First Name

Last Name

Age

Gender Male Female

Marital status Married Single Divorced Common Law Widowed

How many children ? 0 1 2 3 4 5 6 7 8 9 10

Highest level of completed education None General Secondary diploma Profesionnal Secondary diploma CAP, BEP, BT, A3, A2 General Postsecondary, 2 years Technical Postsecondary, 1 year (Technical Baccalauréat) Technical Postsecondary, 2 years Technical Postsecondary, 3 years DUT, BTS, DTS University, 1 year diploma University, 2 years diploma University, 3 years diploma (License) University, 4 years diploma Master's degree (DEA, DESS) Ph. D

Is your diploma recognized by the Government? Yes No

Years of work experience 0 Less than a year 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 20 and+

Work Experience

Do you know someone who lives in Canada? Yes No

Have you ever been to Canada? Yes No

French Speaking None Basic Beginner Intermediate Advanced Expert

English Speaking None Basic Beginner Intermediate Advanced Expert

French Reading None Basic Beginner Intermediate Advanced Expert

English Reading None Basic Beginner Intermediate Advanced Expert

French Writing None Basic Beginner Intermediate Advanced Expert

English Writing None Basic Beginner Intermediate Advanced Expert