English Himca Assessment Page

Choose your own appropriate immigration status:

Permanent Status Temporary Status

Choose one of the following categories to fill its correspondant application:

Entrepreneur
Investor
Self Employed
Family Sponsorship
Skilled Worker

Today's Date: 3/10/2010

Personal Identification PSE

Legal First Name *			Male Female
Legal Last Name *
Date of Birth *
Place of Birth *

Contact Information

Street Address *
Place of Residence *			Zip / Postal Code

Telephone ..
Mobile ..
Email Address *

Educational Information

Degree #1

School Name
Your Level of Education
Your Field of Education
Completion Date

Degree #2

School Name
Your Level of Education
Your Field of Education
Completion Date

Personal Information

Mother Tongue
Marital Status

Linguistic Knowledge and Communication Skills

	Degree of Fluency	Understanding	Writing
English
French

Networth Evaluation ($USD)

Assets

Equities

Work and Business Experiences in Last Years

Work Experience #1

Employer
Position Held
Start Date
End Date
Duties or Work Experiences

Work Experience #2

Employer
Position Held
Start Date
End Date
Duties or Work Experiences

You may add comments or any additional information in the field below or too simply paste your resume:

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