{"id":489,"date":"2026-07-11T20:42:41","date_gmt":"2026-07-12T00:42:41","guid":{"rendered":"http:\/\/s1103293601.online-home.ca\/?page_id=489"},"modified":"2026-07-11T20:54:30","modified_gmt":"2026-07-12T00:54:30","slug":"form-for-self-employed","status":"publish","type":"page","link":"https:\/\/antippa-international.com\/index.php\/contact-us\/form-for-self-employed\/","title":{"rendered":"Assessment Form for Self-Employed Canada (Quebec)"},"content":{"rendered":"\n<div class=\"wp-block-contact-form-7-contact-form-selector\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f491-o1\" lang=\"en-CA\" dir=\"ltr\" data-wpcf7-id=\"491\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php\/wp-json\/wp\/v2\/pages\/489#wpcf7-f491-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"491\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_CA\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f491-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<p><label>Contact Information : <\/label>\n<\/p>\n<li>\n\t<p><Label>Gender *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"gender\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"gender\" value=\"Mr\" \/><span class=\"wpcf7-list-item-label\">Mr<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"gender\" value=\"Ms\" \/><span class=\"wpcf7-list-item-label\">Ms<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<\/li>\n<li>\n\t<p><label> First Name *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name\" \/><\/span> <\/label>\n\t<\/p>\n<\/li>\n<li>\n\t<p><label> Last Name *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"last-name\" \/><\/span> <\/label>\n\t<\/p>\n<\/li>\n<li>\n\t<p><label> Email *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span> <\/label>\n\t<\/p>\n<\/li>\n<li>\n\t<p><label> Phone *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"1+ 123-456-7890\" value=\"\" type=\"tel\" name=\"phone\" \/><\/span><\/label>\n\t<\/p>\n<\/li>\n<p><label>Personal Information :<\/label>\n<\/p>\n<li>\n\t<p><label>Date of birth<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-of-birth\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"date-of-birth\" \/><\/span><\/label>\n\t<\/p>\n<\/li>\n<li>\n\t<p><label>Country of residency<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"country-of-residency\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"country-of-residency\" \/><\/span><\/label>\n\t<\/p>\n<\/li>\n<li>\n\t<p><label>Marital status<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"marital-status\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"marital-status\"><option value=\"Single\">Single<\/option><option value=\"Married\">Married<\/option><option value=\"Divorced\">Divorced<\/option><option value=\"Widowed\">Widowed<\/option><\/select><\/span>\n\t<\/p>\n<\/li>\n<li>\n\t<p><label>How many children do you have?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"how-many-children\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"how-many-children\"><option value=\"0\">0<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><option value=\"6\">6<\/option><option value=\"7\">7<\/option><option value=\"8\">8<\/option><option value=\"9\">9<\/option><option value=\"10 or more\">10 or more<\/option><\/select><\/span>\n\t<\/p>\n<\/li>\n<li>\n\t<p><label>Do you already have family members in Canada?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"family-member\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"family-member\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"family-member\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<\/li>\n<li>\n\t<p><label>If you answered yes, how are you exactly related (parents, sibling, uncle,...)?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"related\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"related\" \/><\/span><\/label>\n\t<\/p>\n<\/li>\n<li>\n\t<p><label>Do you have a criminal record?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"criminal-record\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"criminal-record\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"criminal-record\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<\/li>\n<li>\n\t<p><label>Do you understand English or French?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"understand-language\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"understand-language\"><option value=\"No.\">No.<\/option><option value=\"Yes. English.\">Yes. English.<\/option><option value=\"Yes. French.\">Yes. French.<\/option><option value=\"Yes. English and French.\">Yes. English and French.<\/option><\/select><\/span>\n\t<\/p>\n<\/li>\n<li>\n\t<p><label>Do you speak English or French?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"speak-language\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"speak-language\"><option value=\"No.\">No.<\/option><option value=\"Yes. English.\">Yes. English.<\/option><option value=\"Yes. French.\">Yes. French.<\/option><option value=\"Yes. English and French.\">Yes. English and French.<\/option><\/select><\/span>\n\t<\/p>\n<\/li>\n<li>\n\t<p><label>Have you ever taken the IELTS Test?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"elts-question\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"elts-question\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"elts-question\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<\/li>\n<li>\n\t<p><label>If you answered yes, what was your score?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"elts-result\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"elts-result\" \/><\/span><\/label><br \/>\n<label>Education : <\/label>\n\t<\/p>\n<\/li>\n<li>\n\t<p><label>How many years of education do you have?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"years-education\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"years-education\"><option value=\"0\">0<\/option><option value=\"1 year\">1 year<\/option><option value=\"2 years\">2 years<\/option><option value=\"3 years\">3 years<\/option><option value=\"4 years\">4 years<\/option><option value=\"5 years\">5 years<\/option><option value=\"6 years\">6 years<\/option><option value=\"7 years\">7 years<\/option><option value=\"8 years\">8 years<\/option><option value=\"9 years\">9 years<\/option><option value=\"10 years\">10 years<\/option><option value=\"11 years\">11 years<\/option><option value=\"12 years\">12 years<\/option><option value=\"13 years\">13 years<\/option><option value=\"14 years\">14 years<\/option><option value=\"15 years\">15 years<\/option><option value=\"16 years\">16 years<\/option><option value=\"17 years\">17 years<\/option><option value=\"18 years\">18 years<\/option><option value=\"19 years\">19 years<\/option><option value=\"20 years\">20 years<\/option><option value=\"21 years\">21 years<\/option><option value=\"22 years\">22 years<\/option><option value=\"23 years\">23 years<\/option><option value=\"24 years\">24 years<\/option><option value=\"25 years\">25 years<\/option><option value=\"26 years\">26 years<\/option><option value=\"27 years\">27 years<\/option><option value=\"28 years\">28 years<\/option><option value=\"29 years\">29 years<\/option><option value=\"30 years or more\">30 years or more<\/option><\/select><\/span>\n\t<\/p>\n<\/li>\n<li>\n\t<p><label>What is the title of the latest diploma obtained?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"last-diploma-obtained\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"last-diploma-obtained\" \/><\/span><\/label><br \/>\n<label>Professional Experience :<\/label>\n\t<\/p>\n<\/li>\n<li>\n\t<p><label>Please briefly describe your last 5 years of professional experience. *><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"experience\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"experience\"><\/textarea><\/span><br \/>\n<\/label>\n\t<\/p>\n<\/li>\n<li>\n\t<p><label>You may join your resume<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"resume\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"\" aria-invalid=\"false\" type=\"file\" name=\"resume\" \/><\/span>\n\t<\/p>\n\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n\t<\/p>\n<\/li><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":89,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-489","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/antippa-international.com\/index.php\/wp-json\/wp\/v2\/pages\/489","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/antippa-international.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/antippa-international.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/antippa-international.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/antippa-international.com\/index.php\/wp-json\/wp\/v2\/comments?post=489"}],"version-history":[{"count":2,"href":"https:\/\/antippa-international.com\/index.php\/wp-json\/wp\/v2\/pages\/489\/revisions"}],"predecessor-version":[{"id":492,"href":"https:\/\/antippa-international.com\/index.php\/wp-json\/wp\/v2\/pages\/489\/revisions\/492"}],"up":[{"embeddable":true,"href":"https:\/\/antippa-international.com\/index.php\/wp-json\/wp\/v2\/pages\/89"}],"wp:attachment":[{"href":"https:\/\/antippa-international.com\/index.php\/wp-json\/wp\/v2\/media?parent=489"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}