New Vision Canada
Basic Info
Detailed Assessment form
New Vision Canada
Free Assessment Form
Personal Details
Please provide us with your name and address information. * Assessment For :
* Salutation :
* First Name :
Middle Name :
* Last Name :
Gender :
* Date of Birth :
* Marital Status :
* Country of Citizenship :
Correspondence Details
 
* Mailing Address :
* City :
* State/Province :
* Country :
Postal Code :
* Home Phone :
Other Phone :
Fax Phone :
Leave blank if same as mailing address
Residential Address :
City :
State/Province :
Postal Code :
* Legal Status :
Cell Phone :
* Email :
( Please ensure this email is active and valid as your assessment result will be sent on this address. )
Other Immigration Specific Information
Your assessment is based on your education and work details as well.
* Years of Formal Education :   ( From Primary Education )
* Highest Level of Completed Education :
: Master´s or Ph.D. : 2 or more Bachelor´s degrees
: Bachelor's - 4 Years : Bachelor's - 3 Years
: Bachelor's - 2 Years : Bachelor's - 1 Years
: Diploma/Trade Cert./Apprenticeship - 3 Yr
: Diploma/Trade Cert./Apprenticeship - 2 Yr
: Diploma/Trade Cert./Apprenticeship - 1 Yr
: Completed secondary school (high school)
: Did not complete secondary school (high school)
* When was the highest education completed :
* Stream (Arts, Commerce, Medical, Non-Medical etc.) :
* Proficiency in English :
  None Basic Moderate High
Read
Write
Speak
Listen
Proficiency in French :
  None Basic Moderate High
Read
Write
Speak
Listen
Are you willing to undergo language training/testing in English or French ? :
Yes No
Do you have an HRDC confirmed job offer from a Canadian employer ? :
Have you worked in Canada for at least 1 year on a work permit ? :
Did you attend post secondary studies in Canada for more than 2 years ? :
Do you have a blood relative in Canada ? :
Employment HistoryPlease provide your employment details for last 4 years starting with the latest
# From To Job Title & Description
Month Year Month Year
1.
2.
3.
4.
Spouse/Common-law-partner's Details (If Applicable)
In some cases it may be possible that you may not qualify whereas your spouse/common-law-partner will. So provide us with your spouse/common-law-partner's information as well. If this is not applicable to you simply click Next to skip the information.
* Salutation :
* First Name :
Middle Name :
* Last Name :
Gender :
* Date of Birth :
* Years of Formal Education :
* Stream (Arts, Commerce, etc.) :
* Years of Full Time Work Exp :
* Current Occupation :
Highest Level of Completed Education :
: Master´s or Ph.D.
: 2 or more Bachelor's degrees
: Bachelor's - 4 Years
: Bachelor's - 3 Years
: Bachelor's - 2 Years
: Bachelor's - 1 Year
: Diploma/Trade Cert./Apprenticeship - 3 Yr
: Diploma/Trade Cert./Apprenticeship - 2 Yr
: Diploma/Trade Cert./Apprenticeship - 1 Yr
: Completed secondary school (high school)
: Did not complete secondary school (high school)
  For a more accurate assessment please provide your employment details for last 4 years starting with the latest
* Proficiency in English :
  None Basic Moderate High
Read
Write
Speak
Listen
Proficiency in French :
  None Basic Moderate High
Read
Write
Speak
Listen
Do you have an HRDC confirmed job offer from a Canadian employer ? :
Have you worked in Canada for at least 1 year on a work permit ? :
Did you attend post secondary studies in Canada for more than 2 years ? :
Do you have a blood relative in Canada ? :
Financial Information (in Canadian Dollars)
* Total Monthly Income of you and your spouse (if applicable) :
* Your Total Net Worth (This must be your own and not jointly owned by spouse) :
* Total Savings (in Banks and Other Investments) :
Brief description of financial resources to cover immigration costs :
Business Experience (Past 5 years)
Most recent/current business details:
* Name of business :
* Your Profile :
* Details of Business including nature of business, type of business i.e., proprietorship, partnership or corporation, annual sales, income and assets in Canadian dollars :
* Total Years in this business and/or management position :
Previous business details:  
Provide details of your previous businesses including your profile, nature of business, type of business i.e., proprietorship, partnership or corporation, annual sales, income and assets in Canadian dollars, total years in business and/or management position :
Total Years in previous businesses and/or management position :
Final Information
* How did you come to know about us? :
Paste your text resume here :
* Total Savings (in Banks and Other Investments) :
  I hereby declare that the information given in this assessment form is true to the best of my knowledge and belief. I understand that Green and Spiegel can use this information to contact me via all modes of communication and send information as required.
  * Verification Code verification image, type it in the box