February 7, 2022

The instructions have been updated to extend the facilitation measures (that were previously ending on December 31, 2021) until August 31, 2022. Students who were enrolled in a post-graduation work permit (PGWP)-eligible program from March 2020 until the summer 2022 semester can complete 100% of their program of study outside of Canada and still retain their eligibility for the Post-Graduation Work Permit Program (PGWPP).

Learn more at www.canada.ca

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Personal Information

Please fill out the section below accurately

Any information you submit is confidential and will only be used for evaluating your eligibility to come to Canada. Please fill out the section below accurately and to the best of your ability. This assessment should take you 15 minutes. Mandatory fields are marked with a *.

Name *

First

Middle

Last

Gender *

Male
Female

Date of Birth *

Phone *

Email *

Country of Citizenship *

Where you are a legal citizen

Country of Residence *

Where you currently live

Current Address *

Please include street name & number, province, and postal code

Martial Status *

Single
Married
Divorced

Is your partner immigrating to Canada with you? *

Name *

First

Middle

Last

Does you spouse live at the same address as you? *

Yes, same address
No, different address

Spouse Address *

Please include street name & number, province, and postal code

Children Information

Children qualify as dependents if they

• are under 22 years old and
• don’t have a spouse or partner

For children that are 22 and older to be a dependent they must

• have depended on their parents for financial support since before they were 22 and
• be unable to financially support themselves because of a mental or physical condition.

Do you have any dependents? *

Child #1 Name *

First

Middle

Last

Gender *

Male
Female

Date of Birth *

Do you have a second child to add? *

Yes, add a second child
No, just add one

Child #2 Name *

First

Middle

Last

Gender *

Male
Female

Date of Birth *

Do you have a third child to add? *

Yes, add a third child
No, just add two

Child #3 Name *

First

Middle

Last

Gender *

Male
Female

Date of Birth *

Do you have a fourth child to add? *

Yes, add a fourth child
No, just add three

Child #4 Name *

First

Middle

Last

Gender *

Male
Female

Date of Birth *

Do you have a fifth child to add? *

Yes, add a fifth child
No, just add four

Child #5 Name *

First

Middle

Last

Gender *

Male
Female

Date of Birth *

Do you have a sixth child to add? *

Yes, add a sixth child
No, just add five

Child #6 Name *

First

Middle

Last

Gender *

Male
Female

Date of Birth *

Do any of your children have a Canadian citizenship? *

List all the children FULL Name who have Canadian Citizenship *

Relatives in Canada

Must be a parent, sibling, uncle, aunt, nephew, niece, grandparent, or grandchild.

Do you or your partner have family members who are permanent residents or citizens of Canada? *

What is your relationship to that person(s)? *

e.g. "Wife's sister". List as many as you have.

Where does that person(s) live? *

City, province

Net Worth ($USD)

Please fill out the section below accurately. Estimate values to the best of your ability.

What is your personal net worth ($USD) *

In US $, the total value of your assets (bank accounts, stocks, bonds, real estate, etc.) MINUS the total of your liabilities (mortgages, loans, credit card balances, etc.)

What is the value of all your and your spouse's liabilities? *

In US $, this is amount of all debt and loans you have.

Education

Highest level of education completed *

Field of Study *

Your general area of study if nothing specific.

Number of total years of education *

Years and months

Degree Name *

Country/City Degree Completed *

Do you have any relevant trade or professional licenses? *

Please state all your acquired license *

Employment history and work experience

Have you had paid employment as an employee in the last 10 years? *

Job Title *

Name of Company *

Location *

Field of work *

Start of employment *

End of employment *

Other Information *

Do you have any other employment to add? *

Job Title #2 *

Name of Company #2 *

Location #2 *

Field of work #2 *

Start of employment #2 *

End of employment #2 *

Other Information #2 *

Do you have experience managing a business? *

Job Title *

Type of Business *

From *

To *

Number of employee managed *

Have you ever owned and operated a business? *

Type of business *

From *

To *

How many employees did you have? *

Language ability

Please answer accurately, estimating to the best of your ability.

English ability *

Excellent, I understand nearly everything
High, I understand most things
Moderate, I understand things with some difficulty
Basic, I can make short sentences
None

French ability *

Excellent, I understand nearly everything
High, I understand most things
Moderate, I understand things with some difficulty
Basic, I can make short sentences
None

Have you taken the IELTS test? *

Date taken *

Listening Score *

Reading Score *

Writing Score *

Speaking Score *

Have you taken the CELPIP test? *

Date taken *

Listening Score *

Reading Score *

Writing Score *

Speaking Score *

Have you taken the PTE Core test?

Date taken

Listening Score

Reading Score

Writing Score

Speaking Score

Have you taken the TEF test? *

Date taken *

Compréhension écrite *

Compréhension orale *

Expression écrite *

Expression orale *

Have you taken the TCF test? *

Date taken *

Compréhension écrite *

Compréhension orale *

Expression écrite *

Expression orale *

Additional questions

Please read carefully and answer accurately and truthfully.

Do you, your spouse, or any of your dependants have a criminal record? *

Please provide a detailed explanation *

Have you previously sought refugee status or any type of visa in the past? *

In Canada or any other country, have you sought any type of visa (immigrant, permanent resident, visitor, or temporary resident).

Please provide a detailed explanation *

Have you been refused admission or ordered to leave Canada or any other country? *

Please provide a detailed explanation *

Additional information

Please enter any other information you think is important to share as part of your assessment.

Please attach any files you think are important to your assessment (a CV if you have work experience).

Click or drag a file to this area to upload.

How did you hear about us?

Referral by someone
Search engine (e.g. Google)
I have used another YOUVIC service
Other

Please enter any other information you think is important to share as apart of your assessment.

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Program delivery update: COVID-19 – Post-Graduation Work Permit Program (PGWPP)

Get a free consultation

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Personal Information

Children Information

Relatives in Canada

Net Worth ($USD)

Education

Employment history and work experience

Language ability

Additional questions

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