MAS Immigration

 Federal Skilled Worker Assessment Form Canada

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Federal Skilled Worker Assessment Form
 For applicants qualifying on the basis of their educational background
 and professional expertise

 

1)  Personal Information

Family Name: First Name:
Date of birth:  Country of Citizenship:

(dd/mm/yyyy)
Please specify the City and Country where you are currently residing:
Gender:          Male      Female

 

2) Contacting Information

Email: Telephone Number :
Postal Address: Fax (OPTIONAL):

 

3) Key Factors
Your age: 
Education:       Major: 
Completed? Yes     No     In Progress  
Years of Completion (elementary – last degree/diploma): 

Current Occupation: Years of exp
Previous Occupation: Years of exp

Do you have an Offer of Employment in Canada approved by HRDC?     Yes    No  

Do you have a relative in Canada?   No     Yes  
If yes, relationship to you?  

Do you have a minimum one year full time authorized work in Canada? No     Yes
Do you have a minimum two years full time post-secondary study in Canada? No     Yes
Any informal job offer in Canada related to your education and/or occupation? No     Yes

 

4) Official Languages
Please indicate your abilities in both English and French languages, as follows: 

FLUENT Very good command of the language in a range of social and work situations, and no difficulty communicating in a professional capacity.
WELL Can communicate reasonably well about personal and familiar things.
WITH DIFFICULTY Command of just a few basic words. 
NOT AT ALL Cannot communicate at all in the given language.

 

English
English
Reading		 English
Writing		 English
Speaking		 English
Listening
FLUENT

WELL

WITH DIFFICULTY

NOT AT ALL

 

French
French
Reading		 French
Writing		 French
Speaking		 French
Listening
FLUENT

WELL

WITH DIFFICULTY

NOT AT ALL

 

5) Applicant's Spouse (if applicable)

Family Name: First Name:
Date of birth:  Country of Citizenship:

(dd/mm/yyyy)
Please specify the City and Country where you are currently residing:
Gender:          Male      Female

Marital Status: 

Education: 

Occupation: 

Years of Experience:  

 

6) Applicant's Children (1)

Family Name: First Name:
Date of birth:  Country of Citizenship:

(dd/mm/yyyy)
Please specify the City and Country where you are currently residing:
Gender:       Male      Female

Marital Status: 

Education: 

Occupation: 

Years of Experience:  

 

7) Applicant's Children (2)

Family Name: First Name:
Date of birth:  Country of Citizenship:

(dd/mm/yyyy)
Please specify the City and Country where you are currently residing:
Gender:        Male      Female

Marital Status: 

Education: 

Occupation: 

Years of Experience:  

 

8) Additional Information (optional)

 

9) Available Funds
Liquid Assets
Fixed Assets

 

10) How did you find us?

 

 
 

 

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