Important Notice!

This assessment form is designed for Canadian Citizens or Permanent residents to assess if they are eligible to sponsor their family members to become Canadian Permanent residents.

If you are not a Canadian citizen or permanent residents, nor are you a person who has a Canadian sponsor ( spouse, parents, Children), please do not fill in this form.

If you want to immigrate to Canada with your family members as a skilled worker, please use the skilled worker assessment form.

If you want to immigrate to Canada with your family member as a business person, please use the Business Class Assessment form.

If you are a Canadian citizen or permanent resident who wants to sponsor your family members or you are the person who will be sponsored by a Canadian citizen or permanent resident, you can start to fill in the assessment form now!

Your Personal Information (Canadian sponsor)
Title:	Please select Mr. Ms. Mrs. Dr.
Last Name:
First Names:
Country of Citizenship:
Country of permanent residency:
Current Country of Residence:
Email Address:
Phone Number (Work):
	Phone Number (Home):
Fax Number:
Address:
Date of Birth:	Month January February March April May June July August September October November December Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Gender:	Please select Male Female
Marital Status :	Please select Never Married Married Common-Law Separated Divorced Widowed
Your spouse's information
Spouse's Date of Birth:	month January February March April May June July August September October November December day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Spouse's Nationality:
Spouse's Current Country of Residence:
Sponsor's Financial Ability and admissibility
Have you been employed for the last 12 months?	please select YES NO
What was your income for the last 12 months?	CAD
Has your spouse been employed for the last 12 months?	please select YES NO
What was your spouse's income for the last 12 months?	CAD
Have you sponsored anyone before?	Please select Yes No
If the above answer is yes, please provide more details including when you sponsored  and who you sponsored( relationship)?
Are you married to someone else other than your current spouse/common-law partner?	Not Applicable Yes No
Are you or your spouse on social assistance?	please select YES NO
If YES, please provide details:
Have you or your spouse ever been convicted of a criminal offence?	please select YES NO
If YES, please provide details:

INFORMATION ABOUT INDIVIDUAL YOU WISH TO SPONSOR (the applicant)
	Relationship to you:		please select Spouse Child Mother Father
Applicant's Date of Birth:	month January February March April May June July August September October November December Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
	Has the applicant ever:
	Been denied entry into Canada for any reason?		please select YES NO
	Ever had a serious disease?		please select YES NO
Ever been convicted for an offence or commission of a criminal act?	please select YES NO
If you answered YES to any of the above questions, please provide more information below: