Caregiver/Support Worker Pilot Program Assessment The Immigration Program you want to apply for: *Home Child Care / Home Support Worker PilotSponsor Details Full name as shown in the passport *You are: *CaregiverFull name *Date of Birth *Current Address0 / 180 Address0 / 180Email Address *Phone Number *Date of BirthHighest Educational Qualification0 / 180Annual Income0 / 180Immigration Status0 / 180Have you found a Caregiver ? *You have found a Caregiver/RelativeYou need to find a CaregiverCaregiver DetailsFull name *Date of Birth * Address0 / 180Email Address *Phone Number *Highest Educational Qualification0 / 180Status in Canada0 / 180Have you submitted an Express Entry profile to the Government of Canada? *YesNoPost-Secondary Educational qualifications (after plus two)1. Specifying the name of the Institute / UniversityYear of passingProgram and its length0 / 180Mode of instruction0 / 1802. Specifying the name of the Institute / UniversityYear of passingProgram and its length0 / 180Mode of instruction0 / 1803. Specifying the name of the Institute / UniversityYear of passingProgram and its length0 / 180Mode of instruction0 / 180Canadian education if any: Specifying the name of the Institute / UniversityYear of passingProgram and its Length0 / 180Mode of instruction0 / 180Total Work Experience if any: Total Years of Work Experience Job Title/s0 / 180Job Title/s0 / 180Total Years of Work Experience Outside CanadaJob Title/s0 / 180Total Years of Work Experience inside Canada0 / 180Job Title/s0 / 180Do you have a certificate of qualification from a Canadian province or territory in your skilled trade? YesNoDetails0 / 180Do you have a valid job offer from a Canadian employer?YesNoIELTS ScoreListening0 / 20Reading0 / 20Writing0 / 20Speaking0 / 20Overall score 0 / 20Test DateTEF/TCFDo you have a French Test Score? Listening0 / 20Reading0 / 20Writing0 / 20Speaking0 / 20Overall score 0 / 20Test DateCanadian Educational Credential Assessment, if any ( WES, IQAS etc ):Name of the Credential0 / 180Name of the Credential0 / 180Canadian Equivalency0 / 180Date of AssessmentNumber of family members including CaregiverAre you looking for a Child Care/Support Worker Job Offer ?YesNoDo you have Relative / Friend / Employer in Canada *YesNoDo you or your spouse have any family members, relatives or friends living in Canada : NameRelationImmigration Status0 / 180Province0 / 180Years of residence in the provinceYour preferred province/Territory/City in Canada to live in0 / 180Marital StatusMarriedDivorcedWidowedSingleDo you have any dependent children? If yes, number of children0 / 180Your spouseNameDate of birthSpouse's Post-Secondary Educational qualifications 1. Specifying the name of the Institute / UniversityYear of passingMode of instruction0 / 180Program and its length0 / 1802. Specifying the name of the Institute / UniversityYear of passingMode of instruction0 / 180Program and its length0 / 1803. Specifying the name of the Institute / UniversityYear of passingMode of instruction0 / 180Program and its length0 / 180Spouse’s IELTS ScoreListening0 / 20Reading0 / 20Writing0 / 20Speaking0 / 20Overall score 0 / 20Spouse’s work experience outside Canada:Total Years of Work Experience:(1-2) YearsMore Than 2 YearsSpouse’s work experience in Canada: Total Years of Work Experience:(1-2) YearsMore Than 2 YearsYour Business/Management experience Nature of business0 / 180Number of Years in BusinessYour Role in the Business0 / 180Business Net Worth0 / 180Your Personal Net WorthYour Personal Net Worth in Rupees (Deduct the current value of your and your spouse’s liabilities (loans, credit card balances etc.) from the current value of your and your spouses’ assets like properties, investments. stocks, bonds, bank accounts etc.0 / 180What would you like to do: I want sponsor my foreign relative for Canadian ImmigrationI want my relative in Canada to sponsor me for Canadian ImmigrationRelative to be SponsoredFull Name as Shown in the PassportDate of birthCurrent AddressRelationship to SponsorPlease SelectSpouse/Common law PartnerDaughterSonMotherFatherGrandmotherGrandfatherIf Sponsor is a Spouse, Date of MarriageName of your Relative/Employer in CanadaImmigration Status of your Relative/EmployerThe annual income of your Relative/EmployerHow did you hear about us ? Internet search/Friend’s Referral/ Advertisement0 / 180Upload your Resume, If anyChoose FileNo file chosenDelete uploaded fileMaximum file size: 5 MB. File extensions allowed: PDF, DOC, DOCX, TXT, RTFQueries, If Any:0 / 180For an Assessment Report from a Canadian Immigration Lawyer, submit the form and make a payment of CAD$50.00 for assessment. Canadian Residence should pay CAD$56.50 ( including HST) for assessment.Submit Form
