Free Assessment - Bloomington Immigration Services

Name

First

Middle

Last

Phone Number

When entering your phone number, please include the country code and the area code , such as +1416 ——-

E-mail Address

Social media account or website

Citizenship(s)

Age

Gender

Marital Status

Do you have any children?

Yes
No

Level of education

Field of study

Specific subject of study

Which language(s) are you fluent in?

What is your current field of work?

Financial Information

What is the approximate amount (in CAD) that you are planning to/ able to bring with you to Canada? (only answer if relevant and if you are comfortable with providing this information)

Do you have any relatives who are permanent residents or citizens of Canada?

Yes
No

Do you have any criminal/ security/medical issues?

Yes
No
Not Sure

How did you hear about us?

How may we assist you?

Comments

Preferred Contact Method

please include your time-zone

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