Contact
Info
Email Address:
Note:
If this field is left blank or is incorrect, we will be unable to
return your assessment result to you.
Telephone:
In the
event that a representative of this firm needs to contact you, please
provide a telephone number. If you prefer not to be
contacted, leave this field blank.
Personal Info
Family Name:
First Names:
Date of Birth:
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-
January
February
March
April
May
June
July
August
September
October
November
December
day
month year
Sex:
Male
Female
Marital Status:
Never Married
Married
Separated
Divorced
Widowed
Spouse's Name:
(if applicable)
Spouse's Education:
Please Select
Diploma - 1 Year
Diploma - 2 Years
Diploma - 3 Years
Bachelors - 2 Years
Bachelors - 3 Years
Bachelors - 4 Years
Masters
Doctorate or Ph. D.
Other
Not Completed
If you have a spouse who
is employed, he/she should also complete and submit an Assessment
Form.
Relative
Residing Within Canada
Do you (or
your accompanying spouse) have a relative residing in Canada, who is a
citizen or holds permanent resident status in Canada? If so,
please provide us with the relationship of the closest relative and
the Province or Territory in which your relative resides.
Relationship:
No Relative in Canada
Mother or Father
Grandmother or Grandfather
Brother or Sister
Aunt or Uncle (Brother/Sister of Parent)
Niece or Nephew (19 years or older)
Spouse or Fiancé(e)
Daughter or Son
Location:
No Relative in Canada
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Nova Scotia
Ontario
Prince Edward Island
Quebec
Sasketchwan
Northwest Territories
Nanavut
Yukon
Language
Abilities
Please
indicate your abilities in both the English and French languages, as
follows:
Fluent: Very good command of the language in a range of
social and work situations, and no difficulty communicating in a
professional capacity.
Well: Can communicate reasonably well about personal and
familiar things.
With Difficulty: Command of just a few basic words.
Speak
Read
Write
English:
Fluently
Well
With Difficulty
Not at All
Fluently
Well
With Difficulty
Not at All
Fluently
Well
With Difficulty
Not at All
French:
Fluently
Well
With Difficulty
Not at All
Fluently
Well
With Difficulty
Not at All
Fluently
Well
With Difficulty
Not at All
Employment
& Education Information
We
require detailed information about your post-secondary education and
recent employment history to complete the assessment. The information
must contain start and end dates, name and place of
studies/employment, specialized field of study in the case of
education, and detailed description of duties in the case of
employment.
If you have a curriculum vitae which
contains all of the above information, you may "cut and
paste" it in the CV
Paste Area instead of filling out the following two sections.
Post-Secondary
Education
Total years of education:
Please provide us with
complete details of your most recent Post-Secondary Education. If you have a
detailed Curriculum Vitae, you may "cut and paste" it
instead of filling out the following section. Please click here
to skip to the CV paste
area .
Educational
Degree/Diploma No. 1
Started In:
-
January
February
March
April
May
June
July
August
September
October
November
December
Ended In:
-
January
February
March
April
May
June
July
August
September
October
November
December
month year
Institution:
City, Country:
Field of Study:
Certificate:
Please Select
Diploma - 1 Year
Diploma - 2 Years
Diploma - 3 Years
Bachelors - 2 Years
Bachelors - 3 Years
Bachelors - 4 Years
Masters or Post-Graduate Diploma
Doctorate or Ph. D.
Other
Not Completed
Educational
Degree/Diploma No. 2 (if applicable)
Started In:
-
January
February
March
April
May
June
July
August
September
October
November
December
Ended In:
-
January
February
March
April
May
June
July
August
September
October
November
December
month year
Institution:
City, Country:
Field of Study:
Certificate:
Please Select
Diploma - 1 Year
Diploma - 2 Years
Diploma - 3 Years
Bachelors - 2 Years
Bachelors - 3 Years
Bachelors - 4 Years
Masters or Post-Graduate Diploma
Doctorate or Ph. D.
Other
Not Completed
Educational
Degree/Diploma No. 3 (if applicable)
Started In:
-
January
February
March
April
May
June
July
August
September
October
November
December
Ended In:
-
January
February
March
April
May
June
July
August
September
October
November
December
month year
Institution:
City, Country:
Field of Study:
Certificate:
Please select
Diploma - 1 Year
Diploma - 2 Years
Diploma - 3 Years
Bachelors - 2 Years
Bachelors - 3 Years
Bachelors - 4 Years
Masters or Post-Graduate Diploma
Doctorate or Ph. D.
Other
Not Completed
Remarks:
Describe any additional diplomas,
certificates or training that you have received here.
Employment
History
Please provide us with
complete details of your most recent Employment History. If you have a
detailed Curriculum Vitae, you may "cut and paste" it
instead of filling out the following section. Please click here
to skip to the CV paste
area .
Present Employment
Joined In:
-
January
February
March
April
May
June
July
August
September
October
November
December
month year
Employer:
City, Country:
Title:
Duties:
IMPORTANT: Please provide a detailed description of your duties.
Previous Employment
No. 1 (if applicable)
Joined In:
-
January
February
March
April
May
June
July
August
September
October
November
December
Left In:
-
January
February
March
April
May
June
July
August
September
October
November
December
month year
Employer:
City, Country:
Title:
Duties:
IMPORTANT: Please provide a detailed description of your duties.
Previous Employment
No. 2 (if applicable)
Joined In:
-
January
February
March
April
May
June
July
August
September
October
November
December
Left In:
-
January
February
March
April
May
June
July
August
September
October
November
December
month year
Employer:
City, Country:
Title:
Duties:
IMPORTANT: Please provide a detailed description of your duties.
Remarks:
Describe any additional work or employment experience here.
Curriculum
Vitae & Comments
CV Paste Area:
You may "cut and paste" a detailed curriculum vitae in this
area.
Remarks:
Please mention
any prior applications for permanent residence, any known medical issues,
criminality issues, etc.
Optional:
How
did you hear about bridge2canada.com?
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From a Friend
Other Site or Search Engine (specify below)
Submit
Form
Your
assessment result will be sent to you by email.
An automated response acknowledging receipt of your form will be
emailed to you immediately.
If you do not receive the acknowledgement, then the email address
provided by you is invalid and we will be unable to respond to your
assessment request.