Dear Sir/Madam: Please complete the assessment form and click the "Submit" button at the bottom of the page when finished. If you are married or engaged, you will be directed to complete an assessment form for your spouse or fiancée. If you are a business owner, you will be directed to complete a business form.
We will review your information and contact you with the results of our assessment.
Thank you.
Worldwide Relocation Services Inc.

婚姻情况

* 婚姻状况 Select Never Married Engaged Married Legally Separated Divorced Common Law    结婚日期 (Month Day Year)    Date of planned marriage, if Engaged     or started living together, if Common Law Month Jan Feb March April May Jun Jul Aug Sep Oct Nov Dec Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 (Year)    配偶/未婚夫/未婚妻/同居  姓名(First Middle Last)    配偶学历    Please enter the highest qualification

子女信息

Provide details of all your children. If you do not have any children please continue on to next step. 姓名 关系 出生年月日 Select Son Daughter Month Jan Feb March April May Jun Jul Aug Sep Oct Nov Dec Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 (Year) Select Son Daughter Month Jan Feb March April May Jun Jul Aug Sep Oct Nov Dec Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 (Year) Select Son Daughter Month Jan Feb March April May Jun Jul Aug Sep Oct Nov Dec Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 (Year)

在加拿大的亲戚信息

Details of your relatives in Canada. (Describe the relationship clearly, such as father's real brother, mother's real sister, etc.) 姓名 关系 地址

教育背景

* Please provide your educational record with dates, name and address of institutions attended, courses taken, and degree/diploma/certificate received.  Include all full time and part time courses. 时期 Name & Address of Institution Courses Diploma/Degree/Certificate        Month   Year     Month   Year From:/  To:/ From:/  To:/ From:/  To:/ From:/  To:/

工作经验

* Please provide your employment record(s) with dates, name & address of employers, job titles and duties performed for the last 10 years. 时期 雇主姓名和地址 工作头衔 和 工作职责        Month   Year     Month   Year   CURRENT OCCUPATION From:/  To:/ From:/  To:/ From:/  To:/ From:/  To:/

简历

Please provide the detailed job duties you have performed in each of your employment or copy and paste your resume in the box below. (This will assist in defining a suitable category) You may also email your resume to Assessment@canam.ca

技术工人的信息      NEW

Please indicate if you have at least one year of experience in one or more of the following Skilled Worker occupations.  Hold Ctrl key when making multiple selection. 0013 Senior managers – financial, communications and other business services 0015 Senior managers - trade, broadcasting and other services, n.e.c. 0111 Financial managers 0112 Human resources managers 0113 Purchasing managers 0121 Insurance, real estate and financial brokerage managers 0311 Managers in health care 0711 Construction managers 0712 Home building and renovation managers 0811 Managers in natural resources production and fishing 0911 Manufacturing managers 1111 Financial auditors and accountants 1112 Financial and investment analysts 1113 Securities agents, investment dealers and brokers 1114 Other financial officers 1123 Professional occupations in advertising, marketing and public relations 1212 Supervisors, finance and insurance office workers 1224 Property administrators 2113 Geoscientists and oceanographers 2131 Civil engineers 2132 Mechanical engineers 2133 Electrical and electronics engineers 2145 Petroleum engineers 2171 Information systems analysts and consultants 2172 Database analysts and data administrators 2173 Software engineers and designers 2174 Computer programmers and interactive media developers 2232 Mechanical engineering technologists and technicians 2234 Construction estimators 2241 Electrical and electronics engineering technologists and technicians 2243 Industrial instrument technicians and mechanics 2263 Inspectors in public and environmental health and occupational health and safety 2281 Computer network technicians 3011 Nursing co-ordinators and supervisors 3012 Registered nurses and registered psychiatric nurses 3111 Specialist physicians 3112 General practitioners and family physicians 3132 Dietitians and nutritionists 3141 Audiologists and speech-language pathologists 3142 Physiotherapists 3143 Occupational Therapists 3214 Respiratory therapists, clinical perfusionists and cardiopulmonary technologists 3215 Medical Radiation Technologists 3216 Medical Sonographers 3233 Licensed practical nurses 3234 Paramedical occupations 4011 University professors and lecturers 4151 Psychologists 4214 Early childhood educators and assistants 5125 Translators, terminologists and interpreters Note that you may qualify for Canadian immigration even if you do not have at least one year of experience in any of the above occupations.  Please complete and submit this form and a Worldwide representative will contact you with additional options.

语言程度

Please indicate your ability to communicate in English and French. 英语   法语   高 中 基本 无   高 中 基本 无  说  读  写 听

商业信息

Important: If you have ever owned or operated your own business, check here and you will be prompted to complete a business profile after submitting this form. 您的净资产 (assets less liabilities). Include all bank deposits, property, and other assets. 您的月收入

居住/签证状态

请列出您去过曾访问过的所有国家 您现在居住国家的身份状态？公民/临时居民 Select Visitor Student Work visa (H1,J1,etc.) Citizen No status Other 您现在居住国家的签证到期时间 您有哪些国家的有效签证？

背景资料

您和您的家人有没有任何医疗和刑事问题？ No Yes 请写下详情: 您是否被拒签过？旅游签证或者其他签证？ No Yes 请写下详情: 您是否曾被任何国家遣返？ No Yes 请写下详情:

您是怎么了解到我们的？ Select Google Search Friends Internet Newspaper Word of mouth WRSI Agent Other    姓名: (if applicable)

By clicking "Submit" I declare that the information given in this application is truthful, complete and correct.