Access World Advocates
Welcome to Access World Advocates
Talk to an Expert Now!
Welcome to Access World Advocates
Talk to an Expert Now!
team@accessworldadvocates.com
(416) 527-0305
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Intake Form
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Please enable JavaScript in your browser to complete this form.
Full Name (as on passport):
*
Date of Birth (DD/MM/YYYY):
*
Country of Birth:
*
Country of Citizenship:
*
Passport Number: (optional)
Passport Expiration Date:
*
Current Country of Residence:
*
Residential Address:
*
Phone Number (with country code):
*
Email
*
Preferred Language of Communication
*
English
French
Are you bilingual (French and English)?
*
Yes
No
Marital Status:
*
Single
Married
Common-law
Divorced
Widowed
Spouse/Partner's Full name
*
Date of Birth
*
Will your spouse/partner accompany you to Canada?
*
Yes
No
Children’s Information
If your children are accompanying you or may pursue immigration later, a scanned copy of their passport photo page is required after signing the agreement.
Highest Level of Education Completed:
*
Field of Study:
*
Institution Name:
*
Country:
*
Start Date / End Date
*
Do you have multiple academic backgrounds?
*
Please only include your highest completed credential. Please send your résumé for additional details.
Current or Most Recent Job Title:
*
Employer Name:
*
Country of Employment:
*
Start Date / End Date:
*
or (with to
Main Responsibilities (brief):
*
Please list all languages you speak, read, or write. Do not provide language test results at this stage.
*
Have you ever applied to immigrate to or visit Canada before?
*
Yes
No
If Yes, explain type of application, Date, Outcome
If you received a refusal, please provide a copy of the official letter.
Have you ever been refused entry to any other country?
*
Yes
No
If Yes, please explain:
Do you have close relatives currently living in Canada?
*
Yes
No
If yes, relationship and what province
*
Do you have sufficient funds to meet Canada’s Express Entry financial requirements?
*
Yes
No
Approximate amount available (in CAD):
*
What are your goals in immigrating to Canada?
*
Do you have any concerns, questions, or unique circumstances we should know about?
*
Name
*
First
Last
I, the undersigned, certify that the information I have provided in this intake form is true and accurate to the best of my knowledge. I understand that all information will be treated confidentially and used solely for immigration support services under the regulations of the Government of Canada.
Date (DD/MM/YYYY):
*
Submit
