Express Entry Evaluation Form

Express Entry is a simplified, fast, and efficient immigration selection system offering permanent residence in 6-months to qualified skilled workers

This form includes the Province of Quebec which admits 50,000 immigrants to Canada each year

Complete the following questionnaire and receive in 1-2 days a free assessment of your qualifications for Canadian permanent residence under the Express Entry System, the Quebec Immigration Program and Provincial Nominee Programs.

Please fill all required fields!

Personal Information

Name is required.
Please provide valid email address.
Phone is required
Country of citizenship is required
Country of residence is required
Age is required
Gender is required
Dependant Children
If Married, please provide Spouse's Characteristics in the fields below
(optional, but helpful in determining your immigration options)
Has your spouse completed at least 2 academic years of full-time study (in a program at least 2 years long) at a secondary or post-secondary school in Canada?
Has your Spouse worked outside Canada within the past 10 years?
Has your Spouse worked inside Canada within the past 10 years?
Allowed file formats: PDF, DOC, DOCX, ODT, TXT, RTF, PPT, PPTX, JPG, PNG, GIF
English
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French
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Post-secondary education is known as tertiary education, or the level that follows the successful completion of secondary education, which is also referred to as high school. Post-secondary education includes universities, colleges, as well as trade and vocational schools.
Starting with your highest level of education achieved, please list all your post-secondary studies:
Starting with your current (or most recent) job, please list all the paid work you have done during the last 10 years:
Please list all your and/or your Spouse’s relatives in Canada:
the net worth is considered for some immigration programs
Currency
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Amount
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* In submitting this form, I authorize CCIRC via licensed immigration professionals, to contact me regarding my eligibility to Canada and to discuss my options and their related services. I confirm the information I have provided in this form, is true and accurate to the best of my knowledge.
Allowed file formats: PDF, DOC, DOCX, ODT, TXT, RTF, PPT, PPTX, JPG, PNG, GIF
Please fill all required fields!

The personal information you provide to Canadian Citizenship & Immigration Resource Center (CCIRC) Inc. is secure and only collected for the purposes of assessing your potential for immigration to Canada by a licensed professional authorized by the Government of Canada. You may consult our Privacy Statement for more details.

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