This Questionnaire consists of 12 Steps. At any Step, feel free to click on the button for helpful hints and tips regarding completion of that section of the Questionnaire. Individuals with no work experience of any kind need NOT complete the Independent/Skilled Worker Class Online Assessment Questionnaire as their qualifications will be negatively assessed by Abrams & Krochak. A minimum of one (1) year of full-time paid skilled work experience (or the equivalent thereof) within the past ten (10) years is a minimum pre-requisite for eligibility to apply in this category. Please Note:Once you submit your completed Online Assessment Questionnaire, you should immediately receive an e-mail, confirming the personal data you supplied. If you do not receive such an e-mail, you likely provided an invalid e-mail address, in which case you are asked to contact us at askus@akcanada.com and provide an alternate e-mail address that we may use to contact you. Step 1: Applicant - Personal Details Please complete the questionnaire below so that we can return your FREE online assessment. Once completed, please press the submit button found at the bottom of this page. Family or Surname First Name Title Gender - Mr. Miss Mrs. Ms. Prof. Dr. M F Current Address - Street Name Apartment Number Town or City State/Province/County Zip/Postal Code Country Please Select: the United States Canada the United Kingdom Afghanistan Albania Algeria Amer.Samoa Andorra Angola Anguilla Antarctica Antigua and Barb. Argentina Armenia Aruba Australia Austria Azerbaijan the Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herz. Botswana Bouvet Island Brazil Br.Ind.Oc.Terr. Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde the Cayman Is. Cen.Afr.Rep. Chad Chile China Christmas Is. Cocos Is. Colombia Comoros Congo Cook Is. Costa Rica Croatia Cuba Cyprus Czech Rep. Denmark Djibouti Dominica Dom.Rep. East Timor Ecuador Egypt El Salvador Equ.Guinea Eritrea Estonia Ethiopia Falkland Is. Faroe Is. Fiji Islands Finland France Fr.Guiana Fr.Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea GuineaBissau Guyana Haiti Heard and McD.Is. Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau SAR Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Is. Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal the Netherlands Nlands Ant. N.Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea N.Mariana Is. Norway Oman Pakistan Palau Palestine - GazaPalestine - West Bank Panama Pap.N.Guinea Paraguay Peru the Philippines Pitcairn Is. Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda St. Kitts and Nevis St. Lucia St Vincent and Gr. Samoa San Marino S.Tome and Pr. Saudi Arabia Senegal the Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Is. Somalia South Africa Spain Sri Lanka St. Helena St.Pierre et Miq. Sudan Suriname Svalbard and JM Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trin. and Tobago Tunisia Turkey Turkmenistan Turks and C.Is. Tuvalu Uganda Ukraine the U.A.Emirates the United Kingdom the United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Viet Nam the Virgin Islands Wallis and Futuna Western Sahara Yemen Yugoslavia Zambia Zimbabwe How long resident in this country Telephone Number Business Telephone Less than 1 year Longer than 1 year E-mail Address * Mobile/Cell Number Fax Number *We cannot accept E-mail addresses from the AOL.COM domain at this time. Date of Birth City or Town of Birth Country of Birth 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb March April May June July Aug Sept Oct Nov Dec 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 Please Select: United States Canada United Kingdom Afghanistan Albania Algeria Amer.Samoa Andorra Angola Anguilla Antarctica Antigua & Barb. Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia & Herz. Botswana Bouvet Island Brazil Br.Ind.Oc.Terr. Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Is. Cen.Afr.Rep. Chad Chile China Christmas Is. Cocos Is. Colombia Comoros Congo Cook Is. Costa Rica Croatia Cuba Cyprus Czech Rep. Denmark Djibouti Dominica Dom.Rep. East Timor Ecuador Egypt El Salvador Equ.Guinea Eritrea Estonia Ethiopia Falkland Is. Faroe Is. Fiji Islands Finland France Fr.Guiana Fr.Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea GuineaBissau Guyana Haiti Heard&McD.Is. Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau SAR Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Is. Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands N'lands Ant. N.Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea N.Mariana Is. Norway Oman Pakistan Palau Palestine - GazaPalestine - West Bank Panama Pap.N.Guinea Paraguay Peru Philippines Pitcairn Is. Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda St. Kitts & Nevis St. Lucia St Vincent & Gr. Samoa San Marino S.Tomé & Pr. Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Is. Somalia South Africa Spain Sri Lanka St. Helena St.Pierre & Miq. Sudan Suriname Svalbard & J.M. Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trin.&Tobago Tunisia Turkey Turkmenistan Turks & C.Is. Tuvalu Uganda Ukraine U.A.Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Viet Nam Virgin Islands Wallis & Futuna Western Sahara Yemen Yugoslavia Zambia Zimbabwe Marital Status No of Children - Ages List other countries in which you have legally resided for more than 1 year. Select Never Married Engaged Married Common-Law Same-Sex Partner Widowed Divorced Separated 0 1 2 3 4 5 6 7 8+ m Step 2: Applicant - Education Enter in the boxes below the number of years and months completed at each educational level. Please enter the total number of years completed at EACH LEVEL (e.g. Primary School - 8, Secondary School - 5, First Bachelor degree - 3, Further Bachelor degree - 3). Enter zero (0) if not applicable. Full Time Higher Education (i.e. post-secondary study) PhD: Years Months Master Degree: Years Months Further Bachelor Degree: Years Months First Bachelor Degree: Years Months Diploma: Years Months Certificate: Years Months Apprenticeship: Years Months School Education (i.e. secondary school/high school) Secondary/High School: Years Creche/Kindergarten plus Primary School: Years Total: <Press to Calculate FAILURE TO ACCOUNT FOR ALL YEARS OF STUDIES WILL RESULT IN A LOWER EDUCATION SCORE AND POSSIBLE DISQUALIFICATION. ONLY ACCOUNT FOR EDUCATION COMPLETED AND NOT EDUCATION IN PROCESS. Confirm Highest Level of Education Completed: PhD Master degree Second Bachelor degree - 4 year + Second Bachelor degree - 3 year Second Bachelor degree - 2 year First Bachelor degree - 4 year + First Bachelor degree - 3 year First Bachelor degree - 2 year Diploma - 4 year Diploma - 3 year Diploma - 2 year Diploma - 1 year Certificate - 3 year Certificate - 2 year Certificate - 1 year Apprenticeship Secondary School Primary School Exact details of Highest Qualification Received: eg. BSc. Engineering m Step 3: Applicant - Work Experience In the space below, please account for all of your PAID FULL-TIME work experience within the past 10 years. Full-Time work is 37.5 hours per week, or the equivalent thereof. NOTE: Do not go back more than 10 years. Show only work experience from the month and year that is exactly 10 years back from today's date. Work experience prior to 10 years ago will not be credited. From To Job Title/Description Month Year Month Year Please select using buttons below Present Job 01 02 03 04 05 06 07 08 09 10 11 12 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 01 02 03 04 05 06 07 08 09 10 11 12 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 2nd last 01 02 03 04 05 06 07 08 09 10 11 12 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 01 02 03 04 05 06 07 08 09 10 11 12 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 3rd last 01 02 03 04 05 06 07 08 09 10 11 12 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 01 02 03 04 05 06 07 08 09 10 11 12 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 4th last 01 02 03 04 05 06 07 08 09 10 11 12 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 01 02 03 04 05 06 07 08 09 10 11 12 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 Other 01 02 03 04 05 06 07 08 09 10 11 12 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 01 02 03 04 05 06 07 08 09 10 11 12 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 Remember: Do not go back more than exactly 10 years from today's date. a Step 4: Applicant - Language Ability Is French your first language ? No Yes Speak Write Read Understand English Select Fluently Well Basic Not at All Select Fluently Well Basic Not at All Select Fluently Well Basic Not at All Select Fluently Well Basic Not at All French Select Fluently Well Basic Not at All Select Fluently Well Basic Not at All Select Fluently Well Basic Not at All Select Fluently Well Basic Not at All m Step 5: Applicant - Financial Information Indicate here your personal net worth in US Dollars. Enter amount in numbers only - do not use commas, spaces or decimal points. To calculate your total personal net worth, you must do the following: 1. List all of your fixed assets, such as real estate and cars, at their current value. 2. List all of your liquid assets: cash, certificates of deposit, stocks, bonds and bank accounts. 3. List all jewelry, furniture and household items at their current value. 4. Add all of the above. These are your total assets. 5. Subtract all of your debts, such as your mortgage, car loan and credit card balances, from your total assets. IE:- (1 + 2 + 3) - (5) = your total personal net worth. Total net worth ( in USD only. Do not use commas, spaces or decimal points - eg. 10000) $US m Step 6: Spouse/Partner - Personal Details (if applicable) Do you have a Spouse/Common-Law Partner/Same-Sex Partner ? If 'No' please continue with Step 10. ..Yes No Family/Last name: First/Given name: Title: Mr. Miss Mrs. Ms. Prof. Dr. Other Gender: - M F e-mail Address: Date of Birth: 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb March April May June July Aug Sept Oct Nov Dec 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 Country of birth: Citizenship: m Step 7: Spouse/Partner: Education Details (if applicable) Enter in the boxes below the number of years and months completed at each educational level. Please enter the total number of years completed at EACH LEVEL (e.g. Primary School - 8, Secondary School - 5, First Bachelor degree - 3, Further Bachelor degree - 3). Enter zero (0) if not applicable. Full Time Higher Education (i.e. post-secondary study) PhD: Years Months Master Degree: Years Months Further Bachelor Degree: Years Months First Bachelor Degree: Years Months Diploma: Years Months Certificate: Years Months Apprenticeship: Years Months School Education (i.e. secondary school/high school) Secondary/High School: Years Creche/Kindergarten plus Primary School: Years Total: <Press to Calculate FAILURE TO ACCOUNT FOR *ALL YEARS* OF STUDIES WILL RESULT IN A LOWER EDUCATION SCORE AND POSSIBLE DISQUALIFICATION. Confirm Highest Level of Education completed: PhD Master degree Second Bachelor degree - 4 year + Second Bachelor degree - 3 year Second Bachelor degree - 2 year First Bachelor degree - 4 year + First Bachelor degree - 3 year First Bachelor degree - 2 year Diploma - 4 year Diploma - 3 year Diploma - 2 year Diploma - 1 year Certificate - 3 year Certificate - 2 year Certificate - 1 year Apprenticeship Secondary School Primary School Exact details of Highest Qualification Received eg. BSc. Engineering m Step 8: Spouse/Partner - Work Experience (if applicable) In the space below, please account for all of your Spouse/Partner's PAID FULL-TIME work experience within the past 10 years. Remember: Do not go back more than exactly 10 years from today's date. From To Month Year Month Year Job Title/Description Present Job 01 02 03 04 05 06 07 08 09 10 11 12 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 01 02 03 04 05 06 07 08 09 10 11 12> 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 2nd last 01 02 03 04 05 06 07 08 09 10 11 12 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 01 02 03 04 05 06 07 08 09 10 11 12 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 3rd last 01 02 03 04 05 06 07 08 09 10 11 12 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 01 02 03 04 05 06 07 08 09 10 11 12 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 4th last 01 02 03 04 05 06 07 08 09 10 11 12 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 01 02 03 04 05 06 07 08 09 10 11 12 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 Other 01 02 03 04 05 06 07 08 09 10 11 12 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 01 02 03 04 05 06 07 08 09 10 11 12 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 mm Step 9: Spouse/Partner - Language Ability (if applicable) Is French your first language ? No Yes Speak Write Read Understand English Select Fluently Well Basic Not at All Select Fluently Well Basic Not at All Select Fluently Well Basic Not at All Select Fluently Well Basic Not at All French Select Fluently Well Basic Not at All Select Fluently Well Basic Not at All Select Fluently Well Basic Not at All Select Fluently Well Basic Not at All m Step 10: Additional Questions for Applicant and Spouse/Partner (if applicable) Do you have a job offer from a prospective Canadian employer ? Select No Yes Do you have HRDC confirmed offer of employment in Canada ? Select No Yes Have you worked in Canada for 1 year or more in full-time authorised employment ? Select No Yes Have you studied in Canada for 2 years or more full-time authorised post-secondary study ? Select No Yes Do you have a relative who is a Canadian Citizen or Permanent Resident ? Only living relatives who are residing in Canada and who are direct blood relatives to you or your Spouse/Partner, NOT cousins and/or family friends. No Family in Canada Parent Brother/Sister Grandparent Child Aunt/Uncle Niece/Nephew If Step 11: Final Questions Have you, your Spouse/Partner, or any of your dependants ever: had any serious disease or physical or mental disorder ? Select Yes No been convicted of or are currently charged with any crime or offence in any country ? Select Yes No applied previously for temporary status in Canada (i.e. visitor/student/worker) ? Select Yes No been refused a Canadian immigrant visa /visitor visa /Study Permit /Work Permit or that of any other country ? Select Yes No been refused admission to, or ordered to leave Canada or any other country ? Select Yes No been involved in the commission of a war crime or a crime against humanity ? Select Yes No applied previously for permanent status in Canada ? Select Yes No If you have answered "yes" to any of the questions in Steps 10 OR 11, above, please provide details, below: Why have you contacted Abrams & Krochak? How can Abrams & Krochak assist you? How did you learn about our website ? Please Select Facebook Google Yahoo Other Search Engine - Please specify below Emigrate Magazine The Economist Magazine Referral by Former/Present Client - Please provide former/present client's name below Referral by other person - Please provide person's name and relationship to you below Other - Please Specify Below Specify other source or referring person here (if applicable): Very important - Please confirm your e-mail address here m To assist in obtaining additional points please click this button now m Step 12: Declaration - MUST be completed: I certify that the information provided by me, above, for my FREE Canadian Immigration assessment is accurate and I consent to Abrams & Krochak corresponding with me at the e-mail address, above, regarding said assessment. Yes No
Individuals with no work experience of any kind need NOT complete the Independent/Skilled Worker Class Online Assessment Questionnaire as their qualifications will be negatively assessed by Abrams & Krochak. A minimum of one (1) year of full-time paid skilled work experience (or the equivalent thereof) within the past ten (10) years is a minimum pre-requisite for eligibility to apply in this category.
Please Note:Once you submit your completed Online Assessment Questionnaire, you should immediately receive an e-mail, confirming the personal data you supplied. If you do not receive such an e-mail, you likely provided an invalid e-mail address, in which case you are asked to contact us at askus@akcanada.com and provide an alternate e-mail address that we may use to contact you.
1. List all of your fixed assets, such as real estate and cars, at their current value. 2. List all of your liquid assets: cash, certificates of deposit, stocks, bonds and bank accounts. 3. List all jewelry, furniture and household items at their current value. 4. Add all of the above. These are your total assets. 5. Subtract all of your debts, such as your mortgage, car loan and credit card balances, from your total assets. IE:- (1 + 2 + 3) - (5) = your total personal net worth.
Total net worth ( in USD only. Do not use commas, spaces or decimal points - eg. 10000)
$US
Yes