Assessment Form

Free Assessment Form

Complete the following assessment form and we will reach out to you within 1-2 business days regarding your submission.

Name *

First

Last

Phone number *

Email *

Profile

Nationality *

Country of current residence *

Preferred destination in Canada *

Date of birth *

Marital status *

Do you have children? *

Education

What is your highest level of education *

Do you have a WES report attesting those certificates? *

Work Experience

Job title and number of years of work experience in that position *

Language skills

Have you complete IELTS? *

Canadian connection

Do you have any blood relatives in Canada who are Citizen or Permanent Resident

Have you been employed in Canada as a temporary foreign worker? *

Job offer in Canada: Do you have a official written offer of employment from a Canadian employer? *

Have you visited Canada? *

Personal net worth

What is your net worth?

Do you have experience handling a business? *

Have you owned and operated a business? *

Security and medical conditions

Have you ever committed a criminal offence and convicted for it? *

Do you or any of your family member have medical conditions? *

Additional notes

Preferred contact method *

Phone
Email

By submitting this form you agree to be contacted by a representative of Galleon Immigration & Refugee Services.

Comment

The personal information you provide to Galleon Immigration & Refugee Services is secure and is collected for the purpose of assessing your potential for immigration to Canada. You may consult our Privacy Policy for more details.

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Free Assessment Form

Assessment Form

Profile

Education

Work Experience

Language skills

Canadian connection

Personal net worth

Security and medical conditions

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