Sponsor Assessment Form How did you hear about KHS? GoogleSocial Media platformsFamily/FriendAdvertisement Please specify which platform (Instagram, Facebook, LinkedIn and Twitter): Please provide the name of the family member or friend: CONTACT INFORMATION First Name: Last Name: Email: Phone: PERSONAL INFORMATION What is your status in Canada? Canadian CitizenPermanent Resident Age: Marital Status: MarriedWidowedSeparatedDivorcedSingle How many dependent children do you have (dependent children: under the age of 22)? SPONSOR’S ELIGIBILITY Do you currently reside in Canada? YesNo Are you receiving social assistance for reasons other than disability? YesNo Were you sponsored by a spouse/partner and you became a permanent resident less than 5 years ago? YesNo Have you ever declared bankruptcy? YesNo Have you ever been convicted of committing a violent criminal offence, any offence against a relative or any sexual offence inside or outside Canada? YesNo What is the combined net income of you and your spouse in the last 12 months? FAMILY MEMBER (SPONSORED) INFORMATION First Name: Last Name: Relationship with the sponsor: Family member’s country of residence: Nationality of the family member:
