■ If you are a family: your spouse must complete her own process. ■ All documents should be written in English or French. ■ We will need notarized copies of original documents. (No originals). ■ You are responsible for all honest and valid documents and information.

Family Name

First Name

Your email address:

Sex :

Male

Female

Civil status:

Phone number:

(###)

###

####

Cellular number:

Country of actual residence:

Country of birth:

Are you 18 years of age or older?

Birth date:

YYYY

How old are you?

Country of citizenship:

Number of children under 18

Do you prefer our communications in English or French?

Do you have a valid passport?

Is your passport valid for next 3 years ?

Write all your A cademic achievement?

What is your highest level of education?

Have you earned a Canadian degree or diploma?

What is your English language ability?

Speaking

Listening

Reading

Writing

What is your French language ability?

Speaking

Listening

Reading

Writing

Please write all addresses you lived in last 10 years:

What is your actual job?

Are you married or in common - law partnership?

Married

Common-law partnership

Do you or your spouse or common - law partner have a relative (brother or sister or parent or grandparent or child or grandchild or aunt or uncle or niece or nephew) who is Canadian citizen or permanent resident and who is currently living in Canada?

If yes: where do they live?

Do you have friends in Canada ?

Yes

Have you read our website: ( https://immigration - visas - canada.com/ )

Yes

Jobs contemplated in Canada:

Have you been offered a job in Canada ?

Yes

Have you applied for a job in Canada ?

Yes

If yes, write description:

If yes, write name and address of employer:

Interest in setting up a business in Canada ?

Yes

If yes: in which field?

Where would you like to settle in Canada?

How many years of full-time work experience have you obtained OUTSIDE of Canada within the last 9 years ?

In the last 9 years, how many years of skilled work experience do you have in Canada?

Do you want to migrate to Canada “ Permanently” ?

Yes

Do you want to work in Canada?

Yes

Do you want to invest in Canada?

Yes

Do you want to start a business in Canada?

Yes

Do you want to study in Canada?

Yes

Write additional information:

What are your reasons for moving to Canada?

Later in the process, we will ask you to provide following documents:

■ Medical records for the last 6 months ■ Dental records for the last 6 months. ■ Fingerprints ■ Photo ■ Police records. ■ Marriage certificate ■ If you are divorced: Divorce certificate ■ Driver’s license ■ Baptistry ■ Baptistry for each child. ■ If necessary: Adoption records for children under 22 ■ Letters of reference from past employers ■ Copy of bank statement for the last 12 months ■ Learning English or French is one of the most important strategies for your success ■ If you want to increase your chances of becoming a Canadian, it might be good advice to choose to live in smaller Canadian cities INADMISSIBLE If you or a member of your family has a criminal record, you may not be eligible for either a temporary visa or permanent residence or you may have to apply for Criminal Rehabilitation. SEVERAL MONTHS The Canadian Government and the Canadian Provincial Governments are overwhelmed, so it will take several months to get the final decision. You must be very patient. FEES. Please read our Fees.

Are you aware of our Fees ?

Yes

The Canadian immigration process is complex and requires time to successfully resolve. Thanks for your collaboration.

Jean Louis Racine, Canadian Attorney. Racine Legal Inc . | jeanlouis@racine-legal.com

Acceptation

By signing below,I

your name

hereby certify all informations are true and valid and correct.

Dated:

YYYY

Signature

Merci
Me Jean Louis Racine,

Avocat Canadien en Immigration

Complète ton questionnaire pour plus tard

Pour discuter de votre Rêve d’immigrer au Canada et des programmes d’immigration qui vous assureront un succès, choisissez de tenir un meeting ZOOM avec moi