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A Consultation

Client Intake Form

Please fill out the client intake form to book a consultation.

All information contained in the following Immigration Consultation form will be kept CONFIDENTIAL and will not be released without your consent.

Please fill out the information to the best of your ability. Once completed, please submit the form by clicking on the submit button

Client Intake Form

Full Name

Gender

Phone number

Home

Cell

Business

Current address

Street Address City

State/Province

Postal Code

Date and Place of Birth

Date of Birth

Age

Place of Birth (City and Country)

Country of Residence

Country of Citizenship

Current immigration status in Canada

Marital Status

Please specify

How long have you been married or in a common law relationship?

S

Family Information

Spouse

Spouse’s Full Name

Phone number

Home

Cell

Business

Address

Street Address City

State/Province

Postal Code

Date and Place of Birth

Date of Birth

Place of Birth (City and Country)

Country of Residence

Country of Citizenship

Current immigration status in Canada

Children

Do you have any children?

If yes, how many children do you have under the age of 18?

Will your children accompany you to Canada?

Immigration History

Current Immigration Status in Canada:

Date Status Expires:

Date of First Entry into Canada:

Past immigration Application rejections:

Have you ever had any type of visa or immigration application refused to any country such as Canada or the US?

Has your spouse ever had any type of visa or immigration application refused to any country such as Canada or the US?

Have you or your spouse ever been detained by police, arrested, charged or convicted of a crime in any country?

Applicant or Spouse

Employment

Current employer

Current employment/job title

Annual income (in USD OR CAD)

How many years of experience do you have in your position or field?

Please provide details

Have you ever studied or worked in Canada?

From Date

To Date

Have you graduated from a Canadian college or University?

Please indicate what degree or certificate (eg.Bachelor’s or Master’s degree) :

Education

Highest level of education of Applicant

Highest level of education of Spouse (If applicable)

If other, please specify

Language Ability - Applicant:

English Language Ability

French language ability

Have you taken an English or French language test in the past 2 years?

Please indicate what test :

Language Ability (Spouse)

English Language Ability

French language ability

Has your spouse taken an English or French language test in the past 2 years?

Please indicate what test :

Have you already received an ECA Educational Credential Assessment such as IQAS or WES in the past 5 years?

Has your spouse already received an ECA Educational Credential Assessment such as IQAS or WES in the past 5 years?

Do you or your spouse have any family member who is a Canadian Citizen or A permanent resident of Canada?

Please indicate relationship to you or your spouse (spouse, sister, brother, parent etc.)

Do you or any of your family members that you plan to include on this application have any medical conditions or chronic illness?

Please indicate condition(s)

Which type of legal or immigration matter are you interested in?

Please describe your immigration matter

How did you hear about us?

By typing my name, I hereby certify that this document is legally executed by the person named herein as the Applicant, and that I understand and acknowledge all of the above information to be true, correct, and complete.

Name

Today’s Date

Document Upload

Copies of your ID card need to be uploaded and sent to our office in order to book a consultation

Drop files here or

Max. file size: 512 MB, Max. files: 10.

Upload legible color scans of the front and back of two pieces of your government-issued identification (Such as passport or driver’s license), one must clearly show your photo. Drag and Drop files to this area or attach files to upload. You can upload up to 10 files