Assessment Personal Information Your Full Name: Gender: MaleFemale Marital Status: ---Never MarriedMarriedWidowedSingle/Separated Date Of Birth: Full Mailing Address: Correct Email Address: (assessment result will be sent to this email address) Phone Number: Cell Phone: Country Of Residence: Visa Status/Type : Since when? Have relative in Canada? YesNo Educational Background Degree / Certificate / Diploma Date Graduated NOTE: Besides other information it is important that Candream receives good information about your education as it plays important role in the immigration to Canada process. Please fill out this education section as accurate as possible. This will help us evaluate your status better and faster. This can help your immigration process faster as well. Enter Your Total Years of Education: Language Abilities Speaking Writing Reading Listening English Language: Not at allDifficultyWellFluently Not at allDifficultyWellFluently Not at allDifficultyWellFluently Not at allDifficultyWellFluently French Language: Not at allDifficultyWellFluently Not at allDifficultyWellFluently Not at allDifficultyWellFluently Not at allDifficultyWellFluently Work Experience Begin Date End Date Employer Name & Country Job Title / Occupation Total Years of Experience Spouse Details Spouse's Full Name: Date of Birth (dd/mm/yyyy): Highest Level of Education: Field of Study (Industry): Number of years of work: Relative in Canada: YesNo If Yes, then Relationship: List dependent children & age: For example: Tina (2), Samuel (5), Sunny (7) Speaking Writing Reading Listening Spouse English Ability: Not at allDifficultyWellFluently Not at allDifficultyWellFluently Not at allDifficultyWellFluently Not at allDifficultyWellFluently Spouse French Ability: Not at allDifficultyWellFluently Not at allDifficultyWellFluently Not at allDifficultyWellFluently Not at allDifficultyWellFluently Other Details Remarks (if any): File# if already assigned: Attach Your Resume: Where did you come to know about us? Search Engine (Google)Search Engine (Yahoo)Search Engine (MSN/Bing)Search Engine (Other)Internet AdvertisementNewspaperReferred by ClientRadio AdvertisementTV AdvertisementOther Enter Verification (Enter the verification code from the left into the box)