Self-employed Free Assessment

First Name:

Last Name:

E-mail:

Telephone:

Street:

City:

State/Province:

Zip/Postal Code:

Country:

Nationality:

Age:

Education:

Total Years of Education:

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:

Have you or your spouse/common-law partner worked full-time in Canada for at least 1 year? Yes No

Have you or your spouse/common-law partner studied full-time at a college/university/trade school in Canada for at least 2 years? Yes No

Do you or your spouse/common-law partner have a family member in Canada?
Yes No

If so, who where

Spouse/common-law partner's education:

Any issues regarding medical and/or criminality?

Do you meet the Relevant Experience requirement? Yes No

Description of your self-employed business plan:

How much savings do you have? (including investments) (CAD)

How did you hear about Border Connections?