Pre-assessment form
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How did you hear about us? 
Email *
Phone
Address 
Your First Name *
Your Last Name *
Date of birth
MM
/
DD
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YYYY
Marital status  *
How many children do you have?
List their dates of birth
What would you like to discuss? *
Please describe your situation
Do you have a job offer from a Canadian employer? 
Are you currently in Canada? *
What is your status in Canada now? *
When does your status in Canada expire?
Type "n/a" or provide expiration date 
 *
List all countries of Citizenship *
Have you taken English test? *
Which test did you take?
Clear selection
When did you take the test?
MM
/
DD
/
YYYY
Your score for listening, reading, speaking and writing
Have you taken French proficiency test? If so, when and what was your score?
What is your highest level of education?
Please list all your post-secondary studies/diplomas in Canada and outside of Canada *
Please list all your paid jobs within last 10 years in Canada and outside of Canada starting with the most recent one *
Have you created a profile in Express Entry? *
What is your current Express Entry score?
Do you and/or your family members have any serious medical condition? *
Do you and/or your family members have/had criminal convictions? *
Have you been denied visa to Canada or any other country previously? *
For business immigration. 
What is your net worth (CAD)
Clear selection
For business immigration. Tell us about your business
Acknowledgement: I confirm that all information provided by me to Maria Makarova Immigration Consulting Services Inc. is solely for the purposes of initial assessment regarding obtaining a legal status in Canada (“initial assessment”). I understand that providing inaccurate/incomplete/false information may affect the accuracy of the initial assessment. By typing my full name and submitting this completed form to Maria Makarova Immigration Services Ltd., I hereby confirm that the information provided is true and accurate. If you agree, please type your Full Name below. *
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