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Quebec Permanent Worker Free Assessment

I would like to apply as:
First Name:   Last Name:
E-mail: Telephone:
Street: City:
State/Province: Zip/Postal Code:
Country: Nationality: Age:
Education: Total Years of Education:
Major:
Do you have a second university degree or professional school diploma in a different major or speciality? Yes No
If "yes", list the degree/diploma:

Were your secondary, post-secondary or university studies carried out in French?
Yes No

Current Employment Title:
How Long: How many hours per week:
Previous Employment Title:
How Long: How many hours per week:
Previous Employment Title:
How Long: How many hours per week:
Language: French  
Comprehension: Verbal Skills:
Language: English  
Comprehension: Verbal Skills:
Are you currently working in Quebec or have arranged employment in Quebec?
Yes No
If "yes", describe arranged employment:
Have you or your spouse/common-law partner worked in Quebec? Yes No
If "yes", how long did you work in Quebec?
Have you or your spouse/common-law partner studied for full-time in Quebec ?
Yes No
If "yes", how long did you study in Quebec?
Do you or your spouse/common-law partner have a relative/friend in Quebec?
Yes No
If so, who
Have you visited Quebec? Yes No
If "yes", how long did you stay in Quebec?
Do you have a child/children?
Yes No
If "yes", how many? how old for each child?
   
Spouse/Common-law Partner Information (if applies): Age:
Education: Total Years of Education:
Does your spouse/common-law partner have a second university degree or professional school diploma in a different major or speciality? Yes No
If "yes", list the degree/diploma:
Current Employment Title:
How Long: How many hours per week:
Language: French  
Comprehension: Verbal Skills:
Any issues regarding medical and/or criminality?
How much savings do you have? (including investments) (CAD)
How did you hear about Border Connections?
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