Principal Applicant
First Name:*
Middle name:
Last name:*
Gender*
Citizenship:*
Country of residence:*
Date of birth:*
Marital Status:*
Preferred destination in Canada:*
There is no limit on the number of choices that you can make.
If you are willing to reside in any of the provinces/territories below, please select “Any of the provinces/territories” together with the one(s) that you prefer.
Any of the provinces/territories
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Email:*
Cellphone number:*
Residential Address:*
Education/Training
How many of the following levels of education have you completed?
- Doctoral Level
- Master’s Degree
- Bachelor’s Degree
- Two-year Program at a college / university / technical school
- One-year Program at a college / university / technical school
- A program of less than a year at a college / university / technical school
- Secondary Diploma
0
1
2
3
4
5
6
7
8
1)
Level of program
Start Date
Program Name
End Date
University / College / School
Did you earn a degree / diploma / certificate?
Yes
No
2)
Level of program
Start Date
Program Name
End Date
University / College / School
Did you earn a degree / diploma / certificate?
Yes
No
3)
Level of program
Start Date
Program Name
End Date
University / College / School
Did you earn a degree / diploma / certificate?
Yes
No
4)
Level of program
Start Date
Program Name
End Date
University / College / School
Did you earn a degree / diploma / certificate?
Yes
No
5)
Level of program
Start Date
Program Name
End Date
University / College / School
Did you earn a degree / diploma / certificate?
Yes
No
6)
Level of program
Start Date
Program Name
End Date
University / College / School
Did you earn a degree / diploma / certificate?
Yes
No
7)
Level of program
Start Date
Program Name
End Date
University / College / School
Did you earn a degree / diploma / certificate?
Yes
No
8)
Level of program
Start Date
Program Name
End Date
University / College / School
Did you earn a degree / diploma / certificate?
Yes
No
Other Training
Have you received any other type of training?
Yes
No
How many training programs have you completed?
1
2
3
4
5
6
1)
Name of Program
Start Date
Provider
End Date
Did you receive any type of certificate?
2)
Name of Program
Start Date
Provider
End Date
Did you receive any type of certificate?
3)
Name of Program
Start Date
Provider
End Date
Did you receive any type of certificate?
4)
Name of Program
Start Date
Provider
End Date
Did you receive any type of certificate?
5)
Name of Program
Start Date
Provider
End Date
Did you receive any type of certificate?
6)
Name of Program
Start Date
Provider
End Date
Did you receive any type of certificate?
Employment History
How many jobs have you had over the past 10 years?
0
1
2
3
4
5
6
7
8
9
10
Please list them, starting with the most recent job you have had.
If you have any business ownership / management experience, do not mention them in this part.
1)
Job Title
City
Employer
Average Weekly Number of Hours
Start Date
Type of Work Permit
only if the job was/is in Canada
End Date
2)
Job Title
City
Employer
Average Weekly Number of Hours
Start Date
Type of Work Permit
only if the job was/is in Canada
End Date
3)
Job Title
City
Employer
Average Weekly Number of Hours
Start Date
Type of Work Permit
only if the job was/is in Canada
End Date
4)
Job Title
City
Employer
Average Weekly Number of Hours
Start Date
Type of Work Permit
only if the job was/is in Canada
End Date
5)
Job Title
City
Employer
Average Weekly Number of Hours
Start Date
Type of Work Permit
only if the job was/is in Canada
End Date
6)
Job Title
City
Employer
Average Weekly Number of Hours
Start Date
Type of Work Permit
only if the job was/is in Canada
End Date
7)
Job Title
City
Employer
Average Weekly Number of Hours
Start Date
Type of Work Permit
only if the job was/is in Canada
End Date
8)
Job Title
City
Employer
Average Weekly Number of Hours
Start Date
Type of Work Permit
only if the job was/is in Canada
End Date
9)
Job Title
City
Employer
Average Weekly Number of Hours
Start Date
Type of Work Permit
only if the job was/is in Canada
End Date
10)
Job Title
City
Employer
Average Weekly Number of Hours
Start Date
Type of Work Permit
only if the job was/is in Canada
End Date
Business Ownership/Management Experience
Do you have any business ownership and/or management experience?
Yes
No
How many businesses have you owned/managed over the past 10 years?
1
2
3
4
5
6
7
8
9
10
1)
Business Name
Ownership Percentage
Leave this field blank if you are / were not the owner.
Type of Business
Start Date
Your Role in the Business
End Date
City
Number of Employees
2)
Business Name
Ownership Percentage
Leave this field blank if you are / were not the owner.
Type of Business
Start Date
Your Role in the Business
End Date
City
Number of Employees
3)
Business Name
Ownership Percentage
Leave this field blank if you are / were not the owner.
Type of Business
Start Date
Your Role in the Business
End Date
City
Number of Employees
4)
Business Name
Ownership Percentage
Leave this field blank if you are / were not the owner.
Type of Business
Start Date
Your Role in the Business
End Date
City
Number of Employees
5)
Business Name
Ownership Percentage
Leave this field blank if you are / were not the owner.
Type of Business
Start Date
Your Role in the Business
End Date
City
Number of Employees
6)
Business Name
Ownership Percentage
Leave this field blank if you are / were not the owner.
Type of Business
Start Date
Your Role in the Business
End Date
City
Number of Employees
7)
Business Name
Ownership Percentage
Leave this field blank if you are / were not the owner.
Type of Business
Start Date
Your Role in the Business
End Date
City
Number of Employees
8)
Business Name
Ownership Percentage
Leave this field blank if you are / were not the owner.
Type of Business
Start Date
Your Role in the Business
End Date
City
Number of Employees
9)
Business Name
Ownership Percentage
Leave this field blank if you are / were not the owner.
Type of Business
Start Date
Your Role in the Business
End Date
City
Number of Employees
10)
Business Name
Ownership Percentage
Leave this field blank if you are / were not the owner.
Type of Business
Start Date
Your Role in the Business
End Date
City
Number of Employees
English Language Proficiency
Have you taken a standardized English Language proficiency test?
Yes
No
If you have taken the Duolingo test, just provide the overall score.
Test
Writing
Date
Speaking
Listening
Overall
Reading
Please provide your own assessment.
Listening
Reading
Writing
Speaking
French Language Proficiency
Are you able to communicate in French?
Yes
No
Have you taken a standardized French Language proficiency test?
Yes
No
Test
Writing
Date
Speaking
Listening
Overall
Reading
Please provide your own assessment.
Listening
Reading
Writing
Speaking
Family Members in Canada
Do you, or your spouse have a family member who is a Canadian citizen or permanent resident and is at least 18 years old?
Yes
No
How many family members would you like to tell us about?
1
2
3
4
5
6
1)
Relation to you
City of Residence
Occupation
2)
Relation to you
City of Residence
Occupation
3)
Relation to you
City of Residence
Occupation
4)
Relation to you
City of Residence
Occupation
5)
Relation to you
City of Residence
Occupation
6)
Relation to you
City of Residence
Occupation
ADMISSIBILITY
Do you, your spouse/common-law partner or children have a history of criminal activity?
Yes
No
Please provide more details.
Do you, your spouse/common-law partner or children have an illness which is:
• likely to be a danger to public health / public safety
or
• might cause excessive demand on health or social services?
Yes
No
Please provide more details.
Personal Net Worth
1. What is your net worth in Canadian Dollars? (together with that of your spouse/common-law partner)
Your net worth is all your assets, including savings, stocks, property and other valuables, minus your liabilities.
2. Do you (or your spouse) own a property (e.g. house, apartment, land)?
Yes
No
3. Do you (or your spouse) own a business?
Yes
No
Previous Applications
Have you ever submitted any type of application to the government of Canada? (e.g. visitor visa, study permit, etc.)?
Yes
No
How many applications have you made?
1
2
3
4
5
1)
Type of Application
Please provide the details of your stay in Canada.
What were the reasons cited for the refusal/rejection?
Date:
Start Date
Was the application approved?
Yes
No
End Date
2)
Type of Application
Please provide the details of your stay in Canada.
What were the reasons cited for the refusal/rejection?
Date:
Start Date
Was the application approved?
Yes
No
End Date
3)
Type of Application
Please provide the details of your stay in Canada.
What were the reasons cited for the refusal/rejection?
Date:
Start Date
Was the application approved?
Yes
No
End Date
4)
Type of Application
Please provide the details of your stay in Canada.
What were the reasons cited for the refusal/rejection?
Date:
Start Date
Was the application approved?
Yes
No
End Date
5)
Type of Application
Please provide the details of your stay in Canada.
What were the reasons cited for the refusal/rejection?
Date:
Start Date
Was the application approved?
Yes
No
End Date
Applicant’s Children
Do you have any children?
Yes
No
How many children do you have?
1
2
3
4
5
6
1)
Child
Citizenship
Date of Birth
Marital Status
2)
Child
Citizenship
Date of Birth
Marital Status
3)
Child
Citizenship
Date of Birth
Marital Status
4)
Child
Citizenship
Date of Birth
Marital Status
5)
Child
Citizenship
Date of Birth
Marital Status
6)
Child
Citizenship
Date of Birth
Marital Status
Spouse/Common-law Partner
You do not have to provide your spouse’s information, but it could be very useful.
First Name:
Citizenship:
Middle name:
Country of residence:
Last name:
Date of birth:
Gender
Education
How many of the following levels of education has your spouse/common-law partner completed?
- Doctoral Level
- Master’s Degree
- Bachelor’s Degree
- Two-year Program at a college / university / technical school
- One-year Program at a college / university / technical school
- A program of less than a year at a college / university / technical school
- Secondary Diploma
0
1
2
3
4
5
6
1)
Level of Education
Start Date
Program Name
End Date
University / College / School
Did he/she earn a degree / diploma / certificate?
Yes
No
2)
Level of Education
Start Date
Program Name
End Date
University / College / School
Did he/she earn a degree / diploma / certificate?
Yes
No
3)
Level of Education
Start Date
Program Name
End Date
University / College / School
Did he/she earn a degree / diploma / certificate?
Yes
No
4)
Level of Education
Start Date
Program Name
End Date
University / College / School
Did he/she earn a degree / diploma / certificate?
Yes
No
5)
Level of Education
Start Date
Program Name
End Date
University / College / School
Did he/she earn a degree / diploma / certificate?
Yes
No
6)
Level of Education
Start Date
Program Name
End Date
University / College / School
Did he/she earn a degree / diploma / certificate?
Yes
No
Other training
Has your spouse received any other type of training?
Yes
No
How many training programs has he/she completed?
1
2
3
4
5
6
1)
Name of Program
Start Date
Provider
End Date
Did he/she receive any type of certificate?
Yes
No
2)
Name of Program
Start Date
Provider
End Date
Did he/she receive any type of certificate?
Yes
No
3)
Name of Program
Start Date
Provider
End Date
Did he/she receive any type of certificate?
Yes
No
4)
Name of Program
Start Date
Provider
End Date
Did he/she receive any type of certificate?
Yes
No
5)
Name of Program
Start Date
Provider
End Date
Did he/she receive any type of certificate?
Yes
No
6)
Name of Program
Start Date
Provider
End Date
Did he/she receive any type of certificate?
Yes
No
Employment History
How many jobs has your spouse/common-law partner had over the past 10 years?
0
1
2
3
4
5
6
7
8
9
10
Please list them, starting with the most recent job he/she has had.
If he/she has had any business ownership / management experience, do not mention them in this part.
1)
Job Title
City
Employer
Average Weekly Number of Hours
Start Date
Type of Work Permit
only if the job was/is in Canada
End Date
2)
Job Title
City
Employer
Average Weekly Number of Hours
Start Date
Type of Work Permit
only if the job was/is in Canada
End Date
3)
Job Title
City
Employer
Average Weekly Number of Hours
Start Date
Type of Work Permit
only if the job was/is in Canada
End Date
4)
Job Title
City
Employer
Average Weekly Number of Hours
Start Date
Type of Work Permit
only if the job was/is in Canada
End Date
5)
Job Title
City
Employer
Average Weekly Number of Hours
Start Date
Type of Work Permit
only if the job was/is in Canada
End Date
6)
Job Title
City
Employer
Average Weekly Number of Hours
Start Date
Type of Work Permit
only if the job was/is in Canada
End Date
7)
Job Title
City
Employer
Average Weekly Number of Hours
Start Date
Type of Work Permit
only if the job was/is in Canada
End Date
8)
Job Title
City
Employer
Average Weekly Number of Hours
Start Date
Type of Work Permit
only if the job was/is in Canada
End Date
9)
Job Title
City
Employer
Average Weekly Number of Hours
Start Date
Type of Work Permit
only if the job was/is in Canada
End Date
10)
Job Title
City
Employer
Average Weekly Number of Hours
Start Date
Type of Work Permit
only if the job was/is in Canada
End Date
Business Ownership/Management Experience
Does your spouse/common-law partner have any business and/or management experience?
Yes
No
How many businesses has he/she owned/managed over the past 10 years?
1
2
3
4
5
6
7
8
9
10
1)
Business name
Ownership Percentage
Leave this field blank if he / she is / was not the owner
Type of Business
Start Date
Role in the business
End Date
City
Number of Employees
2)
Business name
Ownership Percentage
Leave this field blank if he / she is / was not the owner
Type of Business
Start Date
Role in the business
End Date
City
Number of Employees
3)
Business name
Ownership Percentage
Leave this field blank if he / she is / was not the owner
Type of Business
Start Date
Role in the business
End Date
City
Number of Employees
4)
Business name
Ownership Percentage
Leave this field blank if he / she is / was not the owner
Type of Business
Start Date
Role in the business
End Date
City
Number of Employees
5)
Business name
Ownership Percentage
Leave this field blank if he / she is / was not the owner
Type of Business
Start Date
Role in the business
End Date
City
Number of Employees
6)
Business name
Ownership Percentage
Leave this field blank if he / she is / was not the owner
Type of Business
Start Date
Role in the business
End Date
City
Number of Employees
7)
Business name
Ownership Percentage
Leave this field blank if he / she is / was not the owner
Type of Business
Start Date
Role in the business
End Date
City
Number of Employees
8)
Business name
Ownership Percentage
Leave this field blank if he / she is / was not the owner
Type of Business
Start Date
Role in the business
End Date
City
Number of Employees
9)
Business name
Ownership Percentage
Leave this field blank if he / she is / was not the owner
Type of Business
Start Date
Role in the business
End Date
City
Number of Employees
10)
Business name
Ownership Percentage
Leave this field blank if he / she is / was not the owner
Type of Business
Start Date
Role in the business
End Date
City
Number of Employees
English Language Proficiency
Has your spouse/common-law partner taken a standardized English Language proficiency test?
Yes
No
If he/she has taken the Duolingo test, just provide the overall score.
Test
Writing
Date
Speaking
Listening
Overall
Reading
Please provide his/her own assessment.
Listening
Reading
Writing
Speaking
French Language Proficiency
Is your spouse/common-law partner able to communicate in French?
Yes
No
Has he/she taken a standardized French Language proficiency test?
Yes
No
Test
Writing
Date
Speaking
Listening
Overall
Reading
Please provide his/her own assessment.
Listening
Reading
Writing
Speaking
Previous Applications
Has your spouse/common-law partner ever submitted any type of application to the government of Canada? (e.g. visitor visa, study permit, etc.)?
Yes
No
How many applications has he/she made?
1
2
3
4
5
1)
Type of Application
Please provide the details of his/her stay in Canada.
What were the reasons cited for the refusal/rejection?
Date
Start Date
Was the application approved?
Yes
No
End Date
2)
Type of Application
Please provide the details of his/her stay in Canada.
What were the reasons cited for the refusal/rejection?
Date
Start Date
Was the application approved?
Yes
No
End Date
3)
Type of Application
Please provide the details of his/her stay in Canada.
What were the reasons cited for the refusal/rejection?
Date
Start Date
Was the application approved?
Yes
No
End Date
4)
Type of Application
Please provide the details of his/her stay in Canada.
What were the reasons cited for the refusal/rejection?
Date
Start Date
Was the application approved?
Yes
No
End Date
5)
Type of Application
Please provide the details of his/her stay in Canada.
What were the reasons cited for the refusal/rejection?
Date
Start Date
Was the application approved?
Yes
No
End Date
This field should be left blank