Questionnaire for estimating the possibilities of obtaining Canadian "green card"

To assess the possibility of getting your "green card" in Canada, please fill out the application form and send it to the email address
ternopil.usu @ gmail.com.
Please provide complete and truthful information. Your data from the questionnaire will be used only to assess your ability to obtain "green card" in Canada, complete confidentiality is guaranteed.

Questionnaire

1. Name, surname and patronymic

2. Date of birth

3. Marital status

4. If you are married, is your spouse going with you in Quebec ?
        a) Yes
        b) No

5. How many dependent children,  are going with you?
12 years old and younger:
a. 0 b. 1 c. 2 d. 3 e. 4 or more

Children aged 12-21 year:
a. 0 b. 1 c. 2 d. 3 e. 4 or more

6. Country of your permanent residence__________________________________

7. In what city do you live currently________________________________

8. How many years did you study at school?

9. Where have you studied after graduation and how many years?

10. What qualification have you received?_____________________________

11. What academic degree have you received? ______________________

12. In which country have you received your diploma?_____________________________________

13. In what year did you receive a diploma? _________________

14. Are you working professionaly? If so, how much time have you occupied  the position?
a. Less than 6 months
b. 6-11 months
c. More than 12 months
d. No, do not work

15. How many months or years of professional experience have you had in the last 5 years, including military service ?____________________________

16. The level of understanding of the French language:

17. The level of communication in French:

18. The level of understanding of English:

19. The level of communication in English:

20. Do you or your spouse have relatives in Canada?

21. Have you or your spouse lived in Canada in the the last 10 years?
 

Information about your spouse

22. Name, surname and patronymic

23. Date of birth

24. Marital status

25. If you are married, is your spouse going with you in Quebec ?
        a) Yes
        b) No

26. How many dependent children,  are going with you?
12 years old and younger:
a. 0 b. 1 c. 2 d. 3 e. 4 or more

Children aged 12-21 year:
a. 0 b. 1 c. 2 d. 3 e. 4 or more

27. Country of your permanent residence__________________________________

28. In what city do you live currently________________________________

29. How many years did you study at school?

30. Where have you studied after graduation and how many years?

31. What qualification have you received?_____________________________

32. What academic degree have you received ?________________________________________

33. In which country have you received a diploma ?_____________________________________

34. In what year did you receive a diploma? _________________

35. Are you working professionaly? If so, how much time have you occupied  the position?
e. Less than 6 months
f. 6-11 months
g. More than 12 months
h. No, do not work

36. How many months or years of professional experience have you had in the last 5 years, including military service ?____________________________

37. The level of understanding of the French language:

38. The level of communication in French:

39. The level of understanding of English:

40. The level of communication in English:

41. Do you or your spouse have relatives in Canada?

42. Have you or your spouse lived in Canada in the the last 10 years?
 

CONTACT INFORMATION
1. Home adress________

2. Telephone ___________________________

3. Mobile Phone  ___________________________

4. Email Address:

5. Date of completing the questionnaire