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ACADIA IMMIGRATION QUESTIONNAIRE -

PLEASE NOTE: it is essential that you answer all questions to enable us to evaluate your eligibility for immigration
Personal Information
Name:
Email Address:
In order to receive a reply, kindly ensure that you have sufficient space in your e-mail account. In addition, for Hotmail and Yahoo users our reply may be filtered as "Junk Mail".
Nationality:
Current Place of Residence: (City,Country)
Daytime Telephone number preceded by the area code: (areacode , phone number)
Home, Office, or Mobile
Date of Birth:  
 Day        Month             Year
Sex:
Marital Status :
If Married, please provide Spouse's Characteristics in the fields below
Spouse's Date of Birth:  
 Day        Month             Year
Spouse's Level of Education and duration:                                       (If other please specify)
Spouse's total years of education:
(Starting from primary school)

Spouse's field of study:


Spouse's Number of Years and Months of Working Experience:

Spouse's Language Ability in French:
Number of Dependant Children:

Educational Profile
Total Years of education:
(Including Primary, Secondary, and Post Secondary)
Certification*

(If other please specify)

Ability in English and French
English
Read
Write
Speak
Listen

French
Read
Write
Speak
Listen

Work Experience
Total Years of experience:
trade/profession of experience:

Relatives in Canada
¥ Relationship to Closest Blood Relative in Canada (Canadian Citizen or Landed Immigrant):
Relative Province of Residence :

Finances
¥ Please indicate the amount of funds you intend to bring to Canada once all assets are liquidated

Arranged Employment
¥ Do you currently have an offer of employment from a Canadian employer? Yes No
If your answer to the above question is "Yes" provide details here:

Alternate Visa
¥ It may be that it is more advantageous for you to apply for one of the less common visas, do you have any experience of the folowing
please give us a brief outline of details

Country of Interest
¥ Here at Acadia we can offer immigration services to many varied countries, please state your country of preferred interest

¥ PLEASE INFORM US HOW YOU WERE INTRODUCED TO THIS SITE:
specify details

Additional Comments
¥ Additional Comments if Any, relating to any part of the questionnaire above:

To help prevent misuse use of this form (spam), please enter the number between 1 and 3 here:
this questionnaire is a brief summary to allow our agent to contact you when he may require further details to fully clarify your eligibility for immigration.

CSIC Full Member #M042 360:Sean Shannon, Licensed Practitioner/Second Vice President - The International Association of Immigration Practitioners, Chartered
THE CANADIAN SOCIETY OF IMMIGRATION CONSULTANTS,
390 Bay Street, Suite 1600, Munich Re Centre, Toronto, ON M5H 2Y2, CANADA Tel: 416-572-4114