Work 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 Current Country of Residence: Nationality: Age: Marital Status: MarriedWidowedSeparatedDivorcedSingle How many dependent children do you have (dependent children: under the age of 22)? Do you or your spouse/partner have a close relative who resides in Canada and is at least 18 years old, a Canadian citizen, or a permanent resident of Canada? YesNo If yes, please specify the relationship with you or your spouse: EDUCATION Please provide your highest level of education for which you and your spouse/partner (if applicable) have academic credentials (degree, diploma or certificate). Please take note, professional degree entails one of the following fields: law or medicine. Main Applicant: Less than high school or 10th gradeHigh school graduate or 10th pass1-year diploma, certificate or degree from a technical school, institute, college or university2-year diploma, certificate or degree from a technical school, institute, college or universityBachelor’s degree or 3-year diploma, certificate or degree from a technical school, college or universityMaster’s degree or professional degreePh.D Country of Education: Name of Institution: WORK EXPERIENCE Have you ever worked for at least a year in a skilled career anywhere in the world? YesNo How many years of total work experience you have? 1 – 2 years3 – 5 yearsMore than 5 years Do you have at least 1 year of experience in a skilled occupation in Canada? YesNo If yes, please provide Start date (d/m/y): End date (d/m/y): LANGUAGE PROFICIENCY Main Applicant - What is your oral and written proficiency in English? No proficiencyBeginnerProfessional fluencyPerfectly fluent Spouse (if applicable) - What is your oral and written proficiency in English? No proficiencyBeginnerProfessional fluencyPerfectly fluent Have you recently taken an official English or French language test in the last 2 years? YesNo If yes, which one and what score did you get? FINANCIAL CAPACITY Certain immigration programs require applicants to give proof of funds for their initial settlement. Please specify your and your spouse (if applicable) combined available settlements funds: Amount: Currency:
