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SELF ASSESSMENT - SKILLED WORKERS
Mr.
Mrs.
Miss
Ms
Last Name
First Name
Address
City
Country
Email
Age
21 Years or less
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49 to 53
54 or more
Education
Years of Education
Years of Education - Spouse
Occupation
Experience
Less than 1 Year
1 year
2 years
3 years
4 years or more
Ability in English
Read
Not at all
A little
Good
Fluent
Write
Not at all
A little
Good
Fluent
Speak
Not at all
A little
Good
Fluent
Ability in French
Read
Not at all
A little
Good
Fluent
Write
Not at all
A little
Good
Fluent
Speak
Not at all
A little
Good
Fluent
Funds Available US$
Children 22 or younger
None
1
2
3 or more
Relatives in Canada
None
Father / Mother
Brother / Sister
Son / Daughter
Grandparent
Grandchild
Uncle / Aunt
Nephew / Niece
My Spouse or I have studied in Canada with a valid Student Authorization and completed a Post Secondary course
Yes
No
My spouse or I have worked in Canada for one year with a valid employment authorization
Yes
No