Speak	Write	Read	Understand
English
French
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Step 5: Applicant - Financial Information
Indicate here your personal net worth in US Dollars. Enter amount in numbers only - do not use commas, spaces or decimal points. To calculate your total personal net worth, you must do the following: 1. List all of your fixed assets, such as real estate and cars, at their current value. 2. List all of your liquid assets: cash, certificates of deposit, stocks, bonds and bank accounts. 3. List all jewelry, furniture and household items at their current value. 4. Add all of the above. These are your total assets. 5. Subtract all of your debts, such as your mortgage, car loan and credit card balances, from your total assets. IE:- (1 + 2 + 3) - (5) = your total personal net worth.	Total net worth ( in USD only. Do not use commas, spaces or decimal points - eg. 10000) $US
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Step 6: Spouse/Partner - Personal Details (if applicable)
Do you have a Spouse/Common-Law Partner/Same-Sex Partner ? If 'No' please continue with Step 10.		..Yes No
Family/Last name:	First/Given name:
Title:	Gender:
e-mail Address:	Date of Birth:
Country of birth:	Citizenship:
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Step 7: Spouse/Partner: Education Details (if applicable)
Enter in the boxes below the number of years and months completed at each educational level. Please enter the total number of years completed at EACH LEVEL (e.g. Primary School - 8, Secondary School - 5, First Bachelor degree - 3, Further Bachelor degree - 3). Enter zero (0) if not applicable.
Full Time Higher Education (i.e. post-secondary study)
PhD:	Years Months
Master Degree:	Years Months
Further Bachelor Degree:	Years Months
First Bachelor Degree:	Years Months
Diploma:	Years Months
Certificate:	Years Months
Apprenticeship:	Years Months
School Education (i.e. secondary school/high school)
Secondary/High School:	Years
Creche/Kindergarten plus Primary School:	Years
Total:	<Press to Calculate
FAILURE TO ACCOUNT FOR ALL YEARS OF STUDIES WILL RESULT IN A LOWER EDUCATION SCORE AND POSSIBLE DISQUALIFICATION.

Confirm Highest Level of Education completed:

Exact details of Highest Qualification Received		eg. BSc. Engineering
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Step 8: Spouse/Partner - Work Experience (if applicable)
In the space below, please account for all of your Spouse/Partner's PAID FULL-TIME work experience within the past 10 years. Remember: Do not go back more than exactly 10 years from today's date.

	From		To
	Month	Year	Month	Year	Job Title/Description
Present Job
2nd last
3rd last
4th last
Other
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Step 9: Spouse/Partner - Language Ability (if applicable)
Is French your first language ?
	Speak	Write	Read	Understand
English
French
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Step 10: Additional Questions for Applicant and Spouse/Partner (if applicable)
Do you have a job offer from a prospective Canadian employer ?
Do you have HRDC confirmed offer of employment in Canada ?
Have you worked in Canada for 1 year or more in full-time authorised employment ?
Have you studied in Canada for 2 years or more full-time authorised post-secondary study ?
Do you have a relative who is a Canadian Citizen or Permanent Resident ? Only living relatives who are residing in Canada and who are direct blood relatives to you or your Spouse/Partner, NOT cousins and/or family friends.
If

Very important - Please confirm your e-mail address here
Step 11: Final Questions
Have you, your Spouse/Partner, or any of your dependants ever:
had any serious disease or physical or mental disorder ?
been convicted of or are currently charged with any crime or offence in any country ?
applied previously for temporary status in Canada (i.e. visitor/student/worker) ?
been refused a Canadian immigrant visa /visitor visa /Study Permit /Work Permit or that of any other country ?
been refused admission to, or ordered to leave Canada or any other country ?
been involved in the commission of a war crime or a crime against humanity ?
applied previously for permanent status in Canada ?

If you have answered "yes" to any of the questions in Steps 10 OR 11, above, please provide details, below:

Why have you contacted Dynamic Services International? How can Dynamic Services International assist you?

How did you learn about our website ?

Specify other source here (if applicable):

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To assist in obtaining additional points please click this button now
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Step 12: Declaration - MUST be completed:
I certify that the information provided by me, above, for my FREE Canadian Immigration assessment is accurate and I consent to Dynamic Services International corresponding with me at the e-mail address, above, regarding said assessment.	Yes
	No

If you do not receive your assessment within one (1) business day,
please check your Junk/Bulk Mail folder (if applicable) before contacting Dynamic Services International.

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