Assessment Form for Self-Employed Canada (Quebec) Contact Information : Gender * MrMs First Name * Last Name * Email * Phone * Personal Information : Date of birth Country of residency Marital status SingleMarriedDivorcedWidowed How many children do you have? 012345678910 or more Do you already have family members in Canada? YesNo If you answered yes, how are you exactly related (parents, sibling, uncle,...)? Do you have a criminal record? YesNo Do you understand English or French? No.Yes. English.Yes. French.Yes. English and French. Do you speak English or French? No.Yes. English.Yes. French.Yes. English and French. Have you ever taken the IELTS Test? YesNo If you answered yes, what was your score? Education : How many years of education do you have? 01 year2 years3 years4 years5 years6 years7 years8 years9 years10 years11 years12 years13 years14 years15 years16 years17 years18 years19 years20 years21 years22 years23 years24 years25 years26 years27 years28 years29 years30 years or more What is the title of the latest diploma obtained? Professional Experience : Please briefly describe your last 5 years of professional experience. *> You may join your resume
