Assessment For Temporary Workers Form
For anyone seeking a temporary Work Authorization for Canada
1) Personal Information
Family Name:
First Name:
Date of birth: (dd/mm/yyyy)
Country of Citizenship:
City and Country where you are currently residing:
Gender: Male
Female
2) Contacting Information
Email:
Telephone Number :
Fax Number (OPTIONAL):
Postal Address (OPTIONAL):
3) Key Factors
Your age:
Education:
Major:
Completed? Yes
No
In
Progress
Years of Completion (elementary – last degree/diploma):
Current Occupation:
Years of exp
Previous Occupation:
Years of exp
Do you have an Offer of Employment in
Canada approved by HRDC? Yes
No
4)
Education
Primary
School Secondary School
High School
1 year equivalent full time studies/training leading to a diploma
2 years equivalent full time studies/training leading to a diploma
3 years equivalent full time studies/training leading to a diploma
5) Work Experience
List your work experience along with details of position,
responsibilities etc.
6) Official Languages
Please indicate your abilities in both English and French languages, as follows:
|
FLUENT |
Very good command of the language in a range of social and work situations, and no difficulty communicating in a professional capacity. |
| WELL |
Can communicate reasonably well about personal and familiar
things. |
| WITH DIFFICULTY |
Command of just a few basic words. |
| NOT AT ALL |
Cannot
communicate at all in the given language. |
7) Employer information (if
applicable)
Information regarding Canadian
Business, Employer or intended business activity
Have you been made an offer by a
Canadian Business or Employer? Yes
No
If No offer exists from a Canadian business or employer,
please
explain the nature of your
intended business visit:
If Yes
Name of Employer/Business:
Business Address:
Position Offered:
Are you being transferred from a foreign
enterprise to a Canadian branch, affiliate, parent or subsidiary?
Yes
No
8) Additional Information
9) Available Funds
Liquid Assets
Fixed Assets
10) How did you find us?
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