NIMARIA Immigration | Preliminary Assessment Form

Preliminary Assessment Form

For a free assessment of your qualifications to obtain a Canadian Permanent Resident visa, please complete this form with as much detail as possible. If we require further information to complete your assessment, we will ask you accordingly.

Due to the great number of submissions, NIMARIA will only contact those who are qualified and have filled this form with as much detail as possible.

Fields marked with an asterisk (*) are mandatory.

Personal Information

First Name*		Last Name*
Age*		Sex*	Male Female

Country of Birth*		Citizenship*

Marital Status*

Spouse's Name		Number of Dependants

Knowledge of English*		Knowledge of French

Education*

	Masters Degree or Ph.D. & At least 17 Years of Full Time or Full Time Equivalent Study
	Two or more Univesity Degrees at the Bachelor's Level & At least 15 Years of Full Time or Full Time Equivalent Study
	Three-Year Diploma, Trade Certificate, or Apprenticeship & At Least 15 Years of Full Time or Full Time Equivalent Stud
	Two-Year University Degree at the Bachelor's Level & At Least 14 Years of Full Time or Full Time Equivalent
	Two-Year Diploma, Trade Certificate, or Apprenticeship & At Least 14 Years of Full Time or Full Time Equivalent Study
	One-Year University Degree at the Bachelor's Level & At Lease 13 Years of Full Time or Full Time Equivalent Study
	One-Year Diploma, Trade Certificate, or Apprenticeship & At Least 13 Years of Full Time or Full Time Equivalent Study
	One-Year Diploma, Trade Certificate, or Apprenticeship & At Least 12-Years of Full Time or Full Time Equivalent Study
	Completed High School

Work Experience & Arranged Employment

Have you ever operated a business?*	Yes No
If yes, please provide details:
Do you have a Human Resource Development Canada (HRDC), confirmed offer of permanent employment?	Yes No
Do you have a Temporary Work Permit that is HRDC confirmed including sectoral confirmations?	Yes No
Do you have a Temporary Work Permit that is HRDC confirmation exempt under NAFTA, GATS, CCFTA, or Significant Economic Benefit?	Yes No

Financial Information

Spouse's Education

	Masters Degree or Ph.D. & At least 17 Years of Full Time or Full Time Equivalent Study
	Two or more Univesity Degrees at the Bachelor's Level & At least 15 Years of Full Time or Full Time Equivalent Study
	Three-Year Diploma, Trade Certificate, or Apprenticeship & At Least 15 Years of Full Time or Full Time Equivalent Stud
	Two-Year University Degree at the Bachelor's Level & At Least 14 Years of Full Time or Full Time Equivalent
	Two-Year Diploma, Trade Certificate, or Apprenticeship & At Least 14 Years of Full Time or Full Time Equivalent Study
	One-Year University Degree at the Bachelor's Level & At Lease 13 Years of Full Time or Full Time Equivalent Study
	One-Year Diploma, Trade Certificate, or Apprenticeship & At Least 13 Years of Full Time or Full Time Equivalent Study
	One-Year Diploma, Trade Certificate, or Apprenticeship & At Least 12-Years of Full Time or Full Time Equivalent Study
	Completed High School

Adaptability

Do you or your Spouse or common-law partner, have a minimum of one year full time authorized work in Canada?	Yes No
Do you or your Spouse or common-law partner, have a minimum of two years full time authorized post-secondary study in Canada?	Yes No
Do you or your Spouse or common-law partner, have any relatives in Canada?* (If Yes, Explain your relation)	Yes No

Additional Questions

Do you or an immediate family member has criminal record or outstanding criminal charges?*	Yes No
Have you or your family ever had any medical problems?	Yes No
Have you or your family ever had any serious diseases or physical or mental disorder?	Yes No
Have you or any member of your family ever been refused a visa for Canada?*	Yes No
Have you or any member of your family ever visited Canada?	Yes No
If the answers to the 5 above questions is yes, provide details here:

Where do you want to settle in Canada?
What is your intended work in Canada?

If you need to add more information, please use the space below to tell us about other things we need to know about you.

NIMARIA and their local offices will retain all information as private and confidential and use it solely to assess your suitability as a prospective client. Acceptance as a client will be based on the information furnished by you on this form, which will form part of any eventual formal contract for services and will affect the refund clauses of any such contract. It is therefore necessary for all information to be complete, correct and truthful. A decision by NIMARIA is based on the prevailing law at the time of the decision. NIMARIA will not be held responsible for any changes in law or regulations after the date of decision.