If you want to immigrate Canada and America, just ask the CAN-AMERICA for help

Preliminary Assessment Form

Personal Information

Last (Family) Name
First(Given) Name

Sex

MaleFemale
Date of birth(DD/MM/YY)
Place of birth(City & Country)
Country of citizenship
Marrital status
Number of children
Spouse's name
Address(in English)
Address(in your language)
Telephone(Home)
Telephone(Business)
Fax number
E-mail
Record of TOEFL(If no,leave blank)
Relationship of closest relative living in Canada
English abilites Speak Read 
Write
French abilites Speak Read 
Write
Have a three of four year Bachelor Degree Yes    No

Educcation Details(Details of post secondary education)

From - To(mm/yy)-(mm/yy)

 Name & location of Institute/University Major Type & Date of Certificate/Diploma

Work history of past 10 years

From - To(mm/yy)-(mm/yy) Name of employer City & Country Occupation Position

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Note:

1. If you are married and your spouse has a job, your spouse should also complete this Online Assessment Form.
2. Please fill in the form completely in order to obtain an accurate assessment result.
3. If you think that this form cannot manifest your abilities completely, please E-mail or fax or send your detailed resume to us.

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CAN-AMERICA CONSULTANTS INC.
Suite 2000,1066 W. Hastings St., Vancouver, BC, V6E 3X2 Canada
Tel: 1-604-601-8248    Fax: 1-604-683-8468 
Homepage:http://www.cacimmigration.com
E-mail: info@cacimmigration.com
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